Septal Perforation Repair Rhinoplasty Korea for Structural Stability and Refined Aesthetics

noselab
2025년 12월 27일
2분 분량

Surgical Background of Septal Perforation Repair Rhinoplasty Korea

Preoperative views of Septal Perforation Repair Rhinoplasty Korea showing nasal deformity. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Patient History and Severity of Septal Damage

The patient presented with a large septal perforation measuring approximately 15×10mm, caused by previous nasal surgery.

Nearly all septal cartilage had been lost, resulting in structural collapse of the nasal framework, reduced nasal height, and insufficient projection.

Large septal perforations of this size often lead to crusting, bleeding, airflow disturbance, and progressive structural instability. In such cases, Septal Perforation Repair Rhinoplasty Korea must address both internal reconstruction and external nasal support simultaneously.

Preoperative side and nostril views before Septal Perforation Repair Rhinoplasty Korea. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Plan for Septal Perforation Repair Rhinoplasty Korea

Closure of Septal Perforation Using Skin Graft

The 15×10mm septal perforation was closed using a precisely positioned skin graft.

Complete closure was essential to restore internal lining continuity, prevent further enlargement of the defect, and eliminate symptoms such as crusting and whistling.

Complete Septal Reconstruction with Autologous Rib Cartilage

Because the native septal cartilage was nearly absent, autologous rib cartilage was harvested to reconstruct a strong, central septal framework.

This reconstruction provided the necessary internal support for both nasal function and long-term shape retention.

Structural Rebuilding and Safe Height Enhancement

After securing internal stability, the nasal dorsum and tip were elevated to the maximum height possible within safe structural limits.

The strength of rib cartilage allowed controlled projection without risking collapse or recurrence of perforation.

Surgical Outcomes After Septal Perforation Repair Rhinoplasty Korea

Complete closure of a large 15×10mm septal perforation
Restoration of internal nasal stability and airflow
Strong septal support reconstructed with rib cartilage
Elevated and refined nasal profile within safe limits
Sophisticated and natural aesthetic outcome

The final result achieved both durable structural integrity and the refined nasal appearance desired by the patient.

Before and after frontal view of Septal Perforation Repair Rhinoplasty Korea. — Before Surgery (Left) / Immediately After Surgery (Right)

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

Oblique view showing structural change after Septal Perforation Repair Rhinoplasty Korea. — Before Surgery (Left) / Immediately After Surgery (Right)

Nostril view after Septal Perforation Repair Rhinoplasty Korea with septal reconstruction. — Before Surgery (Left) / Immediately After Surgery (Right)

Surgeon’s Commentary on Septal Perforation Repair Rhinoplasty Korea

Large septal perforations represent one of the most challenging problems in revision rhinoplasty. In Septal Perforation Repair Rhinoplasty Korea, internal reconstruction must take priority before any aesthetic refinement is attempted.

Skin graft closure alone is insufficient without rebuilding the central septal support. Autologous rib cartilage provides the strength, volume, and durability required to reconstruct a stable internal framework while avoiding foreign body reactions.

Height enhancement must always follow structural restoration—not precede it. Overcorrection in unstable noses can lead to graft failure or recurrence of perforation.

By sequencing perforation closure, septal reconstruction, and controlled aesthetic elevation, we achieved a result that is both safe and long-lasting.

At NoseLab Plastic Surgery Clinic, we specialize in complex revision cases involving septal perforation, cartilage loss, and structural collapse—prioritizing safety, predictability, and long-term stability.