Case Overview: The Challenge of Nasal Threads and a Short Nose
At Noselab Plastic Surgery, we frequently encounter patients seeking structural corrections after previous non-surgical procedures. In this case study, Dr. Chayoung Kang, our renowned closed rhinoplasty specialist, addresses a complex case involving columella correction, the removal of embedded nasal threads, and the lengthening of a naturally small, short nose.
Patient Consultation and Diagnosis
The patient visited our clinic with concerns about their nasal profile. Previously, they had undergone a non-surgical thread lift (often referred to as Misko or Highko in Korea) in an attempt to elevate the nasal tip. Unfortunately, the threads caused internal scarring and led to a retracted columella, making the nose appear even shorter, blunted, and slightly pinched.
Upon thorough examination, Dr. Kang noted the following issues:
- Palpable, unabsorbed threads causing tip rigidity and internal adhesions.
- A retracted columella that disrupted the ideal nasolabial angle.
- A naturally short nasal framework requiring significant structural lengthening.
Surgical Plan: A 100% Closed Rhinoplasty Approach
Because the patient wanted to avoid any visible scarring on the columella, Dr. Kang designed a comprehensive surgical plan utilizing his signature closed rhinoplasty technique. Performing complex revisions and structural grafting through an endonasal approach requires immense skill, which is Dr. Kang’s primary specialty. The procedure involved:
- Meticulous Thread Removal: Carefully extracting the old threads and clearing out the surrounding scar tissue entirely from the inside of the nostrils.
- Structural Lengthening: Harvesting autologous septal cartilage to create a strong septal extension graft. This effectively lengthened the short nose and provided a stable foundation without compromising structural integrity.
- Columella Correction: Lowering and reshaping the retracted columella using cartilage grafts to create a natural, aesthetically pleasing profile and a balanced, elegant nasolabial angle.
The Results
The postoperative results revealed a beautifully elongated nose with a refined, natural-looking tip. The columella was successfully brought down to its ideal position, restoring harmony to the patient’s side profile. Best of all, because Dr. Kang utilized a strictly closed approach, the patient experienced a faster recovery with absolutely zero external scarring.
About Noselab Plastic Surgery
Noselab Plastic Surgery is a premier rhinoplasty clinic in Seoul, South Korea, led by Dr. Chayoung Kang. As a globally recognized expert in closed rhinoplasty and complex revision cases, Dr. Kang is dedicated to delivering natural, harmonious, and structurally sound results without visible scars.
Clinic: Noselab Plastic Surgery
Chief Surgeon: Dr. Chayoung Kang (Closed Rhinoplasty Specialist)
Location: Seoul, South Korea
Specialties: Closed Rhinoplasty, Revision Rhinoplasty, Short Nose Correction, Columella Correction, Thread/Filler Removal
