Closed Rhinoplasty Korea for Drooping Tip and Hump Nose

Dr. Chayoung Kang
13분 전
3분 분량

(Primary Rhinoplasty Case)

A drooping nasal tip caused by small alar cartilage requires structural reinforcement rather than simple tip suturing.

In this case, rib cartilage reconstruction and osteotomy corrected the drooping tip, crooked nasal bridge, and dorsal hump, resulting in a balanced nasal contour through a closed rhinoplasty approach.

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

This case involves a primary rhinoplasty patient presenting with a drooping nasal tip caused by very small alar cartilages, along with a crooked nasal bridge and dorsal hump.

The patient had no prior history of nasal surgery. Congenitally small alar cartilages resulted in insufficient structural support of the nasal tip, leading to tip ptosis and a blunt nasal appearance. In addition, the nasal bones were asymmetric, contributing to a deviated bridge and irregular dorsal contour.

The patient sought correction of both the dorsal hump and drooping nasal tip, with a preference for a natural and balanced nasal line.

In this case, structural reconstruction was performed through closed rhinoplasty korea, focusing on internal structural support and balanced dorsal line correction.

Drooping nasal tip associated with small alar cartilage requires structural reconstruction rather than simple correction techniques.

If you are experiencing a drooping nasal tip, crooked nasal bridge, or dorsal hump, a detailed structural evaluation is essential before determining the appropriate surgical plan.

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Preoperative design consultation photos showing drooping nasal tip due to small alar cartilages, dorsal hump, and deviated nasal bridge from frontal, left oblique, and left lateral views. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Surgical Background – Closed Rhinoplasty Korea

Correction of a drooping nasal tip caused by small alar cartilage requires structural reinforcement and bony alignment correction.

For this reason, closed rhinoplasty korea was selected to allow precise internal reconstruction of the nasal tip and accurate repositioning of the nasal bones without external incisions.

Preoperative design consultation photos showing drooping nasal tip, dorsal hump, and deviated nasal bridge with nostril asymmetry from right lateral, right oblique, and basal views. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Structural Problems Identified

Preoperative evaluation revealed several structural causes:

Very small alar cartilages leading to weak tip support
Drooping nasal tip (tip ptosis)
Crooked nasal bones
Dorsal hump deformity
Irregular dorsal contour

These combined structural problems required comprehensive structural correction.

Surgical Plan – Structural Tip Reconstruction and Dorsal Correction

Nasal Tip Reconstruction with Rib Cartilage

Reconstruction using autologous rib cartilage
Reinforcement of tip support
Controlled elevation of the nasal tip
Adjustment of projection and rotation

Lateral Osteotomy

Repositioning of nasal bones
Correction of crooked bridge
Restoration of symmetry

Dorsal Hump Correction

Reduction of dorsal hump
Smoothing of irregular contour

Dorsal Augmentation

Custom-carved silicone implant
Creation of a smooth dorsal aesthetic line

Nasolabial Angle Adjustment

Balanced columellar line
Improved side profile harmony

Surgical Results

Frontal View

Improved symmetry
Straightened nasal bridge

Lateral View

Elevated nasal tip
Corrected dorsal hump
Smooth dorsal line

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

Oblique View

Balanced contour from multiple angles

Basal View

Improved tip projection
Better nostril symmetry

Surgeon’s Commentary

When alar cartilages are congenitally small, the nasal tip lacks sufficient structural support, leading to drooping and poor definition.

In such cases, simple suturing is not sufficient. Structural reinforcement is required to maintain long-term tip position.

In this case, rib cartilage reconstruction provided strong internal support and allowed precise control of nasal tip position and shape.

Correction of the dorsal hump was achieved through both reduction and creation of a smooth dorsal line.

The key principle was restoring balance between the nasal bridge and tip rather than treating each deformity separately.

Because each patient has different structural characteristics, surgical planning must be based on precise anatomical analysis rather than a standardized approach.

If you are considering rhinoplasty for tip drooping, hump correction, or structural imbalance, a comprehensive evaluation is essential to determine the most appropriate surgical strategy.

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→ LINE Consultation (Japan only)