Closed Rhinoplasty Korea to Rebuild a Severely Deviated Septum with Rib Cartilage

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Severe deviated septum reconstruction is a structural rhinoplasty procedure that restores nasal stability by rebuilding a weakened or displaced septal framework rather than focusing solely on surface aesthetics.

In this case, septal reconstruction and extension using rib cartilage were performed to correct internal deviation, stabilize the nasal tip, and achieve a balanced, refined nasal shape without external incisions.

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

Published: 2026-01-29

Hello, this is Dr. Cha-Young Kang from NoseLab Clinic.

This case involves a patient who sought aesthetic refinement after previous rhinoplasty but was found to have a severely deviated and structurally compromised septum requiring foundational reconstruction.

Patient Condition and Key Problems

The patient presented with persistent nasal deviation and instability caused by inadequate septal correction during prior surgery.

Because the internal framework was weakened, attempts to enhance tip projection or nasal shape without reconstruction would have resulted in recurrent deviation or collapse.

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

Surgical Background – Deviated Septum Reconstruction with Closed Rhinoplasty Korea

Severe septal deviation requires internal realignment and reinforcement before any aesthetic refinement can be safely achieved.

For this reason, closed rhinoplasty korea was selected to allow complete septal reconstruction and extension while preserving soft tissue circulation and avoiding external scars.

Preoperative design consultation photos for closed rhinoplasty Korea, showing right side view, right oblique view, and nostril (base) view to assess nasal tip projection, nostril exposure, septal alignment, and overall nasal structure before surgery. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Plan – Rib Cartilage Septal Reconstruction and Extension

The surgical plan focused on restoring the septum as the primary support structure of the nose.

Key procedures included:

Complete reconstruction of the deviated septum using autologous rib cartilage
Reinforcement of the central nasal framework to ensure long-term stability
Septal extension graft to support controlled nasal tip projection
Adjustment of the nasolabial angle to improve overall facial balance

By addressing the septum first, aesthetic refinement could be performed on a stable and durable foundation.

Surgical Results – Balanced Structure and Refined Aesthetics

Postoperative evaluation demonstrated both functional and aesthetic improvement.

Frontal view:

The nasal axis was realigned with the facial midline, improving symmetry and balance.

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

Side profile:

Septal extension allowed refined tip projection and a smoother, straighter nasal line with an improved nasolabial angle.

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

Nostril view:

Reinforced septal support resulted in stable tip position and more symmetric nostril proportions.

Before and immediately after closed rhinoplasty Korea, nostril base view comparison showing reduced nostril exposure, improved symmetry, stabilized columella position, and balanced nasal base after structural tip reconstruction. — Before Surgery (Left) / Immediately After Surgery (Right)

The final outcome combined structural integrity with a refined and elegant nasal appearance.

Surgeon’s Commentary – Why Septal Reconstruction Comes First

A severely deviated septum cannot be corrected by surface reshaping alone.

In this case, rib cartilage reconstruction provided the strength and durability necessary to rebuild the internal framework before aesthetic design. This structure-first approach prevents long-term instability and ensures that cosmetic improvements remain stable over time.

This surgery was performed by Dr. Cha-Young Kang, Chief Director of NoseLab Clinic, following a reconstruction-first philosophy focused on safety, balance, and longevity.