Closed Short Nose Revision in Korea: A Comprehensive Case with Autologous Rib Cartilage
- noselab
- 6월 15일
- 3분 분량
최종 수정일: 1시간 전
Hello, this is Dr. Cha-Young Kang, Medical Director of Nose Lab Clinic.
Today, I’d like to introduce a meaningful reconstructive case of a closed short nose revision in Korea, involving a patient who suffered from inflammation and a short, over-rotated nasal tip for 12 years. Using autologous rib cartilage, we were able to restore both function and aesthetics while ensuring long-term stability.
📍 Surgical History of Closed Short Nose Revision in Korea

Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
12 Years Ago
Primary rhinoplasty
Post-op infection developed immediately
11.5 Years Ago
Secondary surgery to tie the nasal tip
8 Years Ago
Surgery with ear cartilage, septal cartilage, silicone implant, and chin implant
🔎 Initial Evaluation Before Closed Short Nose Revision in Korea

Design Consultation: Right Oblique Side View, Side View, and Nostril View Photos
Functional Issues
Chronic allergic rhinitis
Deviated nasal septum
Nasal valve collapse causing breathing difficulty
Aesthetic Issues
Redness on nasal dorsum
Short nose with excessive rotation (over-rotated tip)
Wide, spread-out nose
Structurally unstable nasal architecture due to prior surgeries
Special Considerations
Long-standing inflammation causing soft tissue damage
Scar tissue from multiple previous surgeries
✨ Patient Goals

The Desired Images of the Patient
Eliminate chronic rhinitis symptoms
Resolve dorsal redness
Naturally correct the short, over-rotated nasal tip
Narrow the wide nasal appearance
Achieve a stable, long-lasting outcome
💉 Surgical Strategy
Structural Reconstruction
Full structural revision using autologous rib cartilage
Replacement of all unstable and mismatched grafts
Repositioning of the nasal tip to correct over-rotation
Functional Restoration
Correction of septal deviation
Definitive treatment of chronic rhinitis
Nasal valve reconstruction to resolve breathing obstruction
Inflammation Management
Removal of all inflamed and problematic materials
Elimination of the source of redness on the nasal dorsum
Surgical environment optimized for healing
✅ Postoperative Outcomes
Functional Improvements
Significant relief from chronic rhinitis
Restored nasal airflow
Resolution of nasal valve obstruction

Before (Left) / Immediately After (Right)
Frontal View
Expected reduction in nasal dorsum redness
Harmonious nasal width and improved contour
Balanced facial proportions

Before (Left) / Immediately After (Right)
Side View
Natural correction of the over-rotated nasal tip
Stable structural support
Enhanced profile with smooth transitions

Before (Left) / Immediately After (Right)
Long-Term Stability
Long-lasting results with autologous rib cartilage
Minimized risk of future inflammation
Compatibility with natural aging process

Before (Left) / Immediately After (Right)
👨⚕️ Expert Commentary

Immediately After Surgery: Frontal, Side, and Oblique Side View Photos

Immediately After Surgery: Nostril View Photo
This case involved one of the most complex nasal revisions we’ve treated—spanning over a decade of inflammation, structural breakdown, and breathing issues. From the patient’s first surgery, a post-operative infection led to chronic inflammatory reactions, which persisted across multiple additional operations.
The most critical step was identifying the root cause of the chronic inflammation. Detailed analysis revealed that the materials used in previous surgeries were incompatible with the patient’s physiology, leading to persistent inflammatory responses.
We removed all synthetic and unstable materials and rebuilt the nose using autologous rib cartilage—a gold standard in revision rhinoplasty for its strength, flexibility, and biocompatibility.
A key focus was correcting the over-rotated, “short” nose. We reconstructed the nasal support to lower and reorient the tip into a more natural position while simultaneously narrowing the overly broad nasal structure.
Functionally, we addressed a severely deviated septum, chronic rhinitis (which we confirmed was structurally driven), and nasal valve collapse. These conditions were treated comprehensively with septoplasty, turbinate reduction, and valve repair to restore normal breathing.
In summary, this case illustrates how even the most complex, long-standing nasal issues—from chronic inflammation to multiple failed surgeries—can be resolved with the right surgical plan and materials. The patient not only regained a natural nasal appearance but also finally achieved relief from 12 years of breathing difficulties.
Thank you,Dr. Cha-Young KangMedical Director, Nose Lab Clinic


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