Closed Rhinoplasty Korea for a Slim and Refined Nasal Bridge

noselab
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Primary rhinoplasty for bridge refinement is a structural procedure that narrows nasal bones, restores dorsal smoothness, and stabilizes nasal tip support rather than simply adding height.

In this case, lateral osteotomy, a custom-carved implant, and donated rib cartilage were combined to create a slim, straight nasal bridge and a stable, non-upturned nasal tip while preserving soft tissue and avoiding external scars.

Hello, this is Dr. Cha-Young Kang, Chief Director of NoseLab Clinic.

This case involves a patient undergoing primary rhinoplasty who wished to achieve a thinner, straighter nasal bridge and a refined nasal tip without an exaggerated or artificial appearance.

Patient Condition and Key Problems

The patient presented with a relatively wide nasal bridge, mild dorsal irregularities, and insufficient tip support.

The aesthetic goal was increased nasal height, improved dorsal smoothness, and a nasal tip that does not appear upturned.

Preoperative design consultation images showing frontal view, left oblique side view, and left lateral view of a patient with a wide nasal bridge and low nasal tip projection. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Surgical Background – Primary Rhinoplasty with Closed Rhinoplasty Korea

Primary bridge refinement requires controlled narrowing of the nasal bones and stable internal support for long-term shape maintenance.

For this reason, closed rhinoplasty korea was selected to allow precise internal modification while preserving soft tissue and minimizing surgical trauma.

Preoperative design consultation images showing right lateral view, right oblique side view, and nostril view of a patient with a wide nasal bridge and low nasal tip projection. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Plan – Structural & Functional Refinement

The surgical plan focused on building a stable nasal framework before aesthetic shaping.

Key procedures included:

Removal of existing dorsal foreign material to establish a clean foundation
Nasal tip reconstruction using donated rib cartilage combined with partial septal cartilage
Lateral osteotomy to narrow the nasal bones
Placement of a custom-carved silicone implant to match the new bony contour
Nasolabial angle adjustment to prevent an upturned appearance

This structure-first approach ensured both refinement and durability.

Surgical Results – Slim Bridge and Natural Tip Position

Postoperative evaluation demonstrated stable contour and improved proportions.

Before and immediately after surgery frontal view comparison showing reduction of nasal bridge width and improved nasal tip definition following primary rhinoplasty. — Before Surgery (Left) / Immediately After Surgery (Right)

Frontal view:The nasal bridge appeared slimmer and sharper with a refined overall impression.

Before and immediately after surgery left lateral view comparison showing a straighter nasal bridge and improved nasal tip projection following primary rhinoplasty. — Before Surgery (Left) / Immediately After Surgery (Right)

Side profile:A straight, smooth dorsal line with an elevated yet natural-looking nasal tip was achieved.

Before and immediately after surgery left oblique view comparison showing refinement of the nasal bridge contour and improved nasal tip projection following primary rhinoplasty. — Before Surgery (Left) / Immediately After Surgery (Right)

Overall outcome:Nasal height increased, dorsal irregularities were eliminated, and facial harmony was maintained.

Before and immediately after surgery nostril view comparison showing improved nostril symmetry and stable nasal tip support following primary rhinoplasty. — Before Surgery (Left) / Immediately After Surgery (Right)

Surgeon’s Commentary – Why Osteotomy and Donated Rib Cartilage Were Used

A thin nasal bridge cannot be achieved through implant placement alone.

In this case, lateral osteotomy allowed controlled medialization of the nasal bones, while precise implant carving created a smooth dorsal line. For nasal tip support, donated rib cartilage combined with septal cartilage provided reliable strength and long-term stability without requiring rib harvest from the patient.

Rhinoplasty should prioritize structural balance and facial harmony rather than excessive sharpness or projection.

This surgery was performed by Dr. Cha-Young Kang, Chief Director of NoseLab Clinic, following a structure-first philosophy.