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Closed Rhinoplasty Korea for Hump Nose and Drooping Tip

  • Dr. Chayoung Kang
  • 11์‹œ๊ฐ„ ์ „
  • 3๋ถ„ ๋ถ„๋Ÿ‰

(Primary Rhinoplasty Case)

A dorsal hump combined with a drooping nasal tip can create an elongated and unbalanced nasal appearance.
In this case, hump reduction, osteotomy, and rib cartilage tip reconstruction were performed to create a smooth dorsal line and stable nasal tip support through a closed rhinoplasty approach.
Author:ย Dr. Cha-Young Kang, Director, NoseLab Clinic

This case involves a primary rhinoplasty patient presenting with a prominent dorsal hump and a drooping nasal tip, resulting in an elongated and less refined nasal appearance.


From the lateral view, the dorsal hump created a convex profile, while the drooping nasal tip contributed to an overall longer-looking nose. From the frontal view, the nasal tip appeared bulky with insufficient definition.


The patient did not have functional breathing issues but sought aesthetic improvement with a natural and refined outcome. In this case, structural correction was performed through closed rhinoplasty korea, focusing on hump correction, osteotomy, and structural tip support.


If you are experiencing similar concerns such as a hump nose or a drooping nasal tip, a structural evaluation is important to determine the most appropriate surgical plan.


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Surgical Background โ€“ Closed Rhinoplasty Korea


Correction of a hump nose combined with a drooping nasal tip requires both dorsal correction and structural tip support.


For this reason, closed rhinoplasty koreaย was selected to allow precise internal correction of dorsal deformities and stable reconstruction of nasal tip support without external incisions.

Preoperative design consultation photos showing dorsal hump, drooping nasal tip, and bulky tip contour from frontal, left oblique, and left lateral views.
Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Structural Problems Identified


Preoperative evaluation revealed several structural causes:

  • Prominent dorsal hump

  • Drooping nasal tip (tip ptosis)

  • Weak nasal tip support

  • Bulky and poorly defined nasal tip

  • Open roof deformity expected after hump removal

These structural problems required coordinated correction of the nasal bridge and tip.

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

Surgical Plan โ€“ Structural Tip Support and Dorsal Correction


Nasal Tip Reconstruction with Rib Cartilage

Because the nasal tip support was weak, structural reinforcement was required.

Procedures performed:

  • Nasal tip reconstruction using autologous rib cartilage

  • Reinforcement of tip support

  • Controlled elevation and refinement of the nasal tip

  • Adjustment of tip projection and rotation


Dorsal Hump Reduction

The dorsal hump was carefully reduced to create a smooth nasal bridge line.

Procedures performed:

  • Removal of the dorsal hump

  • Smoothing of the nasal bridge contour


Lateral Osteotomy

After hump removal, an open roof deformity can occur and must be corrected.

Procedures performed:

  • Lateral osteotomy to close the open roof deformity

  • Narrowing of the nasal bridge

  • Correction of nasal bone alignment


Nasolabial Angle Adjustment

Adjustment of the nasolabial angle improved tip rotation and overall profile balance.


Surgical Results


Frontal View
  • Narrower and more refined nasal bridge

  • Improved nasal tip definition

  • Better overall symmetry

Before and immediately after surgery frontal view showing reduction of dorsal hump prominence, elevation of the nasal tip, and improved nasal definition following closed rhinoplasty with rib cartilage and osteotomy.
Before Surgery (Left) / Immediately After Surgery (Right)
Lateral View
  • Smooth dorsal line after hump removal

  • Drooping nasal tip elevated and stabilized

  • Balanced nasal profile

Before and immediately after surgery lateral view showing smoothing of the dorsal hump, elevation of the nasal tip, and creation of a balanced nasal profile following closed rhinoplasty with rib cartilage and osteotomy.
Before Surgery (Left) / Immediately After Surgery (Right)
Oblique (45ยฐ) View
  • Natural nasal contour

  • Smooth transition from bridge to tip

Before and immediately after surgery oblique view showing refined nasal tip contour, reduction of dorsal hump, and improved overall nasal balance following closed rhinoplasty with rib cartilage and osteotomy.
Before Surgery (Left) / Immediately After Surgery (Right)
Overall Outcome
  • Balanced nasal proportions

  • Natural and refined appearance

  • Stable nasal tip support

Before and immediately after surgery basal view showing improved nasal tip position, reduced nostril show, and enhanced nostril symmetry following closed rhinoplasty with rib cartilage and osteotomy.
Before Surgery (Left) / Immediately After Surgery (Right)

Surgeonโ€™s Commentary โ€“ Coordinated Correction of Hump and Drooping Tip


Hump nose correction requires more than simple reduction of the protruding area. After hump removal, an open roof deformity commonly occurs, which must be addressed through osteotomy to restore proper dorsal width and alignment.


In cases with both a dorsal hump and a drooping nasal tip, establishing strong structural support for the nasal tip is essential before finalizing the dorsal contour.


In this case, autologous rib cartilage was used to reinforce the nasal tip, ensuring stable projection and long-term support. Osteotomy allowed precise repositioning of the nasal bones, while hump reduction and tip refinement were performed in a coordinated manner.


A balanced approach that considers both the nasal bridge and tip is critical to achieving a natural and stable result.


Structural rhinoplasty focuses not only on shape correction but also on long-term structural stability and facial balance.


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Frequently Asked Questions (FAQ)


Q1. hump removal alone enough to improve the nose shape?

No. Osteotomy is often required to correct open roof deformity and achieve proper contour.


Q2. Why is rib cartilage used for tip support?

It provides strong structural stability and allows precise control of tip position.


Q3. Can a drooping nasal tip be corrected permanently?

Yes. With proper structural reinforcement, stable long-term results can be achieved.


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Postoperative precautions and possible complications after rhinoplasty

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