Closed Rhinoplasty Korea for Small Nose Revision in Men

Dr. Chayoung Kang
2월 20일
3분 분량

최종 수정일: 3월 25일

Small nose deformity after rhinoplasty is often caused by insufficient structural support and improper proportion rather than lack of height alone.

In this case, structural reconstruction using rib cartilage, radix adjustment, and functional correction restored nasal projection, improved airflow, and achieved balanced facial proportions through a closed rhinoplasty approach.

Author: Dr. Cha-Young Kang, Director, NoseLab Clinic

This case involves a male patient who underwent multiple rhinoplasty procedures elsewhere but continued to experience dissatisfaction due to a small, under-projected nose and ongoing functional discomfort.

The patient presented with a short nasal length, insufficient tip projection, nostril show, and nasal obstruction despite two prior rhinoplasty surgeries.

Clinical evaluation revealed limited skin elasticity, unstable tip support, residual implant-related issues, and septal deviation contributing to both aesthetic imbalance and breathing difficulty.

In this case, structural correction was achieved through closed rhinoplasty korea, focusing on restoring nasal projection through structural balance rather than excessive augmentation.

Small nose revision requires controlled structural reconstruction and proportional correction rather than simply increasing height.

If you are experiencing a small or under-projected nose after previous surgery, or have concerns about both appearance and breathing, a detailed structural evaluation is essential before determining the appropriate surgical plan.

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Preoperative design consultation photos showing frontal view, left oblique side view, and left lateral view of male patient with small, under-projected nose before closed rhinoplasty korea revision. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Surgical Background – Closed Rhinoplasty Korea

Revision rhinoplasty in small noses requires careful internal reconstruction without overstressing weakened tissue.

For this reason, closed rhinoplasty korea was selected to allow precise structural correction of the nasal framework while minimizing additional external trauma.

Preoperative design consultation photos showing right lateral view, right oblique view, and nostril base view of male patient with small, under-projected nose before closed rhinoplasty korea revision. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Structural Problems Identified

Preoperative evaluation revealed multiple structural issues:

Short nasal length
Insufficient tip projection
Nostril show
Limited skin elasticity
Residual implant-related instability
Septal deviation causing nasal obstruction

These factors required integrated structural and functional correction.

Surgical Plan – Structural, Proportional, and Functional Correction

Removal of Previous Materials

Complete removal of silicone implants and foreign materials
Re-establishment of a stable surgical foundation

Radix Adjustment

Controlled repositioning of radix
Improvement of overall nasal proportion

Nasal Tip Reconstruction with Rib Cartilage

Reinforcement of tip support
Stable long-term projection
Prevention of recurrent collapse

Nasolabial Angle Adjustment

Reduction of nostril show
Improvement of side profile balance

Implant Placement (Dorsal Refinement)

Custom-made implant matched to anatomy
Controlled augmentation without overcorrection

Functional Nasal Surgery

Septal deviation correction
Rhinitis surgery
Improvement of airflow

Surgical Results

Frontal View

Reduced nostril show
Improved nasal proportion

Profile View

Stable tip projection
Natural orientation of nasal tip

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

Structural Outcome

Smooth and balanced dorsal line
Stable internal framework

Before and immediately after left oblique view showing improved nasal projection, smoother dorsal line, and reinforced nasal tip support following closed rhinoplasty korea revision with autologous rib cartilage and custom implant. — Before Surgery (Left) / Immediately After Surgery (Right)

Functional Outcome

Significant improvement in nasal airflow
Enhanced breathing comfort

Before and immediately after nostril base view demonstrating reduced nostril show, improved symmetry, and stabilized nasal base following closed rhinoplasty korea revision with structural cartilage reconstruction. — Before Surgery (Left) / Immediately After Surgery (Right)

Surgeon’s Commentary

Small nose revision is not solved by simply increasing nasal height.

In cases with limited skin elasticity, aggressive projection can lead to unnatural results and long-term complications.

In this patient, correcting radix position, tip support, and nasolabial angle together was essential for achieving balanced proportions.

Autologous rib cartilage was used to rebuild the nasal framework, providing strong and reliable structural support.

A custom implant was then used to refine the dorsal line while maintaining anatomical harmony.

Successful male revision rhinoplasty requires restraint, structural planning, and respect for tissue limitations rather than excessive augmentation.

Because small nose revision cases involve structural limitations and tissue constraints, surgical planning must be based on precise anatomical analysis rather than a standardized approach.

If you are considering revision rhinoplasty for insufficient projection or functional discomfort, a comprehensive evaluation is essential to determine the most appropriate correction strategy.

📩 International Consultation

→ WhatsApp Consultation

→ LINE Consultation (Japan only)