Closed Rhinoplasty Korea – Bulbous, Wide, and Deviated Nose with Retracted Columella Correction

noselab
2024년 1월 17일
2분 분량

최종 수정일: 10월 20일

Preoperative Analysis and Surgical Plan in Closed Rhinoplasty Korea

This Closed Rhinoplasty Korea case involved a patient with a bulbous and wide nose tip, flat and curved dorsum, and mild deviation with retracted columella.

The goal of surgery was to achieve a natural, balanced nasal contour that harmonized with her facial proportions.

The nasal starting point was set between the double-eyelid crease and the pupil line, the nasal tip was slightly elevated, and the columella was lowered to adjust the nasolabial angle to approximately 90°, ensuring an elegant side profile.

Preoperative design consultation photo – side view showing surgical plan for Closed Rhinoplasty Korea, focusing on correction of bulbous and deviated nose with 90-degree nasolabial angle design. — Preoperative design consultation photos: side view

In the preoperative side-view analysis, both the nasal bridge and tip were planned to be raised using septal cartilage and autologous rib cartilage, combined with a 4 mm silicone implant on the bridge for smooth dorsal elevation.

The frontal design emphasized correction of the bulbous tip, improvement of facial asymmetry, and straightening of the deviated dorsum through osteotomy.

To refine nasal width, bulbous nose correction and nasal floor reduction were also included in the surgical plan.

Preoperative design consultation photo – frontal view for Closed Rhinoplasty Korea showing surgical markings for deviated, bulbous, and wide nose correction with columella adjustment plan. — Preoperative design consultation photos: Frontal view

Preoperative design consultation photo – nostril view for Closed Rhinoplasty Korea showing asymmetry and retracted columella before correction surgery. — Preoperative design consultation photos: Nostril view

Addressing Deviation and Nostril Asymmetry

CT imaging taken before the operation revealed that the nasal septum was deviated to the left, which caused the left nostril to appear larger and the columella to tilt.

To resolve this, I repositioned the internal cartilage, narrowed the nasal base, and corrected the overall asymmetry through structural refinement inside the nose.

By repositioning the alar cartilages and adjusting the septal framework, the nasal tip could be stabilized and centered.

Immediate Results after Closed Rhinoplasty Korea

Before and after surgery comparison – side view showing improved nasal line and tip definition after Closed Rhinoplasty Korea for bulbous and deviated nose correction. — Before surgery (left) / After surgery (right)

Before and after surgery – 45-degree view showing natural nasal contour and smoother tip projection after Closed Rhinoplasty Korea. — Before surgery (left) / After surgery (right)

Before and after surgery – frontal view showing reduced nasal width and improved symmetry after Closed Rhinoplasty Korea. — Before surgery (left) / After surgery (right)

Before and after surgery – nostril view showing corrected asymmetry and refined nasal base after Closed Rhinoplasty Korea. — Before surgery (left) / After surgery (right)

Postoperative photos show that the nasal tip became slimmer and more defined, while the columella descended naturally, creating a softer and smaller nasal impression.

The nasal bridge was elevated by about 4 mm, forming a natural and continuous dorsal contour.

At the 45-degree angle, the nasolabial angle improved noticeably, the lips appeared less protruded, and the previously blunt tip became refined and three-dimensional.

From the front view, the curved midline and the junction between the bridge and tip were much smoother, the nasal base narrower, and nostril asymmetry was significantly reduced.

A General Review and Surgical Insights

This Closed Rhinoplasty Korea case required precise handling of a bulbous, wide, and deviated nose with columella retraction, reconstructed with self-rib cartilage.

The septal cartilage was found to be more deviated than expected, so it was reinforced with donated rib cartilage for stability.

Patients undergoing this type of rib cartilage reconstruction rhinoplasty are advised to avoid trauma for at least six months after surgery to ensure stable healing and maintain symmetry.

Overall, the surgery achieved a natural and balanced improvement with enhanced nasal definition and harmony.