02/03/2026
She had tried rhinoplasty and septoplasty before and they both failed. When the initial surgery doesn’t address the underlying architecture, the result is often a nose that is still deviated and an airway that remains blocked.
In revision surgery, we aren’t just “tweaking”—we are re-engineering the entire structure.
The Technical Breakdown:
⚫️Total Septal Straightening: Most surgeons utilize a standard L-strut approach, leaving a 1cm border of cartilage. In this case, that foundation was warped. We performed a complete septoplasty, straightening the entire septal body to create a truly neutral midline.
⚫️Piezo Ultrasonic Technology: To reshape the bony vault without the trauma of traditional hammers and chisels, we used ultrasonic waves. This allows for microscopic precision and a much smoother dorsal aesthetic line.
⚫️Functional PA Enlargement: Aesthetics mean nothing if you can’t breathe. We performed a Pyriform Aperture (PA) enlargement to physically widen the nasal airway, correcting the functional failure of her previous surgery.
⚫️5D Rhinoplasty Modeling: We used high-level computer analysis to map the relationship between her skin envelope and the new underlying support, ensuring the 9-month result is as stable as it is straight.
The Verdict:
At 9 months post-op, the nose is centered, the breathing is restored, and the “operated” look is gone. In revision work, structural integrity is the only path to a natural result.
