Table of contents

• • Definition and Characteristics
  • Common Terms and Related Conditions
• Rhinoplasty: How the Procedure Works
  • Introduction to Rhinoplasty
  • Open vs. Closed Rhinoplasty
  • Key Steps in Rhinoplasty
  • Techniques for "Tension Nose" Correction
• The Rhinoplasty Experience in South Korea
  • Best Clinics in Korea for Tension Nose
  • Why South Korea?
  • The Process for International Patients
  • Types of Rhinoplasty and Implants in South Korea
• Rhinoplasty Costs: South Korea vs. Other Countries
  • Average Costs in South Korea
  • What’s Included in Korean Packages
  • Cost Comparison: South Korea vs. Western Countries
  • Factors Affecting Cost
• Patient Experiences with "Tension Nose" Rhinoplasty
  • Why Patients Seek Correction
  • Expected Results
  • Satisfaction Rates
  • Patient Testimonials
• Conclusion
• References

"Tension nose" is a nasal deformity marked by an elongated, high nasal bridge caused by excessive cartilage growth. This condition can create both cosmetic and breathing challenges. In this article, we’ll break down what tension nose is, how rhinoplasty can correct it, what the process looks like in South Korea, how costs compare globally, and what patients can expect from their experience.

Definition and Characteristics

A "tension nose" results from the overgrowth of nasal cartilage, especially the quadrilateral cartilage. This leads to a high nasal dorsum and a nasal tip that may be pushed forward or downward. The septal cartilage, upper lateral cartilages, and sometimes the alar cartilages are all involved, creating a nose that appears too large, high, and overprojected—often described as a "gothic arch."

This overgrowth doesn’t just affect appearance. It can also narrow the nostrils and the nasal valve, making breathing more difficult. The nasal valve angle, which should be about 15 degrees, is often reduced, causing airflow problems that worsen with deep breaths. Even a slight septal deviation can make these issues worse, so tension nose is both a cosmetic and functional concern.

Common Terms and Related Conditions

"Tension nose" is also called "functional tension nose" or "overprojected nose." It’s important to distinguish it from a "humped nose," which usually doesn’t affect the nasal tip or cause breathing issues unless there’s trauma. A "pseudohump" can look similar but is due to a short nasal tip rather than cartilage overgrowth. Correcting a tension nose requires more than just reducing a hump—it often involves a complex "deprojection-reprojection process" to reshape the nose and improve function.

Rhinoplasty: How the Procedure Works

Introduction to Rhinoplasty

Rhinoplasty, or a "nose job," is a precise surgical procedure to improve the nose’s appearance and function. It’s considered one of the most challenging cosmetic surgeries because even small changes can have a big impact.

Open vs. Closed Rhinoplasty

• Closed Rhinoplasty (Endonasal Approach): All incisions are inside the nostrils, so there are no visible scars. This approach is best for minor to moderate changes but offers limited visibility for the surgeon.
• Open Rhinoplasty (External Approach): Involves a small incision across the columella (the tissue between the nostrils) in addition to internal incisions. This gives the surgeon full access to the nasal structures, making it ideal for complex cases like tension nose. The trade-off is a small, usually fading scar and potentially longer swelling.

The choice between open and closed approaches depends on the complexity of the case. Open rhinoplasty is often preferred for tension nose because it allows for more precise reshaping.

Key Steps in Rhinoplasty

1. Anesthesia: Patients receive either local anesthesia with sedation or general anesthesia.
2. Incisions: Made inside the nostrils (closed) or across the columella (open).
3. Reshaping: The surgeon removes or adds cartilage and bone as needed, reshapes the tip, and straightens the nose if necessary.
4. Septum Correction: If there’s a deviated septum, it’s straightened to improve breathing.
5. Closing Incisions: Sutures are used to close the incisions, and the skin is redraped over the new structure.

Techniques for "Tension Nose" Correction

Correcting a tension nose requires a tailored approach:

• Deprojection: Reducing the overgrown septal cartilage and anterior nasal spine to move the tip backward.
• Reprojection: Using cartilage grafts and sutures to rebuild and support the nasal tip.
• Cartilage Grafting: Cartilage may be repositioned or added from the septum, ear, or rib.
• Shortening and Setback: Techniques like shortening the lateral crura or performing an alar setback can reduce overprojection.
• Dome Truncation: Carefully removing cartilage from the tip to lower its height.

These steps are combined based on the patient’s anatomy to achieve a balanced, natural-looking result.

