Closed Rhinoplasty Korea for Low and Wide Nose Correction

Dr. Chayoung Kang
14분 전
3분 분량

A low nasal bridge combined with a wide nasal tip is a common structural nasal pattern that requires both dorsal augmentation and tip support reconstruction.

In this case, donor rib cartilage was used to reinforce the nasal tip while a custom silicone implant elevated the nasal bridge. Functional nasal surgery was performed simultaneously to correct septal deviation and improve breathing through a closed rhinoplasty approach.

Case Background

This case involves a patient who visited NoseLab Clinic due to concerns about a low nasal bridge and a wide nasal tip.

The patient had no prior history of nasal surgery, making this a primary rhinoplasty case. In addition to aesthetic concerns, the patient also experienced nasal obstruction related to septal deviation and rhinitis. Therefore, the surgical plan focused on improving both nasal structure and breathing function.

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

Surgical Background – Closed Rhinoplasty Korea

Correction of a low and wide nose requires both structural reinforcement of the nasal tip and controlled augmentation of the nasal bridge.

For this reason, closed rhinoplasty korea was selected to allow precise internal structural reconstruction while avoiding external incisions and minimizing soft tissue disruption.

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

Structural Problems Identified

Preoperative evaluation revealed several anatomical factors contributing to both aesthetic and functional concerns:

Low nasal bridge
Wide nasal tip with reduced projection
Septal deviation causing nasal obstruction
Inferior turbinate hypertrophy associated with rhinitis

These combined conditions required simultaneous structural and functional correction.

Surgical Plan – Structural Reinforcement and Functional Improvement

Nasal Tip Reinforcement with Donor Rib Cartilage

The nasal tip support structure was reinforced using donor rib cartilage.

Key objectives included:

Strengthening the nasal tip support framework
Refining and narrowing the wide nasal tip
Achieving natural tip projection and definition

Donor rib cartilage provides strong structural stability while avoiding cartilage harvesting from the patient.

Nasal Bridge Augmentation with Silicone Implant

A custom-carved silicone implant was used to augment the nasal bridge.

Surgical principles included:

Precise carving to match the patient’s nasal bone anatomy
Placement limited to the nasal dorsum
Smooth transition from forehead → bridge → tip

The goal was to create a natural dorsal line rather than excessive height.

Functional Nasal Surgery

Functional nasal surgery was performed to improve breathing.

Procedures included:

Septoplasty to correct septal deviation
Inferior turbinate reduction to treat turbinate hypertrophy

These procedures restored normal nasal airflow while stabilizing the internal nasal framework.

Surgical Results

Frontal View

The wide nasal tip became more refined and defined
Overall nasal width appeared naturally reduced
Balanced nasal proportions were achieved

Lateral View

The low nasal bridge was elevated to a natural height
A smooth dorsal line formed from forehead to nasal tip
Nasal tip projection improved the side profile

Oblique (45°) View

Before and immediately after surgery oblique view showing a smoother nasal bridge line and refined nasal tip contour following closed rhinoplasty using donor rib cartilage and a silicone implant. — Before Surgery (Left) / Immediately After Surgery (Right)

Natural nasal contours were visible from multiple angles
Harmonious balance between the nasal bridge and tip

Basal (Nostril) View

Before and immediately after surgery nostril view showing refined nasal tip structure and improved nostril symmetry following closed rhinoplasty with donor rib cartilage and silicone implant. — Before Surgery (Left) / Immediately After Surgery (Right)

Refined nasal tip improved nostril shape naturally
Improved nostril symmetry and nasal base contour

Surgeon’s Commentary – Structural Strategy for Low and Wide Nose

A low nasal bridge combined with a wide nasal tip cannot be corrected by bridge augmentation alone.

In these cases, structural reinforcement of the nasal tip is essential to create a balanced and natural nasal contour.

In this patient, donor rib cartilage was used to reconstruct the nasal tip support structure, allowing refinement of the wide tip while maintaining strong structural stability. Donor cartilage avoids the need for rib harvesting while still providing reliable long-term support.

For the nasal bridge, a silicone implant was carefully carved to match the patient’s anatomy and positioned only along the nasal dorsum. Rather than focusing on excessive height, the surgical design emphasized a smooth transition from the forehead to the nasal tip.

Because the patient also experienced nasal obstruction due to septal deviation and rhinitis, septoplasty and inferior turbinate reduction were performed simultaneously. Addressing both functional and aesthetic concerns in a single procedure can significantly improve both breathing comfort and facial harmony.