Closed Rhinoplasty Korea | Hump Nose Correction | Drooping Tip Correction – Natural Tip Refinement Case

Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.

Today, I’m sharing the case of a patient who sought correction for a dorsal hump and a dynamic drooping tip—commonly referred to as an "arrow nose"—through closed rhinoplasty in Korea. This hump nose correction and drooping tip correction procedure became particularly effective when smiling. Our goal was to achieve a refined, natural nasal tip and address both aesthetic and functional concerns.

🔎 Initial Findings

Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Functional Issues

• Chronic rhinitis symptoms

• Worsening nasal congestion, especially on the right side

Aesthetic Concerns

• Prominent dorsal hump

• Deviated nasal bridge

• Drooping nasal tip

• Arrow nose effect when smiling

• Bulbous, heavy nasal tip

• Elongated nose appearance

Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

✨ Patient Goals

The Desired Images of the Patient

• Correct dorsal hump and deviated nose

• Lift the drooping tip

• Eliminate the arrow nose appearance when smiling

• Create a slimmer, more delicate nasal tip

• Reduce the overall impression of nasal length

💉 Surgical Approach

Structural Correction

• Used autologous rib cartilage (due to underdeveloped septal cartilage) for nasal tip support

• Corrected dorsal hump

• Performed osteotomies to realign deviated nasal bones

• Lifted the drooping nasal tip

Tip-Specific Refinement

• Reshaped the bulbous tip for a slimmer profile

• Addressed the dynamic "arrow nose" issue during facial expression

• Balanced nasal length and projection

• Created a naturally contoured nasal tip

Functional Correction

• Septoplasty and submucosal resection of the inferior turbinates using radiofrequency ablation

• Improved breathing and relieved nasal obstruction

✅ Postoperative Results

Before Surgery (Left) / Immediately After Surgery (Right)

Function

• Alleviated rhinitis symptoms

• Markedly improved nasal airflow

Before Surgery (Left) / Immediately After Surgery (Right)

Frontal View

• Arrow nose deformity corrected

• Improved symmetry and midline alignment

• Slimmer, more refined nasal tip

• Harmonious facial proportions

Before Surgery (Left) / Immediately After Surgery (Right)

Profile View

• Softened dorsal contour

• Lifted and well-positioned nasal tip

• Natural nasal length and refined columella-labial angle

Before Surgery (Left) / Immediately After Surgery (Right)

Dynamic Movement

• Smiling no longer causes the nasal tip to drop

• Slimmed, stable nasal tip maintains shape during expression

Before Surgery (Left) / Immediately After Surgery (Right)

👨‍⚕️ Surgeon’s Commentary

Immediately after surgery: Frontal view, side view, and oblique side view photos.

Immediately after surgery: Nostril view photos.

This patient presented with classic concerns of a prominent dorsal hump, deviation, and dynamic arrow nose deformity—issues that are not only aesthetically challenging but also complex to treat. The arrow nose effect, which causes the nasal tip to dramatically droop when smiling, is typically the result of combined structural laxity and muscular action. It often cannot be resolved with a simple rhinoplasty alone.

The cornerstone of this procedure was precise tip reconstruction using autologous rib cartilage to replace insufficient septal support. By carefully repositioning and shaping the tip cartilage, we prevented exaggerated movement during facial expression while simultaneously slimming and refining the nasal contour.

Osteotomies and hump reduction allowed for realignment of the deviated nose and correction of the exaggerated dorsal line, while subtle radix lowering softened the overall expression. Functional procedures addressed chronic nasal congestion and improved the patient’s breathing—especially crucial given her worsened symptoms in recent months.

Ultimately, we achieved a stable, natural-looking result that maintained balance at rest and during expression, correcting both the visible deformities and underlying functional impairments.

This was a successful example of how detailed structural reconstruction and dynamic analysis can produce outcomes that are both aesthetically harmonious and functionally sound.

Thank you,

Dr. Cha-Young Kang

Director, Nose Lab Clinic

##Closed Rhinoplasty Korea | Hump Nose Correction | Drooping Tip Correction