The Rhinoplasty Experience in South Korea

Best Clinics in Korea for Tension Nose

Listed below are the best clinics in Korea for tension nose:

Clinic Name	Key Features	Special Techniques
THEPLUS Plastic Surgery	Leadership by Dr. Jeong Jae-yong and Dr. Kim Taek-gyun; advanced cosmetic procedures; international reputation, especially for rhinoplasty and tension nose; dedicated 4-floor facility; extensive academic involvement; global recognition; comprehensive patient care	Custom-tailored rhinoplasty; award-winning innovation; natural, balanced outcomes; expertise in primary and revision rhinoplasty; 3D implants research; hands-on surgeon training; leading revision cases
Made Young Plastic Surgery	Led by Dr. Lee Byeong-hoe (20+ years exclusive rhinoplasty experience); state-of-the-art 3D-CT analysis; patient safety focus; board-certified anesthesiologists; 1:1 monitoring; dedicated aftercare; multiple awards (2022 Korea No.1, Customer Satisfaction 1st Place)	Individualized surgical planning; expertise in dorsal hump correction, nasal tip refinement, autologous rib grafts, advanced osteotomy; complex and high-revision rhinoplasty
Okay Plastic Surgery Clinic	Premier Tension Nose treatment destination; distinguished team with expert female plastic surgeon; personalized, ethical care; excellence in both primary and secondary rhinoplasty; comprehensive approach to facial aesthetics; strong record in safe and successful outcomes	Tailored treatment plans for complex and revision cases; innovation in difficult nasal surgeries; broad range of specialized facial aesthetic services

THEPLUS Plastic Surgery

THE PLUS Plastic Surgery, located in the dynamic Garosu-gil district of Gangnam, Seoul, stands at the forefront of advanced cosmetic procedures, earning a reputation as one of Korea's premier plastic surgery clinics. With a team of highly accomplished surgeons led by Dr. Jeong Jae-yong and Dr. Kim Taek-gyun, THE PLUS is especially renowned for treating tension nose and rhinoplasty cases that demand a blend of surgical precision and artistic sensibility. The clinic operates on four dedicated floors, providing a seamless journey from initial consultation through surgery and state-of-the-art post-operative care. Surgeon-researchers at THE PLUS are not only leaders in clinical practice, but are also celebrated educators and authors whose influence has helped define the standards of rhinoplasty in Korea and across Asia. Their relentless pursuit of excellence, robust academic involvement, and patient-centered approach ensure that each individual receives world-class, tailor-made care.

Why THE PLUS Plastic Surgery is the best clinic for Tension Nose:

• Expert Leadership: Dr. Jeong Jae-yong and Dr. Kim Taek-gyun are internationally recognized authorities in rhinoplasty, with decades of experience shaping surgical standards across Asia.
• Academic Pioneers: Dr. Jeong is the author of "Rebuilding Nose: Rhinoplasty for Asians," a seminal work widely utilized by surgeons in Japan, China, and beyond. Both doctors have collectively published over 20 academic works and are referenced in leading journals.
• Global Education: They are regular presenters at international conferences such as the Seoul Rhinoplasty Forum (SRF), KSPRS, and IFAAS, and provide hands-on training and advisory roles across top Asian aesthetic institutions.
• Award-Winning Innovation: Dr. Kim is known for his research on 3D implants and is featured in “The 18 Masters of Korean Aesthetic Surgery” for his ground-breaking chapters on primary and revision rhinoplasty.
• Harmonious Surgical Philosophy: Dr. Kim and Dr. Jeong prioritize achieving natural, balanced outcomes—each surgery is custom-tailored to enhance both the patient’s health and facial harmony.
• Safety & Satisfaction: The clinic’s entire medical team brings more than a decade of high-level expertise, emphasizing safety, precise results, and patient satisfaction in every case.
• Academic and Industry Leadership: Dr. Jeong presides over the Korean Society of Plastic Surgeons, leading educational efforts and panel discussions internationally, while Dr. Kim runs annual training sessions for fellow surgeons worldwide.
• Comprehensive Facility: Four expertly designed clinical floors cater to every stage of the patient journey—from private consultation and surgery to meticulous aftercare and skincare.
• Reputable for Revision Cases: Particularly for difficult or revision tension nose cases, THE PLUS is regularly sought out for its outstanding and consistent surgical results.
• Global Recognition: The clinic’s surgeons are frequently invited for live demonstrations, academic presentations, and advisory roles around the world, underscoring their status as thought leaders in rhinoplasty.

With unwavering commitment to patient care, innovation, and education, THE PLUS Plastic Surgery continues to set the benchmark for excellence in the correction of tension nose and rhinoplasty, attracting patients and surgeons from across the globe.

