[2007.03.31] Hump Nose Rhinoplasty at KSAPS
Conference: 25th Annual Meeting of the Korean Society of Aesthetic Plastic Surgery (KSAPS)
Date: March 31, 2007
Venue: Grand Performance Hall/International Conference Hall, Konkuk University New Millennium Memorial Building
Summary:
Dr. Myung Ju Lee served as a panelist for the “Nasal Correction” session at the 25th Annual Meeting of the Korean Society of Aesthetic Plastic Surgery. He presented a systematic surgical approach to hump nose (also known as a “Roman nose”).
Key Points:
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New Grafting Techniques:
Dr. Lee introduced an innovative method—using fascia and auricular cartilage instead of silicone implants—to address the challenges faced by patients with thin nasal skin, where implants could become visible or cause redness. -
Classification and Techniques for Hump Nose:
Recognizing that hump nose often presents with a drooping tip, a broad nasal bone, septal deviation, nasal obstruction, and relatively thin skin, Dr. Lee classified hump nose into three categories. He then offered various surgical solutions depending on the degree of nasal deviation and the length of the columella. -
Corrective Methods:
- Dorsal Reduction: Removal of the bony/cartilaginous hump.
- Structural Support: Using auricular cartilage, implants, rib cartilage, or auricular cartilage with temporalis fascia to rebuild or augment the nasal dorsum.
- Septal Extension or Columellar Grafts: Adjusting a short columella via septal extension or columellar strut grafts, in conjunction with lowering or repositioning of the depressor septi nasi muscle and columellar correction.
Dr. Lee’s systematic approach addresses multiple issues commonly associated with hump nose, offering practical solutions for what is often considered one of the more complex types of nasal surgery.
