Closed Rhinoplasty Korea to Reconstruct the Nasal Tip and Correct Nostril Asymmetry

Nasal tip reconstruction with nostril asymmetry correction is a rhinoplasty procedure designed to restore structural balance when one nostril is overly exposed or the nasal tip lacks definition.

In this case, an overseas patient with no prior nasal surgery underwent precise nasal tip reconstruction and nostril repositioning using donated rib cartilage and septal cartilage, achieving stable symmetry and a natural contour without external scars.

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

Published: 2026-01-21

Hello, this is Dr. Cha-Young Kang from NoseLab Clinic.

This case study presents a primary rhinoplasty patient who sought correction of an underdefined nasal tip and visible nostril asymmetry, particularly noticeable in the frontal view.

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

Surgical Background – Nasal Tip Deficiency and Nostril Asymmetry

The patient presented with structural imbalance of the nasal tip and asymmetric nostril exposure rather than excessive nasal volume.

Although there was no prior history of nasal surgery, the right nostril showed excessive frontal exposure, creating imbalance in the nasal base. The patient requested a natural-appearing nasal tip with adequate support and a bridge that would harmonize with the refined tip.

Because the issue was related to support and positioning rather than reduction, a closed rhinoplasty korea approach focusing on reconstruction and repositioning was selected.

Surgical history:

• No prior nasal surgery

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

Surgical Plan – Closed Rhinoplasty Korea for Nasal Tip Reconstruction and Nostril Repositioning

The surgical plan focused on creating a stable nasal tip framework while correcting nostril asymmetry without increasing surgical burden.

Key procedures included:

• Nasal tip reconstruction using donated rib cartilage combined with septal cartilage

• Avoidance of autologous rib harvest to reduce operative trauma

• Precise repositioning of the right nostril to reduce nostril show

• Placement of a custom-carved silicone implant to refine the nasal bridge

Donated rib cartilage provided sufficient strength and volume, making it particularly suitable for international patients seeking efficient and safe structural reconstruction.

Surgical Results – Improved Balance and Natural Contour

Postoperative evaluation confirmed restoration of nasal balance and structural stability.

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

From the frontal view, right-sided nostril asymmetry was corrected and excessive nostril show was reduced.

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

From the side profile, the nasal tip appeared well-supported with a smooth transition from bridge to tip.

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

From the nostril view, bilateral symmetry and proportional balance were achieved.

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

The final result was a natural, refined nasal contour that harmonized with the patient’s overall facial features.

Surgeon’s Commentary – Why Donated Rib Cartilage Was Chosen

Nostril asymmetry, especially when one side is overly visible in frontal view, cannot be resolved by superficial tip refinement alone.

In this case, reconstructing the nasal tip with a combination of donated rib cartilage and septal cartilage provided a strong, stable foundation without requiring additional donor-site surgery. This approach is particularly advantageous for overseas patients seeking durability with reduced recovery burden.

By carefully repositioning the right nostril and refining the bridge with a custom implant, this closed approach allowed precise correction while preserving soft tissue integrity and avoiding external scars.

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

FAQ

Q1. What causes nostril asymmetry in patients without prior rhinoplasty?

Nostril asymmetry often results from inherent differences in cartilage position, nasal base support, or columellar alignment.

Q2. Why is structural reconstruction important for nasal tip asymmetry?

Without a stable internal framework, surface-level adjustments cannot maintain long-term symmetry or balance.

Q3. Is donated rib cartilage reliable for nasal tip reconstruction?

Yes. Properly processed donated rib cartilage provides strong, long-lasting support without donor-site morbidity.

🎥 YouTube Reference

If you’re curious about Dr. Cha-Young Kang’s closed rhinoplasty approach, click to watch the video.

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