Before surgery, the patient presented with a noticeably deviated nasal axis and a prominent dorsal hump, resulting in a visibly uneven nasal contour. The nasal bridge was shifted to one side, making the asymmetry prominent from both the front and profile views, and contributing to a sharp and unbalanced overall impression.

Using septal cartilage, we corrected the deviation of the nasal axis, while providing strong support to the nasal tip to restore structural stability. Due to the nature of implant-free rhinoplasty, there are limitations to the extent of dorsal hump correction, so special attention was paid to detail to ensure a smooth and natural contour within safe boundaries.

Even on postoperative day 7, the patient is showing minimal bruising and swelling, indicating a rapid recovery. The line from the nasal bridge to the tip is now smooth and well-aligned, resulting in a more natural and harmonious appearance.

Before the surgery, the patient had a noticeable dorsal hump on the center of the nose and a drooping columella, resulting in a prominent “witch’s nose” appearance. From the front, the nasal tip looked bulbous and the alar base was wide, showing characteristics of a bulbous nose.

During surgery, we corrected both the dorsal hump and the deviated nose using the septal cartilage to stabilize the central axis, and refined the thickened soft tissue to reshape the nasal tip into a more defined and sharp contour. By enhancing both the height and support of the nasal tip while correcting the left-right asymmetry, we established overall facial balance. To address the wide alar base, we excised 2.5mm of skin from each side and brought the alae inward, resulting in a more refined and three-dimensional appearance from the front. From the profile, the dorsal hump was smoothly reduced, and the line from the bridge to the tip now flows gracefully and harmoniously.

A 3.5mm implant was used to match the feminine facial structure, which enhanced nasal definition without being excessive, leading to an overall improvement in facial proportions and impression.

The patient had thick skin and a relatively small septal structure, which made it difficult to secure sufficient support using standard cartilage alone. In addition, due to an upturned nasal tip, the nostrils were overly exposed from the front view, and the size discrepancy between the left and right nostrils contributed to a sharp and intense overall impression.

In this surgery, autologous rib cartilage was used to stabilize and define the nasal tip, while gently rotating the tip downward to reduce nostril show from the front view. Considering the thick skin and asymmetry, we excised 2mm on the right and 3mm on the left alar base, then precisely repositioned the tissue to improve symmetry. The design also focused on achieving a balanced nasal tip angle and width.

After surgery, the nostril exposure from the front has been significantly reduced, and the alar base height and curvature have been harmonized, resulting in a more refined, symmetrical, and softer overall appearance.

This was a revision rhinoplasty case with signs of contracture and overall collapsed nasal axis. As there was no implant in place, the nasal bridge and tip appeared blunt and lacked definition, giving a flat impression from the profile view.

In this surgery, we reinforced the weakened nasal tip structure using autologous rib cartilage, and lifted the drooping nasal tip to realign and stabilize the central axis. Since the patient had relatively pronounced forehead and lip projection compared to nasal height, we used a 4.5mm implant to subtly enhance the bridge, designing a straight line that blends naturally with the facial structure.

By carefully adjusting the implant thickness and nasal tip angle, we focused on rebuilding the overall structure that had collapsed due to contracture. After surgery, projection and central definition were significantly improved, resulting in a more refined and harmonious profile. Despite being a revision case, the outcome featured balanced volume and smooth curves, leading to a stable and gentle overall image, which made this case especially impressive.

The patient sought to improve a low nose bridge and a bulbous nose tip that appeared wide from the front. Along with nose surgery, they also wished to address the long philtrum, which had been a concern for a long time.

Especially in profile, the low and small nose bridge made the lips appear more protrusive. In cases where the philtrum is long and the lips are relatively thin, lip fillers often don't have the desired effect, as the lips don't fully show or the filler may end up inside the mouth, making it ineffective. In such cases, internal philtrum shortening surgery can provide significant results.

To address these concerns, a 4mm silicone implant was inserted to naturally raise the nose bridge. The nose tip was refined to create a smoother and more sophisticated appearance. The long 23mm philtrum was reduced by 6.5mm to 14.5mm, creating a more balanced facial proportion.

