Complex Rhinoplasty: Addressing Multiple Nasal Concerns Simultaneously
At Noselab Plastic Surgery in Seoul, South Korea, we frequently encounter patients who struggle with multiple aesthetic and functional nasal concerns. Correcting a nose that is simultaneously deviated, upturned, and bulbous—while also presenting with severe nostril asymmetry—requires a high level of surgical expertise. Dr. Chayoung Kang, a renowned specialist in closed rhinoplasty, recently handled such a complex case with outstanding, scarless results.
Patient Profile and Pre-Operative Assessment
The patient visited Noselab Plastic Surgery expressing dissatisfaction with several aspects of their nose:
- Deviated Nose: The nasal bridge was visibly crooked, affecting overall facial symmetry and balance.
- Upturned Tip (Short Nose): The nasal tip was over-rotated, exposing the nostrils excessively from the front view.
- Bulbous Tip: Excess tissue and wide lower lateral cartilages gave the tip a rounded, heavy appearance.
- Nostril Asymmetry: Due to the deviation and uneven cartilage structure, the nostrils were noticeably asymmetrical in shape and size.
Dr. Chayoung Kang’s Closed Rhinoplasty Approach
While many surgeons would opt for an open rhinoplasty for such a complex, multi-faceted case, Dr. Chayoung Kang utilized his advanced closed rhinoplasty technique. This approach involves making all incisions entirely inside the nostrils, ensuring there is absolutely no visible external scarring on the columella.
1. Correcting the Deviated Framework
To address the crooked bridge, Dr. Kang performed precise osteotomies to realign the nasal bones. Simultaneously, a septoplasty was performed to straighten the deviated septum. This not only improved the aesthetic straightness of the nose but also provided a strong, centralized pillar for the new nasal structure.
2. Derotating the Upturned Tip
Fixing an upturned or “piggy” nose requires lengthening the nasal structure. Dr. Kang used autologous cartilage grafts to create a septal extension. This allowed him to safely derotate the tip, bringing it down to a natural, aesthetically pleasing angle and significantly reducing nostril show.
3. Refining the Bulbous Tip
To eliminate the bulbous appearance, Dr. Kang carefully reduced the excess fibrofatty tissue in the nasal tip. He then used specialized suturing techniques to narrow and reshape the lower lateral cartilages, creating a refined, elegant tip projection that harmonizes with the patient’s facial features.
4. Achieving Nostril Symmetry
Nostril asymmetry is often a secondary effect of a deviated septum and uneven tip cartilages. By straightening the underlying framework and meticulously repositioning the alar cartilages through the endonasal approach, Dr. Kang was able to restore harmony and balance to the nostrils.
The Results: Balanced, Natural, and Scarless
Following the closed rhinoplasty procedure, the patient experienced a dramatic yet natural-looking transformation. The nasal bridge is now straight, the tip is refined and properly angled, and the nostrils are beautifully symmetrical. Best of all, because the surgery was performed using a closed approach, the patient enjoyed a faster recovery with zero external scarring.
About Noselab Plastic Surgery
Noselab Plastic Surgery is a premier rhinoplasty clinic located in Seoul, South Korea. Led by Dr. Chayoung Kang, a master of closed rhinoplasty, we specialize in complex primary and revision nose surgeries, delivering stunning, natural results without external scars.
Clinic Information:
- Specialist: Dr. Chayoung Kang
- Location: Seoul, South Korea
- Focus: Closed Rhinoplasty, Revision Rhinoplasty, Functional Rhinoplasty, Nostril Asymmetry Correction
Contact Noselab Plastic Surgery today to schedule your personalized consultation with Dr. Kang and take the first step toward your ideal profile.
