Closed Rhinoplasty Korea to Correct a Deviated Nose Using Facial Axis Alignment

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Closed rhinoplasty is a surgical technique that corrects nasal deviation and imbalance by reshaping internal bone and cartilage structures without external incisions.

In this case, a deviated nose complicated by prior permanent filler injections, facial trauma, and contouring surgery was corrected by aligning the nose to the patient’s facial axis rather than enforcing geometric symmetry, resulting in a stable and natural appearance.

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

Published: 2026-01-16

Hello, this is Dr. Cha-Young Kang from NoseLab Clinic.

This case study presents a patient with a long-standing deviated nose whose facial asymmetry had been compounded by previous filler injections, an orbital fracture, and facial contouring surgery, requiring a customized surgical strategy.

Patient Condition and Clinical Background

The patient presented with a visibly deviated nose accompanied by facial asymmetry that could not be addressed through standard midline-based correction.

Her surgical and medical history included permanent nasal filler injections performed over a decade ago, an orbital fracture that altered facial balance, and prior facial contouring surgery, all of which affected the nasal position relative to the facial framework.

Preoperative facial analysis before closed rhinoplasty Korea showing deviated nose and facial asymmetry, frontal and left side views — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Surgical Plan – Closed Rhinoplasty Korea Based on Facial Axis Alignment

The surgical plan focused on correcting nasal deviation by aligning the nose to the patient’s facial axis rather than forcing symmetrical centering.

This approach using closed rhinoplasty korea allowed precise internal correction of both bony and cartilaginous deviation while preserving soft tissue integrity and minimizing vascular risk.

Key surgical objectives included:

Realignment of the deviated nasal bridge
Correction of asymmetry in nasal bone and cartilage
Elevation and reshaping of a drooping, bulbous nasal tip
Adjustment of the nasolabial angle for balanced projection
Careful removal of residual permanent filler material

Preoperative right side and nostril views showing deviated nose and facial asymmetry before closed rhinoplasty Korea — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Results – Functional Balance and Visual Harmony

Postoperative evaluation confirmed that the nasal position was harmonized with the facial axis rather than artificially centered.

From the frontal view, the nose aligned naturally with the patient’s facial balance despite underlying asymmetry.

From the profile view, the nasal tip achieved stable elevation with a refined contour.

From the nostril view, proportion and balance improved without distortion or overcorrection.

This outcome demonstrates that structural stability and visual harmony can be achieved without pursuing forced symmetry.

Before and immediately after frontal view showing correction of deviated nose and facial asymmetry with closed rhinoplasty Korea — Before Surgery (Left) / Immediately After Surgery (Right)

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

Nostril view before and immediately after closed rhinoplasty Korea showing improved symmetry in a deviated nose — Before Surgery (Left) / Immediately After Surgery (Right)

Educational Perspective – Facial Axis vs. Geometric Symmetry

Correcting a deviated nose in patients with facial asymmetry requires prioritizing harmony over mathematical centering.

In such cases, forcing the nose to the geometric midline often exaggerates imbalance. Facial axis analysis allows surgeons to position the nose where it appears balanced within the overall facial structure, leading to more natural and durable results.

Final Thoughts

This case illustrates that successful correction of a deviated nose depends on understanding facial asymmetry and applying a structure-based surgical strategy.

By aligning the nose to the facial axis through a closed approach, both aesthetic balance and structural stability were restored without external scarring.