Closed Rhinoplasty Korea for Septal Reconstruction and Nasal Obstruction

Revision rhinoplasty for septal reconstruction focuses on restoring a collapsed nasal septum, correcting nostril asymmetry, and improving chronic nasal obstruction through internal structural rebuilding.

In this case, a severely weakened septum, airway compromise, and external asymmetry were simultaneously corrected using rib cartilage–based reinforcement, restoration osteotomy, and customized implant replacement to achieve stable structure and improved breathing.

Hello, this is Dr. Cha-Young Kang, Chief Director of NoseLab Clinic.

This case involves a patient who developed worsening nasal obstruction and nostril asymmetry after rhinoplasty and additional alar reduction surgery performed at another clinic.

Patient Condition and Key Problems

The patient presented with severe breathing difficulty and visible nostril asymmetry.

Progressive septal collapse, excessive narrowing of the nasal bones, and imbalance of the alar region were identified as the primary causes of both functional and aesthetic problems.

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

Surgical Background – Revision with Closed Rhinoplasty Korea

Revision rhinoplasty requires precise internal structural correction while minimizing further tissue trauma.

For this reason, closed rhinoplasty korea was selected to allow septal reconstruction, nasal bone restoration, and implant replacement through an internal approach without external incisions.

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

Surgical Plan – Structural and Functional Reconstruction

The surgical plan focused on restoring internal stability and improving airway function before external refinement.

Key procedures included:

• Skin grafting to the left alar region to correct nostril asymmetry

• Restoration osteotomy to address excessive narrowing from prior over-osteotomy

• Septal reconstruction with midline repositioning and reinforcement using autologous rib cartilage

• Removal of existing silicone implant and insertion of a newly customized implant

• Septal deviation correction and simultaneous rhinitis surgery

Surgical Results – Restored Symmetry and Improved Breathing

Postoperative evaluation demonstrated both functional and structural improvement.

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

Frontal view:Nostril asymmetry was corrected and overall nasal balance improved.

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

Bridge width:Over-narrowed nasal bones were restored to a natural proportion.

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

Functional outcome:Airflow improved significantly, and nasal obstruction was relieved.

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

Structural stability:The reinforced septum now provides strong long-term internal support.

Surgeon’s Commentary – Why Septal Reconstruction Is Essential

Nasal obstruction and asymmetry after rhinoplasty cannot be resolved through surface correction alone.

In this case, the septum had collapsed toward one side and required repositioning and reinforcement with autologous rib cartilage. Rib cartilage offers excellent strength and durability, making it well suited for revision cases with severe structural weakness.

Restoring nasal bone width and correcting nostril asymmetry through skin grafting were also necessary to achieve balanced external form. Revision rhinoplasty must prioritize internal stability and conservative structural rebuilding rather than aggressive cosmetic change.

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

FAQ – Septal Reconstruction and Nasal Obstruction

Q1. Can closed rhinoplasty improve nasal obstruction after previous surgery?

Yes. Internal septal reconstruction and structural correction can significantly improve airflow and breathing.

Q2. When is septal reconstruction necessary in revision rhinoplasty?

When the septum is severely deviated, collapsed, or unable to provide stable support.

Q3. Can functional and aesthetic problems be corrected in the same operation?

Yes. With proper planning, functional and structural corrections can be performed simultaneously.

🎥 YouTube Reference

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

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