Closed Rhinoplasty Korea for Crooked Nasal Bone and Hump Nose

Dr. Chayoung Kang
47분 전
4분 분량

Crooked nasal bones combined with a dorsal hump and nasal obstruction are common reasons patients seek revision rhinoplasty.

In this case, lateral osteotomy was used to correct the crooked nasal bones while autologous rib cartilage reinforced the nasal tip. Functional nasal surgery was also performed to improve breathing through a closed rhinoplasty approach.

This case involves a patient who visited NoseLab Clinic for revision rhinoplasty after previous nasal surgery failed to fully correct structural and functional problems.

Despite earlier treatment, the patient continued to experience crooked nasal bones, a residual dorsal hump, and nasal obstruction. The patient also felt that the nose appeared overly long.

Because both cosmetic and functional concerns remained unresolved, a comprehensive revision rhinoplasty approach was required.

Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Surgical Background – Closed Rhinoplasty Korea

Revision rhinoplasty requires careful analysis of previous surgical changes and reconstruction of weakened nasal structures.

For this reason, closed rhinoplasty korea was selected to allow precise internal structural reconstruction while minimizing additional tissue trauma and avoiding external incisions.

Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Structural Problems Identified

Preoperative evaluation revealed several structural issues:

Crooked nasal bones
Residual dorsal hump
Excessively high radix
Overly long nasal appearance
Septal deviation causing nasal obstruction
Inferior turbinate hypertrophy associated with rhinitis

These issues required both structural reconstruction and functional nasal surgery.

Surgical Plan – Comprehensive Structural Revision

Removal of Previous Implants and Materials

The first step was removal of materials from the previous surgery.

Procedures performed:

Removal of the previous silicone implant
Clearance of residual filler material
Evaluation of scar tissue and altered nasal structures

This step allowed accurate reassessment of the nasal framework before reconstruction.

Lateral Osteotomy for Crooked Nasal Bone Correction

The nasal bones were asymmetrically positioned and widened.

Lateral osteotomy allowed:

Straightening of crooked nasal bones
Reduction of nasal bridge width
Correction of dorsal hump deformity
Restoration of nasal symmetry

This step is essential when the bony nasal framework requires repositioning.

Nasal Tip Reconstruction with Autologous Rib Cartilage

To correct the appearance of an overly long nose, the nasal tip was elevated and reinforced.

Autologous rib cartilage was used to:

Strengthen nasal tip support
Elevate the nasal tip
Create a refined and natural tip contour

Rib cartilage provides strong structural support, which is particularly important in revision rhinoplasty.

Nasal Bridge Refinement with Silicone Implant

A silicone implant was used to refine the dorsal nasal line.

Surgical principles included:

Custom carving to match the patient’s nasal bone anatomy
Placement limited to the nasal dorsum
Creation of a smooth transition from forehead → bridge → tip

The objective was balanced nasal contour rather than excessive height.

Functional Nasal Surgery

Functional procedures were performed to improve breathing.

These included:

Septoplasty to correct septal deviation
Inferior turbinate reduction to treat turbinate hypertrophy

These procedures restored nasal airflow while stabilizing the internal nasal structure.

Surgical Results

Frontal View

Crooked nasal bones were straightened
Nasal bridge width appeared naturally reduced
Improved nasal symmetry

Lateral View

Dorsal hump was eliminated
Nasal tip elevation reduced the appearance of nasal length
Smooth dorsal line from forehead to tip

Oblique (45°) View

Refined nasal contours visible from multiple angles
Improved facial harmony

Before and immediately after surgery oblique view showing a straighter nasal bridge and refined nasal tip following revision closed rhinoplasty with lateral osteotomy and autologous rib cartilage. — Before Surgery (Left) / Immediately After Surgery (Right)

Basal (Nostril) View

Improved nostril symmetry
Balanced nasal base contour

Before and immediately after surgery nostril view showing improved nostril symmetry and refined nasal tip structure following revision closed rhinoplasty with lateral osteotomy and autologous rib cartilage. — Before Surgery (Left) / Immediately After Surgery (Right)

Surgeon’s Commentary – Challenges in Revision Rhinoplasty

Revision rhinoplasty is often more complex than primary rhinoplasty because surgeons must address scar tissue, altered anatomy, and previous surgical materials.

In this case, the patient presented with crooked nasal bones, dorsal hump deformity, excessive nasal length, and functional nasal obstruction.

Lateral osteotomy was critical for correcting the crooked nasal bones and narrowing the nasal bridge. At the same time, the nasal tip was reinforced using autologous rib cartilage to provide strong and stable structural support.

A silicone implant was carefully carved and placed only along the nasal dorsum to create a natural dorsal line without excessive augmentation.

Because the patient also experienced breathing difficulty, septoplasty and inferior turbinate reduction were performed to restore normal airflow.

Successful revision rhinoplasty requires meticulous structural evaluation and individualized surgical planning to achieve both functional improvement and natural aesthetic balance.