Closed Rhinoplasty Korea for Philtrum Reduction Complication and Structural Nasal Reconstruction

This case demonstrates closed rhinoplasty Korea for correcting complications caused by philtrum reduction surgery, including nostril asymmetry, nasal deviation, and structural instability. Reconstruction using rib cartilage and structural realignment restored nasal balance, improved function, and achieved long-term stability.

✅ Author / Published / Updated

• Dr. Cha-Young Kang

• NoseLab Clinic

• Published: 2024

• Last Updated: 2026

This patient presented after multiple previous surgeries, including philtrum reduction, nostril reduction, and rhinoplasty using autologous dermis.

The patient experienced progressive nasal deformity, asymmetry, and structural instability following these procedures.

In this closed rhinoplasty Korea case, the goal was not only aesthetic correction but reconstruction of the nasal framework affected by prior surgeries.

Key concerns included:

• Severe nostril asymmetry

• Crooked nasal structure

• Short and drooping nasal tip

• High nasal bridge with poor tip support

• Structural collapse of nasal bones

• Deformity caused by improper philtrum reduction suturing

This case required full structural reconstruction rather than cosmetic adjustment.

If you are experiencing complications after philtrum reduction or rhinoplasty, a structural evaluation is essential.

Frontal view before surgery

✅ Surgical Background – Closed Rhinoplasty Korea

Closed rhinoplasty Korea allows internal structural correction without external scars.

In complex revision cases involving philtrum surgery complications, both nasal structure and surrounding soft tissue relationships must be carefully reconstructed.

This approach enables precise correction while minimizing further tissue damage.

Side profile view before surgery

✅ Structural Problems Identified

Preoperative analysis revealed:

• Severe nostril asymmetry due to incorrect columella positioning

• Nasal deviation and structural imbalance

• Collapse of nasal bone structure from prior osteotomy

• Weak nasal tip support

• Scar tissue and deformity from repeated surgeries

• Disruption of nasal base symmetry due to philtrum reduction

These findings indicated the need for complete structural reconstruction.

This is a case of incorrect suturing in the previous philtrum reduction surgery.

✅ Surgical Plan

1. Removal of Autologous Dermis and Previous Materials

Previously inserted dermis and cartilage were removed and selectively reused where appropriate.

Photo of the removed ear cartilage (left) and the autologous dermis (right)

2. Nasal Bone Reconstruction

Collapsed nasal bones were repositioned, and structural gaps were filled using rib cartilage.

3. Structural Reinforcement with Rib Cartilage

Autologous rib cartilage was used to rebuild the nasal framework and ensure long-term stability.

4. Nasal Tip Reconstruction

Cartilage was repositioned and reinforced to correct drooping and asymmetry.

5. Nostril Asymmetry Correction (Rotational Flap)

Rotational flap technique was used to correct severe nostril asymmetry and expand the narrowed nasal base.

6. Nasal Bridge Reconstruction

The dorsal structure was stabilized and reshaped to achieve a balanced nasal profile.

✅ Surgical Results

Frontal View

• Significant improvement in nostril symmetry

• Correction of nasal deviation

• Balanced nasal structure

Lateral View

• Drooping tip corrected

• Nasolabial angle improved

• Harmonized profile

Oblique View

• Improved structural alignment

• Natural contour restored

Functional Outcome

• Improved nasal airflow

• Reduced structural instability

• Enhanced breathing function

✅ Surgeon’s Commentary

Philtrum reduction surgery can significantly affect nasal structure if not performed with precise anatomical consideration.

The relationship between the columella, nasal base, and philtrum is critical. Improper suturing can lead to asymmetry and structural distortion.

In this case, reconstruction required not only correction of the nose but also restoration of the nasal base relationship.

Rib cartilage provided the structural strength needed to rebuild a stable nasal framework.

Closed rhinoplasty Korea allows precise correction of complex deformities while preserving soft tissue, which is essential in revision cases.

If you are considering rhinoplasty after philtrum surgery, careful structural planning is critical.

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✅ FAQ

Q1. Can philtrum reduction affect nose shape?

Yes. It can alter the relationship between the columella and nasal base, leading to asymmetry.

Q2. Can these complications be corrected?

Improvement is possible through structural reconstruction, depending on tissue condition.

Q3. Why is rib cartilage used in these cases?

Rib cartilage provides strong support necessary for rebuilding damaged nasal structures.

🎥 YouTube Reference

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

This case is for educational purposes and represents a clinical example.

Results may vary depending on individual anatomy and surgical history.

All procedures were performed by a qualified specialist.

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