Closed Rhinoplasty Korea for High Radix and Septal Deviation

Dr. Chayoung Kang
3월 21일
4분 분량

최종 수정일: 3월 25일

(Revision Rhinoplasty Case)

High radix and severe septal deviation can lead to both functional breathing problems and an unnatural nasal profile.

In this case, structural reconstruction using rib cartilage, implant repositioning, and osteotomy corrected nasal alignment, lowered the radix, and improved airway function through a closed rhinoplasty approach.

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

This case involves a revision rhinoplasty patient who presented with severe septal deviation and an excessively high nasal starting point (radix), resulting in both functional impairment and an unnatural nasal profile.

The patient had previously undergone silicone implant augmentation and nasal tip surgery using septal cartilage approximately five years ago. Over time, septal deviation worsened, and the implant position contributed to an overly prominent and artificial dorsal appearance.

The patient sought correction focused on restoring natural proportions and improving nasal breathing.

In this case, structural correction was achieved through closed rhinoplasty korea, focusing on internal reconstruction rather than simple implant adjustment.

If you are experiencing similar issues such as nasal deviation, breathing discomfort, or an unnaturally high nasal starting point, a detailed structural evaluation is essential before determining the appropriate surgical plan.

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Preoperative design consultation photos showing high radix, crooked nasal bridge, and nasal asymmetry 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

Revision rhinoplasty for high radix and septal deviation requires precise structural correction of both the septum and nasal framework.

For this reason, closed rhinoplasty korea was selected to allow controlled internal reconstruction, implant repositioning, and airway correction without external incisions.

Preoperative design consultation photos showing high radix, deviated nasal bridge, and 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 analysis revealed several combined structural issues:

Excessively high radix due to improper implant positioning
Severe septal deviation causing nasal obstruction
Crooked nasal bone alignment
Artificial dorsal contour
Compromised nasal airflow

These issues required simultaneous structural and functional correction.

Surgical Plan – Structural Realignment and Functional Reconstruction

Removal of Previous Implant

The previously inserted silicone implant was removed.

Procedures performed:

Removal of the existing implant
Assessment of surrounding scar tissue
Preparation for accurate reconstruction

Septal Reconstruction with Rib Cartilage

The septum was severely deviated and structurally unstable.

Procedures performed:

Reconstruction of the septum using donor rib cartilage
Restoration of central nasal support
Stabilization of the internal nasal framework

Rib cartilage provides strong structural support in revision cases.

Lateral Osteotomy for Alignment Correction

The nasal bones were asymmetrical and deviated.

Procedures performed:

Lateral osteotomy to reposition nasal bones
Correction of nasal deviation
Restoration of symmetry

Radix Adjustment and Dorsal Refinement

The nasal starting point was excessively high.

Procedures performed:

Lowering of the radix to an anatomically appropriate position
Creation of a natural dorsal starting point
Formation of a smooth dorsal contour

Implant Repositioning and Refinement

A new implant was used to refine the nasal bridge.

Procedures performed:

Custom carving tailored to the patient’s anatomy
Placement limited to the nasal dorsum
Creation of a natural straight-to-soft dorsal line

Functional Nasal Surgery

Functional correction was performed to improve breathing.

Procedures included:

Septoplasty to correct deviation
Inferior turbinate reduction to relieve obstruction

These procedures restored nasal airflow and functional stability.

Surgical Results

Frontal View

Straightened nasal bridge with improved symmetry
Balanced nasal alignment

Lateral View

Lowered radix creating a natural starting point
Smooth and natural dorsal line
Reduction of artificial appearance

Oblique (45°) View

Harmonious nasal contour
Improved facial balance

Before and immediately after surgery oblique view showing improved nasal bridge alignment and lowered radix with a natural dorsal contour following revision closed rhinoplasty with rib cartilage reconstruction. — **Before Surgery (Left) / Immediately After Surgery (Right)**

Functional Outcome

Significant improvement in nasal airflow
Reduced nasal obstruction
Enhanced breathing comfort

Before and immediately after surgery basal view showing improved nostril symmetry and stabilized nasal tip position following revision closed rhinoplasty with rib cartilage reconstruction. — Before Surgery (Left) / Immediately After Surgery (Right)

Surgeon’s Commentary – Importance of Radix and Septal Correction

High radix and septal deviation are key factors that can significantly affect both nasal aesthetics and function.

When the radix is positioned too high, the nose can appear overly prominent and unnatural. Proper repositioning to a lower anatomical level is essential to restore facial balance.

Severe septal deviation requires structural reconstruction rather than simple correction. In this case, donor rib cartilage was used to rebuild the septum and provide stable long-term support.

Lateral osteotomy was also necessary to correct nasal bone deviation and restore symmetry.

Functional nasal surgery, including septoplasty and turbinate reduction, was performed simultaneously to improve breathing.

Revision rhinoplasty requires careful analysis of previous surgical outcomes, scar tissue, and weakened structures. A precise, structure-based approach is essential to achieve stable and natural results.

Because each revision case presents different structural conditions, surgical planning must be based on precise analysis rather than a standardized approach.

If you are considering revision rhinoplasty due to previous surgical outcomes or functional issues such as breathing difficulty, a comprehensive evaluation is essential to determine the most appropriate reconstruction strategy.

📩 International Consultation

→ WhatsApp Consultation

→ LINE Consultation (Japan only)