Natural Refinement through Upturned Nose Correction – Closed Rhinoplasty Korea Case by NOSELAB

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Hello,

This is Dr. Cha-Young Kang, medical director of NOSELAB Plastic Surgery Clinic.

Today, I’d like to share a complex closed rhinoplasty Korea case focusing on upturned nose correction, nostril asymmetry, and thin nasal skin reinforcement after prior surgeries.

The patient had previously undergone closed rhinoplasty in Seoul using autologous rib cartilage, which initially improved the nasal structure but over time led to visible cartilage and an upturned tip due to skin thinning.

This revision aimed to restore natural refinement, symmetry, and long-term stability, while reinforcing weakened skin for safe, lasting results.

Surgical Background and Patient Goals in Closed Rhinoplasty Seoul

Preoperative design consultation for upturned nose correction – Frontal, left oblique, and left side view photos before closed rhinoplasty Korea. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Past procedures:

5 years ago (other clinic): Silicone implant + ear cartilage → resulted in contracture and skin thinning.
2 years ago (NOSELAB): Contracted nose correction with autologous rib cartilage → improved structure but led to skin thinning and tip translucency over time.

Preoperative photos for upturned nose correction – Right side, right oblique, and nostril views before closed rhinoplasty Korea. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Patient’s goals:

Correct the upturned nasal tip naturally
Improve nostril asymmetry
Prevent cartilage show-through
Reinforce thin skin with soft volume
Ensure stability and safety in revision

Step-by-Step Surgical Plan for Upturned Nose Correction

1. Implant Removal and Tissue Assessment

Residual silicone was removed from previous surgery.

Skin thickness, tension, and cartilage condition were re-evaluated to develop a customized plan for closed rhinoplasty korea revision.

2. Conservative Height Adjustment

Slightly reduced nasal height to relieve skin tension and prevent overstretching.

These subtle adjustments maintained natural proportions while protecting fragile tissue.

3. Skin Reinforcement with Dermal and Perichondrium Grafts

Dermal grafts were used to strengthen the nasal dorsum and columella.

A double-layer rib perichondrium technique was applied to the tip to mask underlying cartilage and create a soft, natural contour.

4. Septal Extension and Nostril Symmetry in Closed Rhinoplasty Korea

Autologous rib cartilage was used for septal extension, lowering the tip and refining the nasolabial angle.

At the same time, nostril asymmetry was corrected and the columella was realigned with the midline.

5. Structural Stability and Long-Term Balance

By combining upturned nose correction with tissue reinforcement, the framework gained both strength and flexibility—ensuring long-term stability and natural movement during expression.

Surgical Results and Expert Commentary

Frontal View

Upturned tip corrected to a balanced angle
Nostril asymmetry visibly improved
Thin skin reinforced for a healthier, smoother surface

Side View

Tip lowered naturally with subtle projection
Nasolabial angle refined, giving a graceful side profile
Smooth, elegant dorsal line restored

Oblique view before and after closed rhinoplasty Korea – Upturned nose correction with natural tip refinement and improved nostril symmetry. — Before Surgery (Left) / Immediately After Surgery (Right)

Base View (Nostril)

Nostrils symmetric and proportional
Columella aligned to the center
Stable nasal base achieved

Nostril base view before and after closed rhinoplasty Korea – Upturned nose and nostril asymmetry corrected with improved balance and midline alignment. — Before Surgery (Left) / Immediately After Surgery (Right)

Expert Commentary:

In closed rhinoplasty seoul revision cases, skin thinning after previous operations is one of the most complex challenges.

The key lies in skin reinforcement rather than excessive height correction.

The double-layer perichondrium and dermal graft effectively prevented cartilage visibility and enhanced skin durability.

Through this upturned nose correction, we achieved both structural stability and natural aesthetic refinement.

Final Thoughts on Closed Rhinoplasty Seoul

At NOSELAB, our approach to closed rhinoplasty korea prioritizes:

Safe removal of old materials
Reinforcement of thin skin with dermal and perichondrium grafts
Structural balance using autologous rib cartilage
Long-term naturalness without over-rotation or stiffness

If you experience thin skin, visible cartilage, or upturned nasal tip after previous surgery, a tailored revision using this approach can restore both function and beauty.

Thank you for reading.

— Dr. Cha-Young Kang