In the case of
this 36 year old male, the patient was
unhappy with the shape of his nose. He
felt that his nose was too big and he
did not like the downward tilt of the
nasal tip. This downward tilt was more
prominent when the patient smiled. In
addition to the aesthetic changes, due
to an unknown injury from the past, the
patient had a chronic airway obstruction
where his nasal bone swung to the left.
This patient's
surgery was very complex as a result of
the desired aesthetic changes and the
medical need to open the airway passages.
In order to meet the patient's aesthetic
desires, Dr. Byun had to address both
the static and dynamic components of the
patient's nose. In other words, there
are static components such as the dorsal
area, nostril, and drooping tip. Also,
there is a dynamic component where the
nasal tip drooped further when the patient
smiled.
Dr. Byun is one
of only a few surgeons who can perform
the procedure without cutting the base
of the nose (columella). Other surgeons
cut the columella and lift the skin off
to work on the nose. This causes prolonged
swelling and recovery time. Instead, Dr.
Byun does the surgery Endonasally. A small
cut is made inside of your nostril and
surgery is done within the nose. As a
result of performing the surgery Endonasally,
Dr. Byun can hide all incisions and sutures.
As you can see,
the results of the Rhinoplasty procedure
are dramatic but still looks very natural.
The patient is very happy with the end
result.