Closed Rhinoplasty Korea After Nasal Filler Removal

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Non-surgical nasal procedures such as fillers or thread lifting can temporarily alter nasal appearance but cannot correct structural deformities like dorsal hump, tip ptosis, or airway obstruction.

In this case, surgical correction following filler removal restored structural nasal support using rib cartilage, eliminated the hump deformity, and improved breathing through a closed rhinoplasty approach.

This case involves a patient who previously underwent nasal filler injections and thread lifting procedures but continued to experience a drooping nasal tip and a prominent dorsal hump.

Although non-surgical treatments can provide temporary contour changes, they cannot correct structural issues such as tip ptosis, dorsal hump deformity, or internal airway obstruction. Because these concerns persisted, the patient chose surgical rhinoplasty for definitive correction.

Preoperative consultation images showing frontal view, left lateral view, and left oblique view of a patient with a drooping nasal tip and dorsal hump following previous nasal filler and thread lifting procedures. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Surgical Background – Closed Rhinoplasty Korea

Rhinoplasty after nasal filler treatment requires careful removal of residual materials and structural reconstruction of the nasal framework.

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

Preoperative consultation images showing right lateral view, right oblique view, and nostril view of a patient with a drooping nasal tip and dorsal hump after previous nasal filler and thread lifting procedures. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Plan – Structural Correction After Filler Removal

Removal of Nasal Fillers and Thread Materials

Before reconstructing the nasal framework, previously injected materials were removed.

Procedures performed:

Complete removal of nasal fillers
Removal of residual thread lifting materials
Establishment of a clean surgical field prior to reconstruction

This step was necessary to ensure stable long-term surgical results.

Nasal Tip Reconstruction with Autologous Rib Cartilage

The drooping nasal tip was corrected using autologous rib cartilage.

Procedures performed:

Structural reinforcement of nasal tip support
Controlled elevation of the drooping tip
Creation of a refined but natural tip contour

Autologous rib cartilage provides strong and durable support for maintaining long-term tip position.

Nasolabial Angle Adjustment

The nasolabial angle was refined using rib cartilage support.

This adjustment improved the relationship between the nose and upper lip, producing a more balanced side profile.

Nasal Bridge Augmentation

The nasal bridge was augmented using a custom-carved silicone implant.

Key principles:

Implant placement limited to the nasal dorsum
Smooth transition from forehead → bridge → tip
Creation of a natural straight-to-soft dorsal line

Functional Nasal Surgery

Because the patient also experienced nasal obstruction, functional nasal surgery was performed simultaneously.

Procedures included:

Septoplasty to correct septal deviation
Inferior turbinate reduction to relieve rhinitis symptoms

These procedures improved airflow and nasal breathing.

Surgical Results

Frontal View

The dorsal hump was eliminated
The nasal tip was naturally elevated
Overall nasal balance improved

Lateral View

Drooping nasal tip corrected
Smooth nasal bridge line achieved
Improved nasolabial angle and facial harmony

Oblique (45°) View

Natural nasal contour visible from multiple angles
Defined yet natural nasal tip

Before and immediately after surgery oblique view showing correction of a dorsal hump and refinement of the nasal tip after nasal filler removal and closed rhinoplasty with autologous rib cartilage. — Before Surgery (Left) / Immediately After Surgery (Right)

Basal (Nostril) View

Improved nostril symmetry
More refined nasal base contour

Before and immediately after surgery nostril view showing improved nostril symmetry and nasal tip support following nasal filler removal and closed rhinoplasty with autologous rib cartilage. — Before Surgery (Left) / Immediately After Surgery (Right)

Surgeon’s Commentary – Rhinoplasty After Filler Procedures

Non-surgical nasal treatments such as fillers or thread lifting cannot correct structural deformities like:

Drooping nasal tip
Dorsal hump deformity
Structural airway obstruction

In such cases, surgical rhinoplasty becomes necessary to reconstruct the internal nasal framework.

In this patient, previously injected fillers and thread materials were completely removed before reconstruction. The nasal tip was reinforced using autologous rib cartilage, providing strong and reliable structural support.

The nasal bridge was augmented using a precisely carved silicone implant placed only along the dorsum, maintaining natural anatomical relationships.

Functional nasal surgery—including septoplasty and turbinate reduction—was also performed to improve nasal airflow.

Rhinoplasty following filler procedures requires careful evaluation of filler location, tissue response, and structural changes caused by previous treatments. Thorough preoperative assessment is essential for safe and effective correction.