Closed Rhinoplasty Korea for Over-Osteotomy Correction and Blunt Tip Refinement

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Over-osteotomy correction is a reconstructive rhinoplasty procedure that restores nasal bone stability and corrects deformity caused by excessive lateral osteotomy during previous surgery.

In this case, structural realignment of weakened nasal bones and nasal tip refinement using rib cartilage were performed to correct deviation, improve definition, and achieve long-term stability without external scars.

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

Published: 2026-01-31

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

This case involves a patient who developed nasal twisting and a blunt nasal tip after prior rhinoplasty, requiring a structural revision rather than surface-level correction.

Patient Condition and Key Problems

The patient presented with nasal deviation caused by over-fracture of the lateral nasal bone and loss of tip definition.

Excessive osteotomy during the previous procedure weakened bony support, resulting in asymmetry of the bridge and a blunt, unstable nasal tip over time.

Preoperative facial analysis showing frontal, left oblique, and left side views in a closed rhinoplasty Korea revision case, used to evaluate nasal deviation, bridge asymmetry, and tip position before structural correction. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Surgical Background – Over-Osteotomy Correction with Closed Rhinoplasty Korea

Over-osteotomy deformity occurs when excessive lateral fracture disrupts nasal bone balance and compromises structural integrity.

For this reason, closed rhinoplasty korea was selected to allow precise internal correction of the nasal bones and tip while preserving soft tissue circulation and avoiding external scars.

Surgical history

3 years prior: Hump reduction, lateral osteotomy, and tip plasty using ear cartilage
Postoperative complications: nasal twisting, bridge asymmetry, and blunt nasal tip

Preoperative design consultation photos showing right side, right oblique, and nostril views in a closed rhinoplasty Korea revision case, used to assess nasal deviation, tip projection, and nostril asymmetry before structural correction. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Plan – Structural Restoration and Tip Definition

The surgical plan focused on restoring bony symmetry and rebuilding stable nasal tip support.

Key procedures included:

Septal extension using autologous rib cartilage for durable tip support
Reconstruction of the over-osteotomized nasal bone to re-establish symmetry
Placement of a custom-carved silicone implant to match the corrected bone contour
Adjustment of the nasolabial angle to reduce nostril show and improve balance

This approach addressed the root structural failure rather than masking the deformity.

Surgical Results – Balanced Dorsum and Refined Tip

Postoperative evaluation demonstrated stable structural correction and refined nasal contours.

Frontal view:

The twisted bridge was realigned, and the blunt nasal tip achieved clearer definition.

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

Side profile:

A smooth dorsal line and improved nasolabial angle created a more refined silhouette.

Before and immediately after nostril view in a closed rhinoplasty Korea revision case, showing improved nostril symmetry, reduced nostril show, and stable nasal base support after structural reconstruction. — Before Surgery (Left) / Immediately After Surgery (Right)

Structural balance:

Restored nasal bone symmetry provided long-term stability without recurrent deviation.

Surgeon’s Commentary – Why Over-Osteotomy Requires Structural Revision

Over-osteotomy compromises nasal bone stability and cannot be corrected by implant replacement alone.

In this case, structural restoration of the nasal bones combined with rib cartilage rhinoplasty for tip support was essential to achieve a stable and durable outcome. Addressing the underlying bony imbalance prevented recurrence and allowed precise aesthetic refinement.

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