short nose correction without using rib cartilage

This gentleman had a few failed previous rhinoplasties and finally ended up with upturned tip with nose contraction. At surgery, there was no allplast inside but a long K-wire fixed to the anterior nasal spine supporting the tip was removed. All cartilage grafts removed, recarved, and used as septal extension graft and extended spreader grafts to fix it. Skin was widely undermined to mobilize to the elongated new dome. Conchal composite graft was used to fill the gap between elongated skin and the deficient mucosa on the right side. Even though this is an early postoperative photos, you can recongnize the elongated nose with pushed down nostril margin and columella. Even without using rib cartilage, short upturned nose can be fixed effectively.

Comments

Deviated & hump nose correction

This lady in below photos had nasal deviation, hump nose, and tip ptosis with breathing difficulty. Septum was corrected first, and this made the lower 2/3 of the nose straight. Hump was not resected but rasped with Piezotome and this did not breach the keystone area, which made spreader grafts unnecessary.Bilateral osteotomies with Piezotome made her bone straight. Together with septum correction and effective osteotomies, her nose became straight from the frontal view. Tip was modified with sutures and onlay graft only. No strut or septal extension graft was used and this made the tip soft even after considerable amount of rotation and projection increase. Radix was augmented with bruised cartilage. Overall, she could breath much better after surgery and her nose became more harmonious and feminine.

Starting google blog "Rhinoplasty Korea"

This blog aims to share my experience in rhinoplasty with friends of the world who are interested in nose job. My over 20 years of experience in the filed of rhinoplasty, revision rhinoplasty, nasal reconstruction, and difficult septal surgery will be reflected with helpful tips for the people who need help. Hope many people can enjoy my blog. Thanks. Director Dr. Jin's Premium Nose Clinic, Seoul, Korea www.doctorjinent.modoo.at

Creating more feminine nose

The lady in below photos visited my clinic for rhinoplasty. She wanted to have more feminine nose instead of her muscline nose. She had a long nose with slight bump on the dorsum, overprojected, slightly bulbous and droopy tip, and slighly wide dorsum. Surgery was focused on creating more feminine look: hump removal, narrowing the bony dorsum with osteotomies, tip volume reduction, decreasing tip projection, and slight cephalic rotation. Photos taken 2 weeks after surgery (because she returnd back to her country after surgery) shows changes on the dorsum and the tip. Dorsum became slender with creation of smooth brow-tip aesthetic line. Tip was refined with volume reduction, slight underprojection, and cephalic rotation. Although the changes are not radical, her nose looks more feminine.

Rhinoplasty Korea

Search This Blog