Closed Rhinoplasty Korea for Complete Nasal Reconstruction

Dr. Chayoung Kang
2월 10일
3분 분량

최종 수정일: 3월 26일

Complete nasal reconstruction is required when septal and alar structures are severely damaged after multiple rhinoplasty procedures.

In this case, full reconstruction using autologous rib cartilage restored the nasal framework, corrected deformity, and achieved long-term structural stability through a closed rhinoplasty approach.

Author: Dr. Cha-Young Kang, Director, NoseLab Clinic

This case involves a patient who developed severe nasal deformity and internal structural loss after multiple previous rhinoplasty procedures.

The patient presented with nasal deviation, nostril asymmetry, reduced dorsal height, and instability caused by extensive destruction of internal support structures.

Preoperative CT imaging revealed abnormal findings around an existing implant, raising concern for chronic foreign body reaction and capsule formation.

In this case, structural correction was achieved through closed rhinoplasty korea, focusing on complete reconstruction of the septum and alar structures using autologous rib cartilage.

Complete nasal reconstruction requires rebuilding the entire internal framework rather than isolated correction or simple implant replacement.

If you have undergone multiple rhinoplasty procedures and are experiencing structural instability, nasal deformity, or persistent functional problems, a detailed structural evaluation is essential before determining the appropriate surgical plan.

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Preoperative design consultation images showing frontal view, left oblique side view, and left lateral view of a patient with nasal deviation and structural deformity following multiple prior rhinoplasty procedures. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Surgical Background – Closed Rhinoplasty Korea

Severe structural damage after repeated rhinoplasty requires complete internal reconstruction rather than partial correction.

For this reason, closed rhinoplasty korea was selected to allow full access for septal and alar reconstruction while minimizing additional soft tissue trauma.

Preoperative design consultation images showing right lateral view, right oblique side view, and nostril view of a patient with nasal deviation and structural deformity following multiple prior rhinoplasty procedures. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Structural Problems Identified

Preoperative evaluation revealed critical structural deficiencies:

Near-total loss of septal cartilage
Severe alar cartilage damage
Nasal deviation
Nostril asymmetry
Reduced dorsal height
Foreign body reaction around implant

These conditions required full structural reconstruction.

Surgical Plan – Structural & Functional Reconstruction

Removal of Previous Materials

Complete removal of implants and fibrotic capsule
Assessment for infection and tissue condition

Full Septal Reconstruction

Reconstruction using autologous rib cartilage
Restoration of central nasal support

Bilateral Alar Cartilage Reconstruction

Rebuilding alar framework using rib cartilage
Restoration of nasal tip support and symmetry

Dorsal Height Restoration

Conservative augmentation within biological limits
Prevention of overcorrection

Nostril Asymmetry Correction

Internal skin grafting
Stabilization of columella and base

Infection Control and Tissue Management

Intraoperative evaluation of serous fluid
Antibiotic irrigation and safe reconstruction

Surgical Results

Frontal View

Correction of nasal deviation
Improved symmetry

Lateral View

Restoration of dorsal height
Smooth nasal contour

Before Surgery (Left) / Immediately After Surgery (Right)

Basal View

Improved nostril symmetry
Stable columellar position

Left oblique view comparison showing preoperative nasal contour on the left and immediate postoperative appearance on the right after structural nasal reconstruction. — Before Surgery (Left) / Immediately After Surgery (Right)

Structural Outcome

Reconstructed internal framework
Strong long-term stability

Nostril view comparison showing preoperative nasal airway narrowing on the left and immediate postoperative appearance on the right after structural nasal reconstruction. — Before Surgery (Left) / Immediately After Surgery (Right)

Surgeon’s Commentary

In patients with multiple prior surgeries, native cartilage is often severely compromised or absent.

In this case, autologous rib cartilage was essential to rebuild the entire internal nasal framework and restore structural stability.

CT imaging findings required careful intraoperative evaluation to rule out infection and ensure safe reconstruction.

After implant removal, weakened tissue conditions required a conservative approach to avoid complications.

Complete nasal reconstruction is not focused on maximal cosmetic change but on restoring stable structure and function.

Because complete nasal reconstruction involves severe structural loss and complex revision conditions, surgical planning must be based on precise anatomical analysis rather than a standardized approach.

If you are considering revision rhinoplasty after multiple failed procedures or have significant structural damage, a comprehensive evaluation is essential to determine the most appropriate reconstruction strategy.

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→ WhatsApp Consultation

→ LINE Consultation (Japan only)