Q. My nose became a hooked nose after nose surgery.. What kind of revision surgery would be needed?

There are quite a few people who feel anxious because the shape of their nose after surgery turned out differently than expected. In particular, changes in the tip position or the columella can greatly affect the overall impression, so even small differences can feel significant.

Today, I’ll focus on a question that many people have asked about cases where the nose looks like a hooked nose one month after surgery.

Q.

I had nose surgery one month ago. I only raised the bridge by about 2 mm, and for the tip I used ear cartilage to do a small-nose surgery. Before surgery, I didn’t have any hooked-nose appearance at all, but during the consultation I was told that from the side my nose looked upturned, so the tip was lowered and corrected. However, it was lowered more than I expected, and now it looks like a hooked nose after surgery.

I’m currently considering revision surgery, and I’m wondering what approach is usually used in cases like this. I’d also like to know whether the correction is done by making an incision in the columella, or whether there are other methods. Also, the bridge itself doesn’t feel like it has been raised much at all, but only the middle of the bridge looks prominent, and the area under the nose has become longer, so it doesn’t have a refined, straight impression overall. My nose also looks bigger, almost parrot-like, and I’m wondering whether the bridge should be refined in such cases. The tip also looks much more blunt than before.

To summarize, after correcting an upturned nose, the columella has been lowered too much and now the nose looks like a hooked nose, and I’d like to know what surgical methods can improve this. I’m also curious whether the nose needs to be reopened and operated on again, and how difficult that would be. Lastly, I have a reference photo of the nose shape I want, and I’d like to know whether it would be possible to raise the columella back up to that extent.

A.

When correcting an upturned nose, the tip needs to be stabilized in a downward direction, so in many cases the columella is lowered to some degree as well. Your current condition also appears to be the result of intentionally lowering it as part of the process of correcting the upturned nose. However, if it feels like it was lowered too much and now looks like a hooked nose, it can be improved by adjusting the positions of the columella and tip and raising them upward again.

The part where the middle of the bridge looks raised can be corrected by refining the implant or structure in that area to reduce the prominence, and if the tip looks blunt, it can also be improved by organizing the tip cartilage and soft tissue. Surgery is generally performed by opening the columella, directly checking the internal structures, and then adjusting the problematic elements one by one. If no significant additional height is needed, revision can often be done using the materials that were already used.

However, since it has only been about one month since the surgery, it is advisable to consider revision only after the tissue has stabilized sufficiently. In general, correction is recommended after at least 6 months. As for the nose shape you want, it is necessary to determine whether it can be sufficiently adjusted depending on the current structure and skin condition, so it is important to receive a detailed consultation with the surgeon who performed the operation based on your current condition.

#HookedNoseAfterNoseSurgery #KwonOnePlasticSurgery

This image was used with the model’s consent.

As you can see in the photo, the nose is short overall and turned upward, and from the front it is a case of an upturned nose where the nostrils are visible. In addition, the overall size of the nose is on the small side.

In the case of such a small nose, it is relatively common for there not to be enough septal cartilage available for surgery. In such cases, a method may be considered in which rib cartilage or ear cartilage is used to secure enough material needed for the operation.

This image was used with the model’s consent.

From the side photo, you can see that the alar side appears somewhat buried toward the cheek. By bringing the columella and the entire nose forward, the bulbous tip impression was reduced, and as a result, the buried alar side became naturally visible, changing the overall look to one that feels cleaner and lighter.

This image was used with the model’s consent.

Comparing the nose line before and after surgery, the earlier image was overall round and blunt, while after surgery a refined nasal line was created that feels feminine without being excessive.

At the same time, the cute and round impression the patient already had was designed to be maintained.

This image was used with the model’s consent.

This is the change seen from a 45-degree angle. The impression that looked somewhat unsophisticated from the side because the mouth appeared protruded became much more refined and feminine as volume was added to the entire nose.

This image was used with the model’s consent.

This photo was taken and recorded directly in the operating room just before and immediately after surgery. Because it was taken right after surgery, swelling is still present, but the previous bulbous-tip and upturned-nose appearance has been greatly reduced, and you can see that the overall look has changed to a more natural and feminine face shape.

A post worth reading for reference when considering revision rhinoplasty

It is "Q. After hooked-nose tip surgery, I’m worried—what kind of nose surgery do I need?"