Deviated Nose Correction Korea with Closed Rhinoplasty
- Dr. Chayoung Kang
- 2024년 10월 27일
- 5분 분량
This case reviews deviated nose correction Korea in a patient with facial asymmetry, deviated nasal axis, dorsal hump, drooping nasal tip, elongated columella, nostril asymmetry, allergic rhinitis symptoms, previous nasal filler, and prior thread lift history. Surgery focused on closed rhinoplasty structural correction, autologous rib cartilage tip support, lateral osteotomy, dorsal hump reduction, columella position adjustment, alar cartilage repositioning, silicone implant refinement, nostril balancing, and overall nasal alignment within the limits of the patient’s facial asymmetry.
Author: Dr. Cha-Young Kang
Clinic: NoseLab Clinic
Published: 2024
Last Updated: 2026
Introduction
Hello, this is Dr. Cha-Young Kang of NoseLab Clinic.
This case involves deviated nose correction Korea in a patient with visible facial asymmetry and nasal deviation.
The patient presented with a deviated nasal axis, dorsal hump, drooping columella, nostril asymmetry, and allergic rhinitis symptoms.
The patient also had a history of nonsurgical nasal procedures, including nasal filler about five years earlier and thread lifting about two years earlier. These materials had later been removed.
Because the nasal deviation was closely related to the patient’s overall facial asymmetry, the goal was not simply to make the nose look straight in isolation. The surgical plan focused on improving nasal alignment while considering the surrounding facial structure.
The surgery was performed using a closed rhinoplasty / endonasal approach. The goal was to address nasal deviation, dorsal hump, columella position, nostril asymmetry, tip support, and profile balance.
Surgical Background Before Deviated Nose Correction Korea
The patient wanted correction of nasal deviation and overall nasal imbalance.
Main Concerns
The main concerns included:
Deviated nasal axis contributing to facial asymmetry
Prominent dorsal hump affecting the side profile
Drooping columella making the nose appear longer
Nostril asymmetry affecting lower nasal balance
Allergic rhinitis symptoms
Previous nasal filler history
Previous thread lift history
Because the patient had both structural nasal deviation and facial asymmetry, preoperative planning required assessment from multiple angles.
Preoperative Assessment for Facial Asymmetry and Nasal Deviation
During consultation, the nasal structure was evaluated together with the patient’s facial asymmetry.
Frontal View: Deviated Nasal Axis and Facial Asymmetry
From the frontal view, the nasal axis appeared deviated.
The patient’s facial asymmetry made the deviation appear more noticeable.
In this type of case, the surgical goal is to improve nasal alignment while considering the actual facial midline and the patient’s natural asymmetry.
Side View: Dorsal Hump and Drooping Columella
From the side view, a dorsal hump created an uneven profile.
The nasal tip and columella appeared drooping, which made the nose appear relatively long.
The side profile plan included hump reduction, columella adjustment, and tip support.
Nostril View: Nostril Asymmetry
From the nostril view, the nostril contour appeared asymmetric.
Because nostril shape can be affected by septal position, alar cartilage, columella support, facial asymmetry, and healing response, nostril correction was planned within realistic anatomical limits.
Customized Surgical Plan for Deviated Nose Correction Korea
Autologous Rib Cartilage for Tip Support
Autologous rib cartilage was used to support and refine the nasal tip.
In deviated nose correction, tip support is important because the nasal tip and columella can affect both frontal alignment and side profile balance.
Lateral Osteotomy for Deviated Nose Correction
Lateral osteotomy was performed to address the deviated bony nasal structure.
This step was planned to improve the crooked nasal bridge and support better frontal balance.
Dorsal Hump Reduction and Contour Smoothing
Dorsal hump reduction was performed to improve the uneven side profile.
The dorsal contour was adjusted to create a smoother transition from the nasal bridge to the tip.
Columella Position Adjustment
The drooping columella was adjusted to improve the appearance of nasal length and profile balance.
This was planned together with tip support and nostril balance.
