Closed Rhinoplasty Korea for Columella Retraction Correction and Contracted Nose Reconstruction

This case demonstrates closed rhinoplasty Korea for correcting columella retraction in a severely contracted nose. Structural reconstruction using rib cartilage and septal rebuilding restored nasal support, improved airway function, and achieved long-term stability.

✅ Author / Published / Updated

Dr. Cha-Young Kang , NoseLab Clinic

Published: 2024

Last Updated: 2026

This patient presented with a severely contracted nose following previous surgeries and removal of inflamed nasal tissue.

The loss of septal support resulted in significant columella retraction, nasal shortening, and functional airway compromise.

In this closed rhinoplasty Korea case, the goal was not only to improve nasal shape but to rebuild the structural framework and restore nasal function.

Key concerns included:

• Severe columella retraction

• Contracted and shortened nose

• Loss of septal support

• Nostril asymmetry

• Drooping alar base

• Functional breathing difficulty

Preoperative preparation included multiple sessions of stem cell therapy to improve tissue condition before reconstruction.

This case required full structural reconstruction rather than simple aesthetic correction.

If you are experiencing similar conditions, a structural evaluation is essential.

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

✅ Surgical Background – Closed Rhinoplasty Korea

Closed rhinoplasty Korea allows complete structural reconstruction without external incision.

In contracted nose cases, the primary issue is structural collapse due to septal damage.

Without rebuilding the septum and tip support, columella retraction will recur.

This approach enables precise reconstruction while preserving soft tissue.

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

✅ Structural Problems Identified

Preoperative findings included:

• Severe loss of septal cartilage (approximately 70% damaged)

• Columella not visible on lateral view

• Flattened nasal profile with insufficient projection

• Wide nasal bridge and asymmetry

• Nostril deformity due to structural collapse

• Functional airway compromise

These conditions required full septal and tip reconstruction.

✅ Surgical Plan

1. Removal of Residual Foreign Material

Complete removal of remaining filler and silicone to eliminate inflammation risk.

2. Rib Cartilage Harvesting

Autologous rib cartilage was harvested to provide sufficient structural material.

3. Septal Reconstruction

Rebuilding the septum using rib cartilage to restore central support.

Only 30% of the native septum remained. The contracted nose required full reconstruction of the septum using rib cartilage, including correction of deviation and removal of septal spurs. We also rebuilt the nasal tip and nostril rims using rib cartilage and skin grafts for structural and aesthetic balance.

4. Septal Extension Graft

Establishing stable tip support and correcting nasal length.

5. Columella and Nostril Reconstruction

Reconstruction of columella and nostril rims using cartilage and soft tissue grafts.

6. Dermal and Skin Grafting

Use of retroauricular dermis to reinforce soft tissue and improve contour.

✅ Surgical Results

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

Oblique View

• Natural nasal contour

• Improved structural balance

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

Frontal View

• Improved symmetry

• Stabilized nasal structure

• Balanced nasal width

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

Functional Outcome

• Improved nasal airflow

• Reduced obstruction

• Stable internal nasal structure

✅ Surgeon’s Commentary

Columella retraction is not simply a cosmetic issue.

It is a structural problem caused by loss of septal support.

Without proper septal reconstruction, the condition will recur even after correction.

In this case, rib cartilage was essential to rebuild the nasal framework and provide long-term stability.

Soft tissue reinforcement using dermal grafting was also necessary due to severe tissue deficiency.

Closed rhinoplasty Korea allows precise reconstruction while minimizing additional tissue damage.

If you are considering contracted nose reconstruction, structural rebuilding is the most critical factor.

📩 International Consultation

WhatsApp: [Link]

LINE: [Link]

✅ FAQ

Q1. Why does columella retraction occur?

It occurs due to loss of septal support or excessive previous surgery.

Q2. Can contracted nose be fully corrected?

Yes, but it requires full structural reconstruction rather than simple cosmetic adjustment.

Q3. Why is rib cartilage necessary in these cases?

It provides strong support required to rebuild the nasal framework.

🎥 YouTube Reference

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

✅ Mandatory Disclosure

This case is for educational purposes and represents a clinical example.

Results may vary depending on individual anatomy and surgical history.

All procedures were performed by a qualified specialist.

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