Severe Contracted Nose Reconstruction with Closed Rhinoplasty Korea

Dr. Chayoung Kang
2024년 11월 12일
2분 분량

최종 수정일: 4월 3일

This case demonstrates severe contracted nose reconstruction using a closed rhinoplasty Korea approach, focusing on structural rebuilding, mucosal recovery, and long-term functional stability.

🔹 Patient Condition in Severe Contracted Nose Reconstruction

This patient presented with a severe contracted nose following previous complications.

Initial complications included hematoma after facelift surgery, leading to graft necrosis and structural damage.

There was severe columella retraction, a short and upturned nasal tip, nasal deviation, and overall contracture.

Additionally, the nasal mucosa was compromised, with thinning and contraction of the left septal lining.

preoperative frontal and side views of severe contracted nose with columella retraction and short upturned tip before closed rhinoplasty Korea — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

🔹 Surgical Approach Using Closed Rhinoplasty Korea

A closed rhinoplasty Korea approach was selected to allow precise internal reconstruction while minimizing additional external scarring.

The surgical plan included:

Stem cell injection therapy for tissue healing and regeneration
Septal reconstruction using autologous rib cartilage for structural stability
Replacement of the silicone implant with autologous cartilage for safer long-term support
Rotational flap graft using inferior turbinate mucosa to restore internal lining

This approach focuses on rebuilding both structural integrity and functional breathing.

preoperative right side, oblique, and nostril views of severe contracted nose with columella retraction and asymmetry before closed rhinoplasty Korea — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

🔹 Pre-Surgical Structural Analysis

Detailed analysis revealed:

Severe columella retraction and nostril asymmetry
Short and over-rotated nasal tip
Deviation toward the left side
High radix contributing to an imbalanced facial profile

These findings confirmed the need for comprehensive structural reconstruction rather than simple cosmetic correction.

🔹 Surgical Outcomes and Functional Improvement

Following surgery:

The columella position was restored
The nasal tip was lengthened and repositioned downward
Nasal symmetry significantly improved
Functional airway space was restored
Contracted tissue was released and stabilized using structural grafting techniques

This case highlights the importance of combining structural grafting with mucosal reconstruction in severe contracted nose cases.

before and after comparison of severe contracted nose reconstruction showing improved nasal length and tip projection after closed rhinoplasty Korea — Before Surgery (Left) / Immediately After Surgery (Right)

before and after side view of severe contracted nose reconstruction showing improved columella position and nasal tip alignment after closed rhinoplasty Korea — Before Surgery (Left) / Immediately After Surgery (Right)

before and after frontal view of severe contracted nose reconstruction showing improved columella position and nostril symmetry after closed rhinoplasty Korea — Before Surgery (Left) / Immediately After Surgery (Right)

before and after nostril view of severe contracted nose reconstruction showing improved internal structure and columella support after closed rhinoplasty Korea — Before Surgery (Left) / Immediately After Surgery (Right)

🔹 Surgeon’s Commentary

This was an extremely complex case requiring staged planning and advanced reconstructive techniques.

In severe contracted nose cases, complete correction may require additional refinement procedures after initial stabilization.

At NoseLab Clinic, we prioritize long-term structural stability and functional recovery through a closed rhinoplasty Korea approach.

🔹 FAQ

Q1.Why is closed rhinoplasty Korea effective for contracted nose reconstruction?

Closed rhinoplasty Korea allows precise internal structural correction while minimizing further soft tissue damage, which is critical in contracted cases.

Q2.Can breathing function improve after contracted nose surgery?

Yes, functional improvement is often achieved by reconstructing the septum and restoring internal airway space.

Q3.Is rib cartilage necessary in severe contracted nose reconstruction?

In many severe cases, autologous rib cartilage is essential to rebuild structural support and ensure long-term stability.