Closed Rhinoplasty Korea for Severe Nostril Asymmetry

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13분
3분 분량

Revision rhinoplasty for severe nostril asymmetry focuses on restoring alar cartilage balance, septal stability, and internal lining support to achieve symmetrical nostrils and a stable nasal framework.

In this case, asymmetric alar cartilages, septal deviation, and airway obstruction were corrected through cartilage reconstruction, composite grafting, and septal repositioning to restore both breathing function and external balance.

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

Patient Condition and Key Problems

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.

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 – Revision with Closed Rhinoplasty Korea

Revision rhinoplasty requires internal structural correction while minimizing additional tissue trauma.

For this reason, closed rhinoplasty korea was selected to allow precise 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.

Surgical Plan – Structural and Lining Reconstruction

The surgical plan focused on restoring cartilage symmetry and rebuilding internal support.

Key procedures included:

Trimming and suturing of asymmetric alar cartilages
Reconstruction of deficient alar cartilage to restore bilateral symmetry
Septal reconstruction and repositioning toward the midline to stabilize the nasal tip
Composite (chondrocutaneous) flap and internal skin grafting to adjust nostril size
Removal of existing silicone implant and insertion of a newly customized implant
Septal deviation correction and simultaneous rhinitis surgery

Surgical Results – Balanced Nostrils and Improved Airflow

Postoperative evaluation confirmed both functional and structural improvement.

Frontal view:Severe nostril asymmetry was corrected to a balanced appearance.

Before and immediately after surgery frontal view comparison showing improved nasal symmetry and midline alignment following revision rhinoplasty with septal reconstruction. — Before Surgery (Left) / Immediately After Surgery (Right)

Nasal alignment:The deviated nose was realigned toward the midline.

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

Tip stability:The nasal tip is now well-supported and structurally stable.

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

Functional outcome:Nasal obstruction was relieved with noticeable improvement in 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 – Principles of Nostril Asymmetry Revision

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

When cartilage imbalance is severe, suturing alone is insufficient. In this case, trimming, reconstruction, and composite grafting were combined to restore both cartilage framework and internal lining.

Septal reconstruction was essential to correct nasal deviation and provide stable tip support. Functional nasal surgery was performed simultaneously to address airway obstruction.

Successful revision rhinoplasty depends on accurate assessment of existing tissue conditions and a systematic, stability-oriented approach rather than aggressive cosmetic change.

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