Technical Report: Effectiveness of Facial Exercise Therapy and Facial Anthropometric Measurements in Recurrent Septal Deviation After Rhinoplasty.

[BACKGROUND] Nasal septum deviation can contribute to facial asymmetry by affecting skeletal and soft tissue balance. This technical report presents a 23-year-old female who developed recurrent septal deviation and facial asymmetry after rhinoplasty.

[METHODS] A two-month structured facial exercise regimen was implemented: unilateral massage for the first month and bilateral muscle-strengthening exercises in the second. Standardized facial photographs and digital geometric analysis were used at baseline, one month, and two months.

[RESULTS] Improvements were observed in vertical and horizontal proportions, with nasal axis deviation reduced from 7.3° to 3.1°, alongside repositioning of the philtrum and nostrils.

[CONCLUSION] These findings suggest that facial exercises may enhance postoperative symmetry and surgical stability. Further studies are warranted to establish clinical guidelines. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .