From a ‘Strange Face’ to Confidence With Rib Graft Revision Rhinoplasty
From being called a “strange face” to several surgeries, just to get closer to being “normal”. This is another rhinoplasty review from the real case of Khun Wan, who suffered from a misshapen nose and badly damaged nasal tissue.
Tight Scar Tissue and a Damaged Structure, Khun Wan’s Challenging Revision Case
In revision rhinoplasty after several previous surgeries, a major obstacle is often ‘scar tissue’ from earlier operations, along with cartilage that has been altered until it is weak. In Khun Wan’s case, the problems were severe and very complex:
- badly damaged nasal tissue and a clearly misshapen nose
- no supporting structure for the bridge and tip
- tight scar tissue making the nose stiff and pulled
- thin skin over the nose with scars
- misshapen, unbalanced nostrils
Because of these problems, revision rhinoplasty could not just correct the outer shape. The internal structure needed careful restoration, for a result planned for both appearance and the long term.
How Is Complex Revision Rhinoplasty Done? The Treatment Plan of Dr. Rose (พญ.ธนิษฐา บวรปรัส) at S45 Clinic
Revision rhinoplasty in cases with severe structural damage cannot use standard techniques. It needs a surgeon with a deep understanding of anatomy and experience in correcting complex cases.
Dr. Rose (พญ.ธนิษฐา บวรปรัส) at S45 Clinic therefore assessed the case in detail and planned treatment step by step, aiming for “lower risk” and “a result that lasts in the long term”.
Summary of the Step-by-Step Restoration of the Nose Structure at S45 Clinic
Restoring Damaged Tissue
The first step was moving tissue from the forehead to repair the thin, damaged skin of the nose, so it becomes healthier and stronger.
Building a New Structure
Open rib rhinoplasty was used to build a completely new nasal framework, adding strength to the bridge and tip and lowering the chance of it shifting, tilting or pushing through the skin in the future.
Clearing Scar Tissue and Old Scarring
The tight scar tissue was released and the internal tissue was improved so the nose becomes flexible again rather than stiff, which is central to complex revision rhinoplasty.
Designing a Nose Shape That Balances With the Face
The nose and nostrils were reshaped into proportion, with the clinic’s Rosy Nose shape by Dr. Rose (พญ.ธนิษฐา บวรปรัส), which focuses on a soft look that suits each person’s face.
Because in some cases it is not just about “looking better” but about helping someone “live with confidence again”.
Note: Repeat nose surgery, which many people know as ‘nose reshaping’, is surgery for people who have had nose surgery before and need a further assessment by a surgeon. The approach to care depends on the original problem, the nose structure and the surgeon’s judgement in each case.
