Closed Rhinoplasty Korea for Upturned Nose Revision

(Revision Rhinoplasty Case)

An upturned nose after multiple surgeries is usually caused by loss of septal support and structural instability.

In this case, septal reconstruction and septal extension using rib cartilage corrected tip over-rotation, improved nostril symmetry, and restored nasal breathing through a closed rhinoplasty approach.

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

This case involves a revision rhinoplasty patient presenting with an over-rotated (upturned) nasal tip, excessive nostril show, nostril asymmetry, and severe nasal obstruction following multiple prior nasal procedures.

The patient had undergone several surgeries over a long period, including filler injections, implant-based rhinoplasty, revision surgery, and eventual implant removal. Following these procedures, structural support weakened significantly, and chronic rhinitis led to severe functional impairment.

The patient sought both functional recovery and aesthetic correction, with a preference for a slightly longer and more natural nasal appearance.In this case, structural reconstruction was performed through closed rhinoplasty korea, focusing on rebuilding septal support and restoring nasal balance.

If you are experiencing similar problems such as an upturned nose, nostril asymmetry, or breathing difficulty after previous surgery, a detailed structural evaluation is important.

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

Surgical Background – Closed Rhinoplasty Korea

Revision rhinoplasty for an upturned nose requires structural reconstruction rather than simple repositioning of the nasal tip.

For this reason, closed rhinoplasty korea was selected to allow precise internal structural reconstruction while minimizing additional tissue trauma in a revision setting.

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

Structural Problems Identified

Preoperative evaluation revealed several structural and functional problems:

• Loss of septal support

• Over-rotated nasal tip

• Excessive nostril show

• Nostril asymmetry

• Septal deviation

• Inferior turbinate hypertrophy

• Chronic nasal obstruction

These issues required both structural reconstruction and functional nasal surgery.

Surgical Plan – Structural Reconstruction and Functional Recovery

Septal Reconstruction with Rib Cartilage

The septum had weakened due to previous surgeries and required reconstruction.

Procedures performed:

• Septal reconstruction using autologous rib cartilage

• Restoration of central nasal support

• Stabilization of nasal structure

Septal Extension to Correct Upturned Tip

The nasal tip was excessively rotated upward.

Procedures performed:

• Septal extension graft using rib cartilage

• Controlled lowering of the nasal tip

• Adjustment of tip projection and rotation

• Creation of a slightly longer nasal line

Correction of Nasal Asymmetry

Structural asymmetry was corrected to improve nasal balance.

Procedures performed:

• Correction of septal deviation

• Adjustment of nostril asymmetry

Dorsal Augmentation Using Rib Cartilage

The dorsal contour was reconstructed without synthetic implants.

Procedures performed:

• Dorsal augmentation using rib cartilage

• Creation of a natural dorsal line

• Avoidance of artificial implants

Functional Nasal Surgery

Functional procedures were performed to improve breathing.

Procedures included:

• Septoplasty

• Inferior turbinate reduction

These procedures improved nasal airflow and breathing comfort.

Surgical Results

Frontal View

• Improved nostril symmetry

• Balanced nasal structure

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

Lateral View

• Upturned nasal tip corrected to a natural angle

• Slightly longer and more balanced nasal profile

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

Oblique (45°) View

• Natural nasal contour

• Improved facial balance

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

Functional Outcome

• Significant improvement in nasal airflow

• Relief of chronic nasal obstruction

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

Surgeon’s Commentary – Structural Correction for Upturned Nose

An upturned nose after multiple surgeries is usually caused by loss of septal support and structural instability.

In such cases, simply repositioning the nasal tip downward is not sufficient. The underlying structural support must be rebuilt first.

In this case, septal reconstruction and septal extension using rib cartilage provided strong and stable support, allowing precise control of tip position and rotation.

Functional problems such as nasal obstruction and chronic rhinitis were addressed simultaneously through septoplasty and turbinate reduction.

Revision rhinoplasty requires careful evaluation of remaining cartilage, scar tissue, and structural stability. A structural reconstruction approach is essential for achieving stable and natural long-term results.

Complex revision rhinoplasty requires precise structural planning and surgical experience.

📩 International Consultation

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(FAQ)

Q1.Why does the nose become upturned after multiple surgeries?

Loss of septal support can cause over-rotation of the nasal tip.

Q2.Why is rib cartilage used in revision rhinoplasty?

Rib cartilage provides strong structural support when native cartilage is insufficient.

Q3.Can breathing improve after revision rhinoplasty?

Yes. Septoplasty and turbinate reduction can significantly improve airflow.

🎥 YouTube Reference

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