At Noselab Plastic Surgery in Seoul, South Korea, we frequently encounter patients seeking to correct an overly upturned nose, often referred to as a ‘short nose’ or ‘piggy nose.’ This condition can be congenital or the result of previous unsuccessful procedures, including the overuse of dermal fillers. In this case study, Dr. Chayoung Kang, our renowned closed rhinoplasty specialist, demonstrates how to achieve a beautifully balanced profile through filler dissolving, columella insertion, and advanced closed rhinoplasty techniques.
The Patient’s Concerns: Upturned Tip and Retracted Columella
During the initial consultation, the patient expressed dissatisfaction with their nasal profile. The primary concerns included an overly upturned nasal tip that exposed the nostrils excessively, a retracted columella (the bridge of tissue separating the nostrils), and a bulky, undefined nasal bridge caused by years of repeated filler injections.
Because the patient wanted to avoid visible scarring, they specifically sought out Dr. Chayoung Kang for his expertise in the closed rhinoplasty approach, which leaves no external scars on the columella.
The Surgical Plan: A Comprehensive Closed Approach
To address the patient’s complex concerns, Dr. Kang formulated a customized surgical plan:
- Filler Dissolving and Removal: Before reshaping the nose, the old, migrated filler had to be completely dissolved and surgically cleared to reveal the true anatomical structure of the nose.
- Closed Rhinoplasty: All incisions would be made inside the nostrils, ensuring a completely scarless exterior.
- Columella Insertion and Lengthening: Using autologous cartilage, Dr. Kang planned to extend the columella downward, effectively de-rotating the upturned tip and reducing nostril visibility.
- Tip Refinement: Sculpting the nasal tip to create a natural, elegant projection that harmonizes with the patient’s facial features.
The Procedure and Results
The surgery was performed entirely through the closed rhinoplasty technique. First, Dr. Kang meticulously removed the residual filler that had widened the nasal bridge. Next, he utilized autologous septal cartilage to construct a strong, supportive strut for the columella. By extending the columella, the nasal tip was gently brought down from its upturned position.
The results speak for themselves. The patient achieved a beautifully elongated nose with a refined, natural-looking tip. The nostril exposure was significantly reduced, and the side profile was dramatically improved. Most importantly, because Dr. Kang utilized a closed approach, the patient enjoyed a faster recovery period with absolutely no visible scarring on the outside of the nose.
Why Choose Noselab Plastic Surgery?
Correcting a short, upturned nose requires a deep understanding of nasal anatomy and structural support. Dr. Chayoung Kang’s mastery of closed rhinoplasty allows him to perform complex reconstructions—such as columella lengthening and tip de-rotation—without the need for an open incision.
Clinic Information
Noselab Plastic Surgery
Specialist: Dr. Chayoung Kang (Closed Rhinoplasty Expert)
Location: Seoul, South Korea
Services: Primary Rhinoplasty, Revision Rhinoplasty, Short Nose Correction, Bulbous Nose Correction, Closed Rhinoplasty
If you are struggling with an upturned nose or complications from previous nasal fillers, contact Noselab Plastic Surgery today to schedule a consultation with Dr. Chayoung Kang.
