Closed Rhinoplasty Korea for Long-Looking Nose Tip Correction

noselab
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Long-looking nose deformity after rhinoplasty is commonly caused by inadequate tip support and progressive tip descent, resulting in altered nasal proportions and midface imbalance.

In this revision case, drooping nasal tip deformity was corrected through structural reinforcement with autologous rib cartilage, controlled tip repositioning, and nasolabial angle adjustment to restore stable projection and balanced facial harmony.

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

This revision rhinoplasty case involves a female patient who developed a progressively elongated and drooping nasal appearance after previous nasal surgery.

Patient Condition and Structural Diagnosis

The patient presented with nasal tip ptosis, elongated nasal proportions, and imbalance between the nose and midface.

Clinical evaluation indicated insufficient internal tip support and an unfavorable nasolabial angle contributing to the long-looking profile.

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

Surgical Background – Structural Revision with Closed Rhinoplasty Korea

Revision correction of tip ptosis requires stable internal reconstruction rather than surface modification.

For this reason, closed rhinoplasty korea was selected to allow internal structural access, implant removal, and cartilage-based reinforcement without external incisions.

Preoperative design consultation photos showing right side view, right oblique side view, and nostril view of a female revision rhinoplasty patient with a long-looking nose and drooping nasal tip. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Plan – Tip Reinforcement and Proportional Correction

The surgical plan focused on eliminating unstable materials and rebuilding durable tip support.

Key components included:

Complete removal of previous silicone implant and residual fillers
Nasal tip reconstruction using autologous rib cartilage
Septal reinforcement to restore internal framework stability
Controlled adjustment of the nasolabial angle to improve side-profile harmony

This structure-first approach aimed to reposition the nasal tip while preventing recurrent descent.

Surgical Results – Balanced Proportions and Stable Tip Position

Postoperative assessment demonstrated structural stabilization and improved facial proportion.

Profile view:The drooping nasal tip was repositioned to a stable and naturally elevated orientation.

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

Nasal length perception:Correction of tip ptosis visually reduced the elongated appearance of the nose.

Before and immediately after left oblique view showing structural tip elevation and improved nasal balance following revision rhinoplasty with autologous rib cartilage. — Before Surgery (Left) / Immediately After Surgery (Right)

Contour refinement:The nasal tip appeared softer and more defined without excessive projection.

Before and immediately after frontal view showing improved nasal projection, refined tip position, and balanced midface proportions after revision rhinoplasty with autologous rib cartilage. — Before Surgery (Left) / Immediately After Surgery (Right)

Facial harmony:The relationship between the nose and midface was restored to balanced proportions.

Before and immediately after nostril view showing reduced nostril show, improved symmetry, and stabilized nasal tip support after revision rhinoplasty. — Before Surgery (Left) / Immediately After Surgery (Right)

Surgeon’s Commentary – Why Structural Support Determines Tip Stability

Long-looking noses after rhinoplasty are primarily caused by weakened or insufficient tip support.

Simply trimming cartilage does not correct the structural instability responsible for progressive drooping. In this case, autologous rib cartilage provided strong and durable reinforcement, ensuring long-term stability of the corrected tip position.

The objective was proportional restoration rather than aggressive height increase. By rebuilding the internal framework and adjusting the nasolabial angle, stable aesthetic refinement was achieved.

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