2cm Septal Perforation Correction with Autologous Rib Cartilage – Closed Rhinoplasty Korea

noselab
2024년 10월 4일
2분 분량

최종 수정일: 9월 29일

Case History and Initial Consultation – 2cm Septal Perforation Correction

The patient presented with a complex surgical history and a large 2cm septal perforation, which caused nasal congestion, bleeding, and scabbing.

Patient Concerns

Severe nostril asymmetry
Flat, wide, upturned nose
Saddle-shaped nasal dorsum
Functional problems from septal perforation

Preoperative Analysis – Closed Rhinoplasty Korea Approach

Preoperative design consultation, frontal view, side profile view, and 45-degree angle.

Frontal view:

Severe nostril asymmetry
Wide, unnatural nose shape

Side profile view:

Flat, saddle-shaped dorsum
Short and upturned nasal tip

45-degree angle view:

Contracture causing skin tension
Distorted nose contour

Nostrils:

Severe asymmetry
Wide nostrils

Preoperative design consultation 45-degree angle view, side profile, and nostrils photo.

Surgical Plan – 2cm Septal Perforation Correction with Rib Cartilage

Stage 1 – Septal Perforation Repair

Closure of 2cm perforation using inferior turbinate mucosal flap
Successful healing despite low general success rates
Nasal endoscopy septal performation photo

Stage 2 – Closed Rhinoplasty Korea

Autologous rib cartilage graft for septal reconstruction
Correction of saddle nose deformity
Septal extension to lengthen and stabilize the short, upturned nose
Alar lowering surgery to improve nostril asymmetry
Alar cartilage repositioning for refined nasal tip
Removal of old implant and lowering of nasal bridge starting point
Release of contractured skin tissue

Removed Gore-Tex implant during 2cm septal perforation correction with Closed Rhinoplasty Korea. — Gore-Tex implant removed

Surgical Results – Closed Rhinoplasty Korea

Frontal View:

Significant correction of nostril asymmetry
Slimmer and more refined nasal shape

Side profile view before surgery (left) after surgery (right)

Side Profile

Smooth, reconstructed dorsum
Balanced nasal length and tip position

45-degree angle view before surgery (left) after surgery (right)

45-Degree View

Softer nasal contour
Reduced tension from contracture release

Nostrils

Symmetry improved
Narrower and more balanced shape

Key Insights from 2cm Septal Perforation Correction

Large 2cm septal perforation correction achieved through staged surgery.
Closed Rhinoplasty Korea performed without external scars.
Rib cartilage reconstruction stabilized nasal structure.
Simultaneous cosmetic and functional restoration.

Photos taken immediately after surgery, frontal view, side profile, and 45-angle view.

Conclusion

This case demonstrates that even a 2cm septal perforation correction can be successfully performed using Closed Rhinoplasty Korea.

Through rib cartilage reconstruction and advanced septal repair, both functional breathing and cosmetic refinement were achieved. At Noselab Clinic, we specialize in complex revision rhinoplasty and deliver stable, natural results with closed techniques.

With Noselab Clinic, you can achieve a beautiful and healthy nose.