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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

Before closed short nose revision in Korea: Frontal, left side, and oblique side view photos.

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

Before closed short nose revision in Korea: Right oblique, right side, and nostril view photos.

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

Reference images of the desired nose shape for the closed short nose revision in Korea.

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

Comparison of before and immediately after closed short nose revision in Korea: Frontal view.

Before (Left) / Immediately After (Right)


Frontal View

  • Expected reduction in nasal dorsum redness

  • Harmonious nasal width and improved contour

  • Balanced facial proportions

Comparison of before and immediately after closed short nose revision in Korea: Side view.

Before (Left) / Immediately After (Right)


Side View

  • Natural correction of the over-rotated nasal tip

  • Stable structural support

  • Enhanced profile with smooth transitions

Comparison of before and immediately after closed short nose revision in Korea: Oblique side view.

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

Comparison of before and immediately after closed short nose revision in Korea: Nostril view.

Before (Left) / Immediately After (Right)



👨‍⚕️ Expert Commentary

Immediate postoperative results after closed short nose revision in Korea: Frontal, oblique, and side views.

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

Immediate postoperative nostril view after closed short nose revision in Korea.










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

Notice about possible complications after closed short nose revision surgery in Korea, including infection, bleeding, allergic reactions, asymmetry, insufficient improvements, and excessive scarring.
Before and after closed short nose revision in Korea: Final side profile comparison.

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