Closed Rhinoplasty Korea for Contracted Nose Correction and Structural Reconstruction

Dr. Chayoung Kang
2024년 11월 18일
3분 분량

최종 수정일: 3일 전

This case demonstrates Closed Rhinoplasty Korea for correcting a severe contracted nose 15 years after initial rhinoplasty. Rib cartilage reconstruction restored nasal structure, improved airway function, and achieved long-term stability and natural balance.

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

✅ Case Background

This patient presented with a severe contracted nose deformity 15 years after initial rhinoplasty using silicone and septal cartilage.

Despite undergoing revision surgery shortly after the first operation, progressive contraction, structural collapse, and functional problems developed over time.

In this Closed Rhinoplasty Korea case, the goal was to completely release the contracted structure, reconstruct the nasal framework, and restore both function and aesthetic balance.

Key concerns included:

Severe contracted nose deformity
Excessive nostril show
Upturned nasal tip
Nasolabial angle distortion
Nostril asymmetry
Columella deviation
Nasal obstruction and rhinitis

This case required full structural reconstruction rather than simple aesthetic correction.

If you are experiencing similar symptoms such as a contracted nose or breathing difficulty after previous surgery, a detailed structural evaluation is essential.

📩 International Consultation

WhatsApp: [Link]

LINE: [Link]

efore contracted nose correction with rib cartilage – frontal, left side, and oblique side views showing severe nostril asymmetry, upturned nasal tip, and collapsed bridge after long-term contraction. — Before Surgery: Frontal, Left Side, and Oblique Side Views

✅ Surgical Approach – Contracted Nose Correction Using Closed Rhinoplasty Korea

A contracted nose is typically caused by scar contracture, implant-related complications, and loss of structural support following previous surgeries.

In severe cases, both cartilage framework and soft tissue envelope become compromised, requiring complete reconstruction rather than partial correction.

Closed Rhinoplasty Korea allows precise removal of contracted tissue and reconstruction of nasal structure while minimizing additional soft tissue damage.

Before contracted nose correction with rib cartilage – oblique side, side, and nostril views showing deviated columella, asymmetrical nostrils, and pinched alar cartilage due to long-term contraction. — Before Surgery: Oblique Side View, Side View, and Nostril View

✅ Structural Problems Identified

Severe scar contracture
Loss of septal cartilage support
Upturned nasal tip due to structural collapse
Excessive nostril exposure
Nostril asymmetry
Columella deviation
Functional airway obstruction

✅ Surgical Plan

1. Preoperative Tissue Preparation

Stem cell therapy to improve skin elasticity
Preparation of soft tissue for reconstruction

2. Contracted Tissue Removal

Complete excision of scar tissue
Removal of implant capsule

3. Septal Reconstruction

Rib cartilage graft for structural support
Reconstruction of central nasal framework

4. Tip and Columella Reconstruction

Correction of tip rotation
Realignment of columella

5. Alar Cartilage Reinforcement

Restoration of nostril symmetry
Stabilization of nasal base

6. Functional Correction

Improvement of nasal airway
Treatment of obstruction and rhinitis

✅ Surgical Results

Before (Left) / Immediately After (Right)

Lateral View

Lowered nasal tip
Improved nasolabial angle

Oblique View

Restored nasal contour
Improved projection

Before (Left) / Immediately After (Right)

Before (left) and immediately after (right) contracted nose correction with rib cartilage – oblique view showing restored nasal bridge, corrected columella deviation, and improved nostril symmetry. — Before (Left) / Immediately After (Right)

Frontal View

Reduced nostril exposure
Improved symmetry

Before (left) and immediately after (right) contracted nose correction with rib cartilage – frontal nostril view showing corrected nostril asymmetry, improved columella alignment, and natural alar contour. — Before (Left) / Immediately After (Right)

Nasal Base View

Improved nostril symmetry
Corrected columella deviation

Before (left) and immediately after (right) contracted nose correction with rib cartilage – nostril base view showing corrected asymmetry, improved columella alignment, and expanded nostril openings. — Before (Left) / Immediately After (Right)

✅ Functional Outcome

Improved nasal airflow
Reduced obstruction
Stabilized nasal structure

✅ Surgeon’s Commentary

Immediately after contracted nose correction with rib cartilage – frontal, left side, and oblique views showing restored nasal bridge height, improved tip projection, and enhanced nostril symmetry. — Immediately After Surgery: Frontal, Left Side, and Oblique Side Views

A contracted nose represents one of the most complex conditions in revision rhinoplasty, involving both structural collapse and soft tissue contracture.

Successful correction requires complete removal of scar tissue and reconstruction of the nasal framework.

In this case, rib cartilage was essential due to the absence of usable septal cartilage. It provided sufficient strength to rebuild the nasal structure and maintain long-term stability.

Soft tissue preparation and expansion were equally important in preventing recurrence of contracture.

Closed Rhinoplasty Korea allows precise reconstruction while minimizing additional trauma to already compromised tissue.

Long-term success depends on restoring both structural integrity and soft tissue balance.