2026-05-25
Rhinoplasty Revision at VIBE Plastic Surgery!
A case study of a female patient in her 30s who underwent successful rhinoplasty revision to correct a deviated tip and nostril asymmetry using donated rib cartilage.
* Basic Information
# Female in her 30s
# Underwent rhinoplasty several years ago using AlloDerm and donated rib cartilage, but was dissatisfied with the shape.
* Consultation
# Although she had surgery using artificial dermis (AlloDerm) for the bridge and donated rib cartilage for the tip, she was unhappy with the aesthetic outcome. Over time, the nasal tip appeared increasingly deviated, and nostril asymmetry developed, which were her primary concerns.
# The plan was to correct the deviated nose using new donated rib cartilage and to raise the nasal bridge using an implant.
* Surgical Plan
# Tip Plasty (Deviated nose correction, Alar rim lowering)
# Bridge Augmentation
* Intraoperative Findings
# Severe scar tissue was present; it was cleanly removed, and the area was irrigated with an anti-scarring agent.
# The nasal septum was severely deviated, and the previous septal extension graft was weakly fixed to that area. This was the cause of the deviated nasal tip.
# The nasal septum was reconstructed. A sturdy septal pillar was newly created using new donated rib cartilage.
* Postoperative Findings
# You can see that the deviated nose has been corrected and the nostril asymmetry has been sufficiently resolved.
# With the bridge properly defined, a sharp and sophisticated nasal profile was achieved.
# When performing revision surgery, it is crucial to establish a perfect plan and prepare thoroughly beforehand. One must consider various variables in advance to respond flexibly to unexpected situations that may arise during surgery!
Consultations and surgeries should be performed by a board-certified plastic surgeon!
The ‘VIBE’ that comes from rich experience
Dr. Yoo Young-moon, Representative Director of VIBE Plastic Surgery
Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery depending on the individual, and caution is required.
Frequently Asked Questions
What was the main reason for deciding on revision rhinoplasty?
The patient was dissatisfied with the shape of their nose after a rhinoplasty several years ago, and over time, the nasal tip appeared deviated with nostril asymmetry, leading to the decision for revision surgery. Alloderm was used for the nasal bridge and donated costal cartilage for the nasal tip in the previous surgery.
What materials and methods were used in the revision rhinoplasty?
New donated costal cartilage was used to correct the deviated nose and reconstruct a strong septal column. Additionally, tip plasty and bridge augmentation were performed with a plan to heighten the nasal bridge using an implant.
What problems were discovered during the surgery and how were they resolved?
Severe scar tissue was found during the surgery, which was thoroughly removed and irrigated with a scar tissue preventative. Furthermore, the septum was severely deviated, and the existing septal extension graft was weakly fixed, which was resolved by reconstructing the septum with new donated costal cartilage.
What changes can be expected after revision rhinoplasty?
After the surgery, the deviated nose is corrected, and nostril asymmetry is significantly resolved. With the nasal bridge enhanced, an overall sharp and sophisticated nose line has been achieved.
What is the most important consideration for revision rhinoplasty?
For revision surgery, it is crucial to plan and prepare perfectly before the operation. It is important to consider various potential variables in advance to flexibly respond to unexpected situations during surgery, and consulting with a board-certified plastic surgeon is recommended.