Alar Cartilage Repositioning for Nostril Balance
Alar cartilage repositioning was performed to address nostril asymmetry and lower nasal framework imbalance.
The goal was to improve nostril balance while respecting the patient’s existing anatomy and facial asymmetry.
Silicone Implant Refinement for Radix-to-Bridge Transition
A silicone implant was used to refine the radix-to-bridge transition.
The implant was planned according to the patient’s nasal bone contour, dorsal line, and overall facial proportions.
Closed Rhinoplasty Approach for Deviated Nose Correction Korea
This surgery was performed using a closed rhinoplasty / endonasal approach.
For this patient, the closed approach was selected based on the nasal anatomy, surgical goals, previous nonsurgical procedure history, and required structural correction.
The most important part of the surgery was improving the nasal axis while considering the patient’s inherent facial asymmetry.
When the face itself is asymmetric, the visual midline and anatomical midline may not be identical. For this reason, the surgical plan must balance the nose in relation to the entire face rather than pursuing an isolated straight line.
Surgical Results After Deviated Nose Correction Korea
Frontal View: Nasal Axis and Facial Balance
From the frontal view, the nasal axis appeared more balanced after osteotomy and structural correction.
The lower nasal structure also appeared more even after tip support and alar cartilage repositioning.
Side View: Dorsal Hump and Columella Position
From the side view, the dorsal line appeared smoother after hump reduction.
The columella position appeared improved, and the nose appeared less elongated in relation to the revised profile.
Nostril View: Nostril Balance
From the nostril view, the nostril shape appeared more balanced after alar cartilage repositioning and columella support.
Because nostril symmetry is influenced by facial asymmetry, cartilage condition, scar tissue, and healing response, the result should be evaluated over time.
Overall Result After Closed Rhinoplasty
Overall, the deviated nasal appearance, dorsal hump, drooping columella, and nostril asymmetry were addressed together.
The result was planned to improve nasal balance while maintaining harmony with the patient’s facial asymmetry.
Surgeon’s Commentary
This deviated nose correction Korea case required careful planning because the patient had both nasal deviation and facial asymmetry.
In deviated nose correction, the goal is not simply to straighten the nose mechanically. The nose must be evaluated in relation to the entire face.
If facial asymmetry is present, the surgeon must consider how the nasal axis appears from the frontal view, side view, oblique view, and nostril view.
In this case, lateral osteotomy was used to address the deviated bony framework, while autologous rib cartilage supported the nasal tip.
Dorsal hump reduction helped smooth the side profile, and columella adjustment helped reduce the elongated appearance of the nose.
Alar cartilage repositioning was included to improve nostril balance.
This case shows that deviated nose correction Korea may require combined correction of nasal bones, dorsal hump, tip support, columella position, nostril asymmetry, and facial balance.
FAQ
Can deviated nose correction improve facial asymmetry?
Deviated nose correction can help the nose appear more balanced within the face. However, it does not change the underlying facial bone asymmetry, so the surgical plan should consider realistic anatomical limits.
Why was rib cartilage used in this case?
Rib cartilage may be used when stronger structural support is needed for tip support, columella control, or revision-style structural correction.
Can dorsal hump correction be performed with deviated nose correction?
Yes. When a dorsal hump and nasal deviation are present together, hump reduction and nasal bone correction may be planned in the same operation.
Can nostril asymmetry be corrected completely?
Nostril asymmetry may be improved, but complete symmetry cannot be guaranteed because nostril shape depends on cartilage structure, septal position, facial asymmetry, soft tissue, and healing response.
Can this surgery be performed with a closed approach?
A closed rhinoplasty / endonasal approach may be used depending on the patient’s nasal structure, deviation pattern, cartilage needs, skin condition, and surgical goals.
International Consultation
For international patients, a photo-based consultation may help clarify whether deviated nose correction Korea, closed rhinoplasty, dorsal hump reduction, lateral osteotomy, rib cartilage tip support, columella adjustment, or nostril asymmetry correction may be needed.
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