Closed Rhinoplasty Korea for Pinched Nasal Tip Correction After Medpor Removal

This case demonstrates closed rhinoplasty Korea for correcting a pinched nasal tip after Medpor removal. Structural reconstruction using rib cartilage restored nasal support, improved airway function, and achieved a natural, balanced result with long-term stability.

✅ Author / Published / Updated

• Dr. Cha-Young Kang , NoseLab Clinic

• Published: 2025

• Last Updated: 2026

This patient presented with severe nasal tip pinching and structural collapse after multiple previous rhinoplasty procedures.

Over 15 years and three surgeries, excessive cartilage resection and scarring led to loss of structural support, columella retraction, and functional airway issues.

In this closed rhinoplasty Korea case, the goal was to remove foreign material, restore structural integrity, and correct both aesthetic deformity and nasal function.

Key concerns included:

• Pinched nasal tip due to alar cartilage loss

• Columella retraction and shortening

• Drooping nasal tip

• Flattened nasal bridge

• Nostril asymmetry

• Nasal obstruction and chronic rhinitis

• Hidden Medpor implant within columella

This case required full structural reconstruction rather than simple tip refinement.

If you are experiencing similar issues after multiple surgeries, a structural approach is essential.

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Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

✅ Surgical Background – Closed Rhinoplasty Korea

Closed rhinoplasty Korea enables precise internal reconstruction without external incision.

In revision cases with cartilage depletion, restoring structural support is critical to prevent recurrence.

This approach allows removal of foreign materials and reconstruction of the nasal framework while minimizing additional tissue damage.

Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

✅ Structural Problems Identified

Preoperative evaluation revealed:

• Severe pinching of nasal tip due to alar cartilage loss

• Columella retraction and poor projection

• Scar contracture from previous surgeries

• Flattened dorsal structure

• Hidden Medpor implant within columella

• Deviated septum and airway obstruction

• Inferior turbinate hypertrophy

These findings required both structural and functional reconstruction.

✅ Surgical Plan

1. Removal of Medpor and Foreign Materials

Medpor implant and residual materials were completely removed to eliminate sources of inflammation.

Photos of Removed Silicone Implant, Foreign Materials, and Medpor

2. Scar Tissue Release

Contracted scar tissue around the nasal tip was excised to restore flexibility.

3. Rib Cartilage Harvesting

Autologous rib cartilage was used due to insufficient native cartilage.

4. Septal Reconstruction

Reconstruction of septal framework to re-establish central support.

5. Alar Cartilage Reconstruction

Rebuilding alar structure to correct pinched nasal tip and restore width.

6. Columella Lengthening and Support

Septal extension graft used to improve projection and nasal length.

Deviated Nasal Septum and Hypertrophic Rhinitis Observed via Nasal Endoscopy

7. Functional Correction

Septal deviation correction and turbinate reduction to improve airflow.

✅ Surgical Results

Frontal View

• Improved alar base width

• Reduced pinching

• Balanced nasal shape

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

Lateral View

• Improved tip projection

• Natural nasolabial angle

• Balanced profile

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

Oblique View

• Smooth contour

• Restored structural harmony

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

Nasal Base View

• Improved nostril symmetry

• Restored alar support

• Stable columella

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

Functional Outcome

• Improved nasal airflow

• Reduced obstruction

• Stabilized airway structure

✅ Surgeon’s Commentary

Pinched nasal tip deformity is typically caused by over-resection of cartilage during previous surgeries.

Simply reshaping the tip is not sufficient in these cases.

Structural reconstruction using rib cartilage is essential to restore both form and function.

In this case, removal of Medpor was critical, as foreign materials can lead to long-term complications and instability.

Rebuilding the alar and septal framework allowed us to correct the deformity while ensuring long-term stability.

Closed rhinoplasty Korea provides a controlled environment for precise reconstruction with minimal additional trauma.

If you are considering revision rhinoplasty after complications, structural reconstruction is the key to achieving stable results.

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✅ FAQ

Q1. Why does a pinched nasal tip occur after surgery?

It is usually caused by excessive cartilage removal and scar contracture.

Q2. Can pinched nose be fully corrected?

Yes, but it requires structural reconstruction rather than simple reshaping.

Q3. Why is rib cartilage used in revision cases?

It provides strong support when native cartilage is insufficient.

✅ Mandatory Disclosure

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.

Postoperative precautions and possible complications

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