Closed Rhinoplasty Korea for Septal Deviation and Nasal Obstruction

Severe septal deviation can cause both nasal obstruction and visible nasal asymmetry. When the septum deviates significantly, the internal airway narrows and the nose may appear crooked externally.

In this case, structural reconstruction using autologous rib cartilage corrected the septal deviation, improved nasal airflow, and restored balanced nasal alignment through a closed rhinoplasty approach.

This case involves a patient with severe septal deviation accompanied by nasal obstruction and multiple aesthetic nasal concerns.

The septum had deviated markedly toward the left side, causing significant breathing difficulty and visible nasal asymmetry. In addition to functional problems, the patient also presented with a crooked nose, dorsal hump, drooping nasal tip, and maxillary protrusion affecting the overall facial profile.

Because both functional and aesthetic issues were present, comprehensive structural correction was required.

Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Surgical Background – Closed Rhinoplasty Korea

Correction of severe septal deviation requires reconstruction of the internal nasal framework as well as external nasal alignment.

For this reason, closed rhinoplasty korea was selected to allow structural reconstruction and airway correction through an endonasal approach without external incisions.

Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Structural Problems Identified

Clinical examination revealed several anatomical problems contributing to both nasal obstruction and facial imbalance:

• Severe septal deviation toward the left side

• Crooked nasal alignment caused by asymmetric nasal bones

• Prominent dorsal hump

• Drooping nasal tip

• Maxillary protrusion affecting the nasolabial angle

Because these structural issues were interrelated, they were addressed simultaneously during surgery.

Surgical Plan – Functional Reconstruction and Nasal Realignment

Septal Reconstruction with Autologous Rib Cartilage

The septum was severely deviated and structurally unstable.

Procedures performed:

• Septal reconstruction using autologous rib cartilage

• Restoration of stable midline nasal support

• Re-expansion of the nasal airway

Because the septum forms the central structural pillar of the nose, reconstruction was essential for restoring both breathing and nasal stability.

Crooked Nose Correction and Lateral Osteotomy

The nasal bones were asymmetrically positioned, resulting in visible nasal deviation.

Procedures performed:

• Lateral osteotomy to reposition the nasal bones

• Realignment of the nasal framework to the midline

This correction restored a straight nasal appearance when viewed from the front.

Dorsal Hump Reduction

The dorsal hump was carefully reduced and smoothed to create a clean and natural nasal bridge line.

Nasolabial Angle Adjustment for Maxillary Protrusion

Maxillary protrusion influenced the relationship between the nose and upper lip.

Through controlled adjustment of the nasolabial angle:

• The facial profile became more balanced

• The transition between nose and upper lip appeared more harmonious

Correction of a Drooping Nasal Tip

The nasal tip was elevated and stabilized using autologous rib cartilage.

This provided strong structural support while maintaining a natural contour.

Surgical Results

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

Functional Improvement

Breathing function improved significantly following septal reconstruction.

• Nasal obstruction was relieved

• Airflow through the nasal passage became clearer

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

Aesthetic Improvement

Structural correction also improved nasal appearance.

• The crooked nose was straightened

• The dorsal hump was reduced

• The drooping nasal tip was refined and elevated

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

Overall Outcome

The nose achieved a balanced, natural appearance that harmonized with the patient’s facial structure while restoring comfortable breathing.

Surgeon’s Commentary – Importance of Septal Reconstruction

When septal deviation is severe, correcting only the external appearance of the nose cannot resolve the underlying functional problem.

Septal reconstruction is essential for restoring both:

• Proper nasal airflow

• A stable structural nasal framework

Autologous rib cartilage provides strong and reliable support, making it particularly useful in cases requiring durable reconstruction.

After nasolabial angle adjustment for maxillary protrusion, slight temporary overcorrection may be observed during the early healing phase. Patients may experience mild tightness around the upper lip for several months as swelling subsides and tissues adapt. Over time, the angle gradually settles into a natural and stable position.

Successful rhinoplasty requires careful balance between function and aesthetics. When airway obstruction and strucmailto:noselab@naver.comtural deformities are corrected together, patients often experience improvements in both breathing comfort and facial harmony.

(FAQ)

Q1. Can septal deviation cause breathing problems?

Yes. Severe septal deviation can narrow the nasal airway and significantly impair breathing.

Q2. Why is rib cartilage used for septal reconstruction?

Rib cartilage provides strong and durable structural support when significant septal reconstruction is required.

Q3. Can crooked nose correction and breathing improvement be performed together?

Yes. Functional correction and aesthetic rhinoplasty can be performed simultaneously when properly planned.

🎥 YouTube Reference

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

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