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Closed Rhinoplasty Korea for Functional Rhinoplasty and Columella Straightening

  • Dr. Chayoung Kang
  • 2024년 6월 21일
  • 3분 분량

최종 수정일: 4월 28일

This case demonstrates Closed Rhinoplasty Korea for functional rhinoplasty correcting septal deviation and nasal congestion. Rib cartilage reconstruction restored airway function, improved symmetry, and achieved long-term structural stability.

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

✅ Case Background


This patient presented with chronic nasal congestion, septal deviation, and nostril asymmetry.


Despite previous septal correction and turbinate reduction, the nasal obstruction persisted due to structural weakness and recurrence of septal deviation.


In this Closed Rhinoplasty Korea case, the goal was to reconstruct the septal cartilage, improve nasal airflow, and correct external asymmetry including columella deviation.


Key concerns included:

  • Chronic nasal congestion

  • Recurrent septal deviation

  • Weak and thin septal cartilage

  • Nostril asymmetry

  • Deviated columella

  • Drooping nasal tip

  • Visible implant contour


This case required both functional correction and structural reconstruction.


If you are experiencing persistent nasal obstruction or asymmetry after treatment, a detailed structural evaluation is essential.


📩 International Consultation

Frontal preoperative design photo showing nasal tip leaning to the right, nostril asymmetry, and hollowing of the left alar
Frontal photo of the preoperative design
Side profile preoperative design photo showing drooping nasal tip and visible implant boundary.
Side profile preoperative design
Nostril preoperative design photo showing deviated septum and columella tilting to the right, with narrowed left nostril space.
Nostrils preoperative design

✅ Surgical Approach – Functional Rhinoplasty Using Closed Rhinoplasty Korea


Functional rhinoplasty focuses on improving nasal airflow while maintaining or enhancing nasal aesthetics.


When septal cartilage is weak or severely deviated, simple correction is insufficient, and structural reconstruction is required to prevent recurrence.


Closed Rhinoplasty Korea allows precise correction of both internal and external structures while minimizing tissue damage.


✅ Structural Problems Identified


  • Septal deviation

  • Weak septal cartilage

  • Narrowed nasal airway

  • Inferior turbinate hypertrophy

  • Columella deviation

  • Nostril asymmetry

  • Drooping nasal tip

Preoperative CT scans showing deviated septal cartilage (red) leaning to the side and narrowing the left nasal passage (black)
CT scans taken at our clinic showing the septal cartilage (red) leaning to the side and blocking the space inside the left nostril.
CT scan showing almost no space inside the left nostril, alongside a nostril photo indicating the location of the obstructed left airway.
CT findings, the space inside the left nostril is not showing up, and photo of the nostrils where we can observe the location of the almost obstructed space inside the left nostril.

✅ Surgical Plan


1. Septal Reconstruction

  • Reconstruction using autologous rib cartilage

  • Reinforcement of central support


2. Functional Correction

  • Septoplasty

  • Turbinate reduction


3. Columella Straightening

  • Realignment of columella

  • Improvement of nasal base symmetry


4. Tip Support Restoration

  • Stabilization of nasal tip

  • Correction of drooping tip


5. Structural Refinement

  • Improvement of nasal contour

  • Correction of implant visibility


✅ Surgical Results


Lateral View

  • Improved tip projection

  • Balanced nasal profile

90-degree side profile before-and-after photos showing improvement of droopy nasal tip and lifted columella.
Before surgery (left), after surgery (right)

Frontal View

  • Improved symmetry

  • Straightened nasal alignment

Frontal before-and-after photos showing correction of right-leaning nose tip and improved nostril asymmetry after functional rhinoplasty
Before surgery (left), after surgery (right)

Nasal Base View

  • Straightened columella

  • Improved nostril symmetry

Nostril before-and-after photos showing straightened columella and improved nasal airway after functional rhinoplasty
Before surgery (left), after surgery (right)

✅ Functional Outcome


  • Improved nasal airflow

  • Reduced nasal congestion

  • Stabilized airway structure

Photos after the surgery. 90° angle | 45° angle | Frontal view
Photos after the surgery. 90° angle | 45° angle | Frontal view

✅ Surgeon’s Commentary


Functional rhinoplasty requires addressing both airflow and structural stability.


In cases of weak or deviated septal cartilage, simple correction may lead to recurrence.


In this case, rib cartilage reconstruction was necessary to provide long-term structural support and maintain airway patency.


Columella deviation and nostril asymmetry were directly related to the underlying septal deviation and were corrected simultaneously.


Closed Rhinoplasty Korea enables precise internal correction while preserving soft tissue and minimizing surgical trauma.


Long-term success depends on stable structural reconstruction combined with functional airway improvement.


✅ FAQ


Q1. What is functional rhinoplasty?

It improves nasal breathing while correcting structure.


Q2. Why does septal deviation recur?

Due to weak or insufficient cartilage support.


Q3. Why is rib cartilage used?

It provides strong and stable structural reinforcement.

Postoperative precautions and possible complications after rhinoplasty – includes information on infection, bleeding, asymmetry, allergic reactions, and scarring.

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