2cm Septal Perforation Correction – Closed Rhinoplasty Korea

Case History and Initial Consultation – 2cm Septal Perforation Correction

The patient presented with a complex surgical history and a large 2cm septal perforation, which caused nasal congestion, bleeding, and scabbing.

Patient Concerns

• Severe nostril asymmetry
• Flat, wide, upturned nose
• Saddle-shaped nasal dorsum
• Functional problems from septal perforation

Preoperative Analysis – Closed Rhinoplasty Korea Approach

Preoperative design consultation, frontal view, side profile view, and 45-degree angle.

Frontal view:

• Severe nostril asymmetry
• Wide, unnatural nose shape

Side profile view:

• Flat, saddle-shaped dorsum
• Short and upturned nasal tip

45-degree angle view:

• Contracture causing skin tension
• Distorted nose contour

Nostrils:

• Severe asymmetry
• Wide nostrils

Preoperative design consultation 45-degree angle view, side profile, and nostrils photo.

Surgical Plan – 2cm Septal Perforation Correction with Rib Cartilage

Stage 1 – Septal Perforation Repair

• Closure of 2cm perforation using inferior turbinate mucosal flap
• Successful healing despite low general success ratesNasal endoscopy septal performation photo

Stage 2 – Closed Rhinoplasty Korea

• Autologous rib cartilage graft for septal reconstruction
• Correction of saddle nose deformity
• Septal extension to lengthen and stabilize the short, upturned nose
• Alar lowering surgery to improve nostril asymmetry
• Alar cartilage repositioning for refined nasal tip
• Removal of old implant and lowering of nasal bridge starting point
• Release of contractured skin tissue

Gore-Tex implant removed

Surgical Results – Closed Rhinoplasty Korea

Frontal view before surgery (left) after surgery (right)

Frontal View:

• Significant correction of nostril asymmetry
• Slimmer and more refined nasal shape

Side profile view before surgery (left) after surgery (right)

Side Profile

• Smooth, reconstructed dorsum
• Balanced nasal length and tip position

45-degree angle view before surgery (left) after surgery (right)

45-Degree View

• Softer nasal contour
• Reduced tension from contracture release

Nostrils before surgery (left) after surgery (right)

Nostrils

• Symmetry improved
• Narrower and more balanced shape

Key Insights from 2cm Septal Perforation Correction

• Large 2cm septal perforation correction achieved through staged surgery.
• Closed Rhinoplasty Korea performed without external scars.
• Rib cartilage reconstruction stabilized nasal structure.
• Simultaneous cosmetic and functional restoration.

Photos taken immediately after surgery, frontal view, side profile, and 45-angle view.

Nostril view

Conclusion

This case demonstrates that even a 2cm septal perforation correction can be successfully performed using Closed Rhinoplasty Korea.

Through rib cartilage reconstruction and advanced septal repair, both functional breathing and cosmetic refinement were achieved. At Noselab Clinic, we specialize in complex revision rhinoplasty and deliver stable, natural results with closed techniques.

With Noselab Clinic, you can achieve a beautiful and healthy nose.

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