Structural Rhinoplasty for a Complex Case With a Damaged Nose at S45 Clinic

“For more than 1 year my life was stuck behind a mask. I lost so much confidence that I shut myself away in my room.”

This is how Khun Namfon felt after her nose became misshapen following an infection. She barely went out, avoided social situations, and hid from friends and family because she worried about how others saw her. This is another nose case review that shows how much damage to the nose structure can affect someone’s mental well-being. Khun Namfon searched hard for information about revision rhinoplasty, because it was her ‘last hope’ and she did not want it to go wrong again, until she came for a consultation with a surgeon at S45 Clinic.

A Nose Structure Damaged by Several Surgeries

Khun Namfon’s case was complex and needed a detailed medical assessment, because she had already had several surgeries. The main problems were:

• she had already had revision rhinoplasty 4 times, with both closed and open techniques
• an infection that badly damaged the nose structure
• a short, upturned, contracted nose with tissue so misshapen that the original shape was lost

Care and Planning by a Surgeon at S45 Clinic

Correcting a case with a damaged structure and severe tissue contraction needs careful planning with an experienced surgeon. The surgeon at S45 Clinic assessed the nose structure in detail and chose open rhinoplasty to rework the internal structure to suit the patient’s case.

Treatment and Structural Correction

For Khun Namfon, the surgeon chose open rib rhinoplasty to work directly on the internal structure, with these steps:

• Rebuilding and strengthening the structure: the damaged old structure was removed and new support was built with rib cartilage
• Septal extension: the contracted nasal tip and columella (the central column between the nostrils) were lengthened to become slimmer, longer and better proportioned
• Restoring tissue: dents and deep scars on the nasal bridge were corrected and filled with the patient’s own tissue to lower risk
• Balancing the nostrils: the alar cartilages were rebuilt so both nostrils are as similar as possible
• Refining the outer shape: hanging alae were reshaped to be in proportion with the face

Results After Open Rib Rhinoplasty

Today, the result of rhinoplasty is not just a changed nose shape but getting back the ‘freedom’ to live her life. Khun Namfon can take off her mask, go out, socialise and feel confident again.

“Reveal the beauty within you” (Reveal your hidden beauty)

Consultation and Facial Assessment

“Because every kind of beauty comes from care.” If you have a misshapen or infected nose, or need complex revision rhinoplasty, you can book a consultation with a surgeon at S45 Clinic to assess the problem and plan treatment.

To ask about a nose assessment or book an appointment, contact us:

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.