Case at a glance
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Hello, this is Dr. Cha-Young Kang, head surgeon at Nose Lab Clinic.

Today, I’d like to share a case of upturned nose correction and crooked nose surgery performed with a closed rhinoplasty approach, resulting in a natural and balanced outcome. The patient had previously undergone two rhinoplasty surgeries: the first with an L-shaped silicone implant and the second with silicone and ear cartilage. Dissatisfied with the artificial look, the patient sought a straighter, more refined result.

Pre-Surgery Analysis for Upturned Nose Correction and Crooked Nose

Patient Requests:

  • Correct the artificial appearance

  • Achieve a straight nasal profile

  • Lower the nasal starting point

  • Bring the columella downward

  • Maintain the existing nose length

Upturned nose correction and crooked nose surgery – preoperative consultation photos showing frontal, left oblique, and left side views
Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.
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Findings:

  • Crooked nasal bridge and visible nostril asymmetry

  • Overly upturned, concave (ski-slope) nasal shape

  • High nasal starting point with protruding lips

  • Nasal tip tilted right with clear nostril asymmetry

Surgical Plan for Crooked and Upturned Nose Surgery

  1. Septal extension graft with autologous rib cartilage – corrected the upturned nasal tip and nostril asymmetry.

  2. Silicone implant replacement – removed the old implant and inserted a shorter, wider implant to lower the starting point.

  3. Columella lowering & nasolabial angle correction – balanced the profile and reduced the appearance of protruding lips.

  4. Functional improvements – septoplasty for deviated septum and radiofrequency turbinate reduction for hypertrophic rhinitis.

Closed Rhinoplasty Procedures in Korea

The surgery was performed entirely with a closed rhinoplasty approach in Korea, including:

  • Harvesting autologous rib cartilage

  • Septal extension graft

  • Replacement of silicone implant

  • Columella lowering and nasolabial angle correction

  • Septoplasty and radiofrequency-assisted turbinate reduction

Before-and-After Results of Upturned Nose Correction

Upturned nose correction and crooked nose surgery – before and after frontal view photos
Before (Left) / After (Right)
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  • Frontal View: Crooked nasal bridge straightened, nostril asymmetry improved, tip lowered.

Upturned nose correction and crooked nose surgery – before and after oblique view
Before (Left) / After (Right)
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  • Oblique View: Ski-slope curve corrected into a natural straight line.

Upturned nose correction and crooked nose surgery – before and after side view photos
Before (Left) / After (Right)
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  • Side View: Starting point lowered, columella adjusted, lips balanced.

Upturned nose correction and crooked nose surgery – before and after nostril view photos
Before (Left) / After (Right)
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  • Nostril View: Tip straightened with significant improvement in nostril symmetry.

Before-and-After Results of Upturned Nose Correction

Upturned nose correction and crooked nose surgery – immediate postoperative photos showing frontal, oblique, and side views
Photos Immediately After Surgery: Frontal, Oblique Side, and Side Views
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Upturned nose correction and crooked nose surgery – immediate postoperative nostril view photo
Photos Immediately After Surgery: Nostril View
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Functional and Aesthetic Outcomes of Crooked Nose Surgery

This case demonstrates how correcting an upturned and crooked nose can restore both natural aesthetics and nasal function. The rectilinear profile and lowered nasal tip created harmony, while septoplasty and turbinate reduction improved breathing.

At Nose Lab Clinic, we always prioritise natural results and long-term satisfaction. A subtle, balanced design ensures the outcome remains attractive and sustainable over time.

For those considering rhinoplasty in Korea, consulting a specialist about your unique structure and goals is the best step toward a natural transformation.

This has been Dr. Cha-Young Kang, head surgeon at Nose Lab Clinic. Thank you.

👉 “Nose Lab performs all surgeries using the closed rhinoplasty approach.”

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Postoperative precautions and possible complications after rhinoplasty – includes information on infection, bleeding, asymmetry, allergic reactions, and scarring.
Case photograph 8
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