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Case Study: Nasal Septum Reconstruction in Revision Rhinoplasty – Korea

  • Dr. Chayoung Kang
  • 2024년 12월 7일
  • 3분 분량

최종 수정일: 3일 전

This case demonstrates closed rhinoplasty Korea for nasal septum reconstruction in a patient with multiple prior surgeries. Rib cartilage reconstruction restored structural support, improved nasal symmetry, and enhanced airway function for long-term stability.
Author: Dr. Cha-Young Kang, Director, NoseLab Clinic

✅ Case Background


This patient presented with a complex surgical history including orthognathic surgery, multiple rhinoplasty procedures, filler injections, and alar base reduction.


The patient reported dissatisfaction with nasal asymmetry, deviation, and functional breathing issues.


In this closed rhinoplasty Korea case, the primary goal was to reconstruct the nasal septum, correct structural imbalance, and improve both aesthetic harmony and airway function.


Key concerns included:

  • Deviated nasal structure

  • Nostril asymmetry

  • Bulbous nasal tip

  • High nasal starting point due to filler

  • Retracted columella

  • Functional breathing difficulty


This case required structural reconstruction rather than simple aesthetic refinement.


If you are experiencing similar concerns after multiple procedures, a detailed structural evaluation is essential.


📩 International Consultation

Frontal, oblique, and side view photos before nasal septum reconstruction surgery
Design Consultation: Frontal View, Left Oblique Side View, and Side View Photos

✅ Surgical Approach – Nasal Septum Reconstruction Using Closed Rhinoplasty Korea


In revision rhinoplasty cases, the nasal septum often becomes weakened or deviated due to previous surgeries or trauma.


Septal reconstruction is essential to restore structural support and maintain long-term stability.


Closed rhinoplasty Korea allows precise reconstruction of the septum while minimizing additional surgical trauma.

Nostril, right side, and oblique side view photos before nasal septum reconstruction surgery
Design Consultation: Nostril View, Right Side View, and Oblique Side View Photos

✅ Structural Problems Identified


  • Septal deviation and structural weakness

  • Nostril asymmetry

  • Bulbous nasal tip

  • Residual filler causing irregular contour

  • Retracted columella

  • Nasal bridge deviation

  • Functional airway obstruction


✅ Surgical Plan


1. Septal Reconstruction

Reconstruction using autologous rib cartilage


2. Septal Extension Graft

Stabilization of nasal tip and columella


3. Filler Removal

Removal of residual filler and contour correction

Intraoperative nasal view after foreign object removal, showing septum and tissue condition
Post-Foreign Object Removal Appearance

4. Columella Adjustment

Improvement of nasolabial angle and projection


5. Tip Refinement

Reduction of bulbosity and structural balancing


6. Functional Correction

Septoplasty and airway improvement


✅ Surgical Results


Frontal View

  • Straightened nasal bridge

  • Improved symmetry

  • Refined nasal tip

Frontal view before (left) and immediately after (right) nasal septum reconstruction surgery
Before (Left) / Immediately After (Right)

Lateral View

  • Lowered nasal starting point

  • Improved nasolabial angle

  • Balanced profile

Side view before (left) and immediately after (right) nasal septum reconstruction surgery
Before (Left) / Immediately After (Right)

Oblique View

  • Improved contour

  • Balanced projection

Oblique view before (left) and immediately after (right) nasal septum reconstruction surgery
Before (Left) / Immediately After (Right)

Nasal Base View

  • Improved nostril symmetry

  • Straightened columella

Nostril view before (left) and immediately after (right) nasal septum reconstruction surgery
Before (Left) / Immediately After (Right)

Functional Outcome

  • Improved nasal airflow

  • Enhanced breathing

  • Stabilized septal structure


✅ Surgeon’s Commentary


Nasal septum reconstruction is a critical component in revision rhinoplasty cases with structural instability.


Repeated surgeries and filler injections often compromise the integrity of the septum, leading to both aesthetic and functional problems.


In this case, rib cartilage reconstruction provided a stable framework for restoring nasal structure.


Removal of residual filler and precise structural correction allowed for a natural and balanced outcome.


Closed rhinoplasty Korea enables accurate reconstruction while minimizing additional trauma.


Long-term stability depends on restoring the septal support rather than focusing solely on surface appearance.


📩 International Consultation


✅ FAQ


Q1. Why is septal reconstruction necessary in revision rhinoplasty?

Because the original septum is often weakened or damaged.


Q2. Why is rib cartilage used?

It provides strong and stable structural support.


Q3. Can breathing improve after septal reconstruction?

Yes, restoring the septum improves airway function.

Postoperative precautions and possible complications after rhinoplasty – includes information on infection, bleeding, asymmetry, allergic reactions, and scarring.

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