Rhinoplasty and Septoplasty for Sinus Problems and a Deviated Septum With Rib Cartilage
Beyond appearance, good care should suit both the shape of your nose and your daily life. Rhinoplasty is not only about looks. For people with a long-term breathing condition, such as sinus problems, or an abnormal nasal structure, a detailed assessment and a plan that takes care of your health at the same time are needed.
This case is one of the “difficult cases” cared for by Dr. Ty (นายแพทย์กิตติศักดิ์ วงค์เทียนชัย, ว.35602) at S45 Clinic, who works on reshaping the nasal structure, in both revision rhinoplasty and open rhinoplasty with rib cartilage, with the aim of both a good nose shape and better breathing.
Problems Before Surgery, When the Existing Nasal Structure Affects Daily Life
If you are looking at options for reshaping your nose and also have the following symptoms, it may be a sign that the structure inside your nose needs particular care:

- Chronic sinusitis: the nasal passages are often swollen, inflamed and blocked, which disturbs sleep or work.
- A deviated septum: a crooked or tilted central wall of the nose makes breathing difficult or makes one side of the nose feel blocked all the time.
- Leftover material from filler injections: previous filler injections along the bridge have made the skin uneven and wavy, or made the nose look stiff.
- A droopy, fairly short nasal tip: the nasal tip is droopy and short, which affects the overall look of the face and confidence in appearance.
The Approach to Care and Structural Correction by Dr. Ty at S45 Clinic
For people who want to reshape their nose or have internal structural problems, S45 Clinic has experienced surgeons who work on nasal structure and focus on both appearance and breathing. The approach to care is as follows:



- Assessing and planning together: the surgeon analyses both the shape of the nose and the structure inside it, such as the nasal passages and breathing, to plan surgery and care together, lower the chance of inflammation coming back and help you breathe more easily.
- Open rhinoplasty to correct the nasal structure: the surgeon uses open rhinoplasty to see the internal structure clearly and straighten a deviated septum, which helps open up the airway.
- Using your own tissue: for open rhinoplasty with rib cartilage or open revision rhinoplasty with rib cartilage, your own tissue or cartilage is used to add strength to the nasal tip and lower long-term risks, such as the body rejecting a foreign material, infection, silicone implant extrusion and the nasal structure becoming crooked or tilted.
- Preparing the skin: the surgeon carefully scrapes out material left from previous filler injections so the skin is smooth, and lengthens the previously droopy nasal tip to give it dimension, with a soft slope and a gently projected tip that suits the face.
The Result, More Than Appearance, a Better Quality of Life
What stood out was not only a nose shape with dimension and a slope that suits the face, but also that the patient’s breathing improved. Treating the sinus problem together with reshaping the nose into the S45 Original nose shape by Dr. Ty therefore helped improve quality of life at the same time, as follows:

- Appearance: a nose that was short or droopy now has dimension, a slope that suits the face and a smooth skin texture.
- Health: breathing feels easier, and the blocked or uncomfortable feeling from the deviated septum and sinus problems is cared for appropriately.
Frequently Asked Questions
“Reveal the beauty within you” Reveal your hidden beauty
If you are dealing with nasal inflammation, difficulty breathing or an abnormal nasal structure, do not let it hold you back in daily life. You can book a consultation with Dr. Ty at S45 Clinic to plan treatment that suits you.
Beyond appearance, we focus on attentive care. S45 Clinic has surgeons experienced in nasal structure, because we want our patients to have both a nose shape they are happy with and better breathing at the same time.
To ask about a facial assessment, contact us through the channels below.
Note: Revision rhinoplasty, 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 concern, the nasal structure and the surgeon’s judgement in each case.