Through this combination of procedures, the patient was able to correct the protruding lips and aging appearance caused by the long philtrum, resulting in a more youthful and vibrant image. The patient left with a more natural, youthful, and refreshed look.

This patient is a woman with severe S-shaped curvature in the internal nasal skeletal structure, making asymmetry particularly noticeable. The outer nasal bones were prominently developed, and the nasal hump was especially visible. Combined with a drooping nasal tip, her nose appeared elongated in profile—commonly referred to as a “grandmother’s nose.”

Although rhinoplasty cannot completely straighten the facial axis, we performed hump correction and external nasal bone osteotomy within a safe range to straighten the nose as much as possible. In addition, septal deviation correction was performed to improve both the structure and the patient's ability to breathe, aligning the internal framework as best as possible.

Because the nose was well-developed, we determined that a natural line could be achieved without the use of implants, and so the procedure was done implant-free. Given the patient’s thin skin, we meticulously corrected the curved bones to avoid any visible bumps or protrusions, ensuring a smooth contour within safe limits.

The drooping nasal tip, which contributed to an aged appearance, was corrected to appropriately elevate the tip, softening the long nose profile. This led to a younger, more refined, and harmonious facial appearance.

This patient experienced a severe nasal fracture while exercising several years ago, which required surgery. There was a slight facial asymmetry, but the nose was severely tilted to the left, making the asymmetry more noticeable. We focused on aligning the nasal axis, improving the rough appearance of the hump, and simultaneously elevating the drooping nasal tip.

Considering the existing facial asymmetry, the nasal skeletal structure was curved to the left, so we also performed septal deviation correction and straightened the axis starting from inside the nose. Since the patient preferred a natural result, we performed the surgery without any implants, even though he is male.

In implant-free surgery, it’s important to remove as much of the hump as possible within a safe range to ensure it is not visible externally. Ultimately, a smooth, straight line was formed without the use of implants, which enhanced a more masculine appearance.

This patient is a woman in her 20s who visited our clinic to improve the appearance of her nose, which appeared larger due to a long nasal tip resembling a witch's nose and a prominent hump. The most notable features were the curved nose visible from the front and the prominent hump seen in profile and at an angle. 

To correct the curved nose, external osteotomy was performed, and the prominent hump was corrected within a safe range. Additionally, to reinforce the collapsed nasal bridge, a 4mm silicone implant was used to naturally complete the nasal line. The long nasal tip was corrected, and since the patient had wide nostrils compared to her narrow lips and eyes, a nostril reduction surgery was also performed. 

The surgery helped the patient transition from a masculine image caused by the hump to a smooth, feminine nose shape, creating an overall more beautiful and harmonious facial contour.

The patient is a man in his 20s who has a C-shaped nose when viewed from the front, with a prominent hump when viewed from the side. However, the height of his nasal bridge is low compared to his developed brow bone, resulting in a bumpy nose shape. 

To correct the C-shaped curve, we performed an external osteotomy to adjust the left side of the nasal bone. We also corrected the large hump as much as possible within a safe range. Using septal cartilage, we elevated the nasal tip, and with a 5mm silicone implant, we filled in the lower nasal bridge below the brow bone to create a straight line that is typically preferred by men. 

After the surgery, the previously bumpy nose shape was improved into a natural, straight line from both the front and side views. The patient now has a more refined and masculine appearance.

This patient is a man in his 30s who visited our clinic to correct the severe C-shaped curvature when viewed from the front. When the septum is deviated, the nose tends to curve, and a nasal hump is often present, so it is necessary to treat the structural deformities simultaneously. The most important aspect of curved nose correction is to straighten the deviated septum securely and effectively.

After addressing the septum, external osteotomy is performed. The method and extent of osteotomy vary depending on the degree of curvature, so it is essential to understand the patient's features through careful one-on-one consultation. Since the patient focused on correcting the curved nose, we carefully considered both the natural line and function of the nose during the procedure.

Additionally, as the patient requested surgery without implants, we worked to maintain a natural nose shape while correcting the curved nose and hump, achieving overall balance and harmony. A potential drawback of implant-free surgery is that if the skin is thin, the skeletal structure and cartilage may become visible when touched, so more delicate work is required. After the C-shaped nose was corrected, the patient was able to see the refined image he had hoped for.