Closed Rhinoplasty Korea for Severe Nostril Asymmetry

Dr. Chayoung Kang
2월 18일
3분 분량

최종 수정일: 3월 25일

Severe nostril asymmetry after rhinoplasty is often caused by imbalance of alar cartilage, septal instability, and internal lining deficiency rather than simple external deformity.

In this case, cartilage reconstruction, septal repositioning, and composite grafting restored nostril symmetry, improved airway function, and achieved stable structural balance through a closed rhinoplasty approach.

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

This case involves a patient who developed severe nostril asymmetry, a deviated nose, and persistent nasal obstruction after rhinoplasty performed at another clinic.

The patient presented with marked nostril asymmetry accompanied by nasal deviation and chronic breathing difficulty.

Evaluation revealed asymmetric alar cartilages, unstable septal support, and internal lining deficiency contributing to both functional and aesthetic problems.

In this case, structural correction was achieved through closed rhinoplasty korea, focusing on restoring alar cartilage balance, septal stability, and internal lining support.

Severe nostril asymmetry requires reconstruction of both cartilage framework and internal lining rather than simple surface-level correction.

If you are experiencing nostril asymmetry, nasal deviation, or breathing discomfort after previous rhinoplasty, a detailed structural evaluation is essential before determining the appropriate surgical plan.

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Preoperative design consultation images showing frontal view, left oblique side view, and left lateral view of a patient with severe nostril asymmetry and deviated nose following previous rhinoplasty. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Surgical Background – Closed Rhinoplasty Korea

Revision rhinoplasty for nostril asymmetry requires precise internal structural correction and lining reconstruction.

For this reason, closed rhinoplasty korea was selected to allow septal reconstruction, alar cartilage repair, and nostril reshaping through an internal approach without external incisions.

Preoperative design consultation images showing right lateral view, right oblique side view, and nostril view of a patient with severe nostril asymmetry and deviated nose following previous rhinoplasty. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Structural Problems Identified

Preoperative evaluation revealed multiple contributing factors:

Asymmetric alar cartilages
Septal instability and deviation
Internal lining deficiency
Nasal deviation
Airway obstruction

These issues required combined structural and functional correction.

Surgical Plan – Structural and Lining Reconstruction

Alar Cartilage Reconstruction

Trimming and suturing of asymmetric cartilage
Reconstruction to restore bilateral symmetry

Septal Reconstruction and Repositioning

Correction toward midline
Restoration of stable tip support

Composite Grafting and Internal Lining Repair

Chondrocutaneous flap
Internal skin grafting
Adjustment of nostril size and shape

Implant Revision

Removal of previous implant
Placement of customized implant

Functional Nasal Surgery

Septal deviation correction
Rhinitis surgery
Airway improvement

Surgical Results

Frontal View

Significant improvement in nostril symmetry

Nasal Alignment

Correction of deviated nose
Restoration of midline balance

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

Tip Stability

Strong structural support
Stable nasal tip position

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

Functional Outcome

Relief of nasal obstruction
Improved airflow

Before and immediately after surgery nostril base view comparison showing improved nostril symmetry and more stable nasal base after revision rhinoplasty with structural reconstruction. — Before Surgery (Left) / Immediately After Surgery (Right)

Surgeon’s Commentary

Nostril asymmetry is one of the most technically demanding problems in revision rhinoplasty.

When cartilage imbalance is severe, simple suturing is insufficient. Structural reconstruction and internal lining repair must be performed together.

In this case, alar cartilage reconstruction, composite grafting, and septal repositioning were combined to restore both structure and symmetry.

Septal reconstruction also played a critical role in correcting nasal deviation and stabilizing the nasal tip.

A structure-first approach is essential to achieve both functional improvement and long-term stability in complex revision cases.

Because nostril asymmetry involves both cartilage structure and internal lining conditions, surgical planning must be based on precise anatomical analysis rather than a standardized approach.

If you are considering revision rhinoplasty for asymmetry or breathing problems, a comprehensive evaluation is essential to determine the most appropriate reconstruction strategy.

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→ LINE Consultation (Japan only)