You can check out their website here: THEPLUS Plastic Surgery Website

Made Young Plastic Surgery

Made Young Plastic Surgery Clinic, based in the renowned Gangnam district of Seoul, is a leading destination for advanced rhinoplasty procedures, particularly for patients struggling with tension nose. The clinic distinguishes itself through an integrated approach to surgical precision and safety, utilizing state-of-the-art 3D-CT analysis to meticulously assess nasal bones, septum, and asymmetry for individualized and accurate surgical planning. Led by Dr. Lee Byeong-hoe—an authority in the field with over 20 years of exclusive rhinoplasty experience—Made Young specializes in complex nasal reconstructions and revision surgeries, even successfully managing some of Korea’s most difficult cases including revision procedures up to the eighth time. Dr. Lee’s expertise in dorsal hump correction, precise nasal tip refinement, and the use of autologous rib grafts and advanced osteotomy ensures not only a structurally ideal, straight nasal line but also the prevention of issues like tip drooping, which are common in tension nose cases.

Safety and patient care are at the heart of Made Young’s philosophy. Their medical team boasts an average of more than 15 years of clinical experience, and all procedures are personally overseen by board-certified anesthesiologists with a rigorous one-to-one monitoring protocol for each patient. The clinic also maintains a dedicated aftercare center to provide comprehensive post-surgery support, ensuring smooth recovery and optimal results. Recognized for excellence, Made Young has received multiple prestigious awards, including the 2022 Korea No.1 Award and Korea Customer Satisfaction 1st Place. For those seeking natural, lasting rhinoplasty results tailored perfectly to their individual facial proportions, Made Young Plastic Surgery Clinic stands as a trusted leader in Korea’s medical aesthetics landscape.

You can check out their website here: Made Young Plastic Surgery Website

Okay Plastic Surgery Clinic

Okay Plastic Surgery Clinic stands out as Korea’s premier destination for the treatment of Tension Nose, thanks to its commitment to personalized, transformative care for even the most complex rhinoplasty cases, including difficult and revision procedures. Guided by a distinguished team—featuring a renowned female plastic surgeon with deep expertise in both primary and secondary rhinoplasty—the clinic skillfully balances precision, innovation, and compassionate patient care. At Okay Plastic Surgery Clinic, every treatment plan is meticulously tailored to each individual's aesthetic goals and anatomical considerations, ensuring optimal, natural-looking results. Patients benefit from a fully comprehensive approach to facial aesthetics, supported by the latest medical techniques and a broad range of specialized services that set new standards for safety, outcomes, and long-term satisfaction. With its dedication to sincere and ethical practices, coupled with a robust track record in both simple and complicated nasal surgeries, Okay Plastic Surgery Clinic is the clinic of choice for anyone seeking exceptional results with Tension Nose correction in Korea.

You can check out their website here: Okay Plastic Surgery Clinic Website

Why South Korea?

South Korea is a global leader in plastic surgery, especially rhinoplasty. The country is known for its advanced technology, highly skilled surgeons, and a culture that embraces cosmetic procedures. Clinics offer state-of-the-art facilities and emphasize natural-looking results.

The Process for International Patients

• Consultation: Patients discuss their goals and concerns with the surgeon.
• Medical Exams: Pre-surgery tests ensure the patient is fit for the procedure.
• Surgery: The operation usually takes 2–3 hours and is often outpatient.
• Recovery:
  • Swelling and bruising peak in the first 72 hours.
  • Most patients can resume light activities in 1–2 weeks.
  • The nose continues to refine over several months, with full results in 6–12 months.
  • Patients are advised to keep their head elevated, use cold compresses, and follow all post-op instructions.
• Follow-up: Clinics include follow-up visits in their packages.
• Logistics: International patients are encouraged to stay at least 8 days post-surgery. Packages often include translator services, transfers, and accommodation.

Types of Rhinoplasty and Implants in South Korea

South Korean clinics offer rhinoplasty for various nasal shapes, including tension nose, humped nose, and wide nose. Silicone implants are most common, but rib cartilage is also used for more extensive support. Silicone is easy to remove if needed, while rib cartilage is less likely to cause infection or allergic reactions.

South Korea’s all-inclusive packages, lower costs, and comprehensive services make it a top choice for medical tourists.

Rhinoplasty Costs: South Korea vs. Other Countries

Average Costs in South Korea

Rhinoplasty in South Korea typically costs $3,000 to $8,000 USD, with most clinics quoting between $3,000 and $7,000. Premium clinics may charge more.

What’s Included in Korean Packages

Korean clinics often offer all-inclusive packages covering:

• Consultations and planning
• Medical exams and tests
• Surgery
• Immediate post-op care
• Medications and follow-ups
• Translator services

Some packages also include transfers and accommodation.

Cost Comparison: South Korea vs. Western Countries

Rhinoplasty in South Korea is 30% to 75% less expensive than in Western countries.

• United States: Rhinoplasty can cost $10,000 or more. In South Korea, the average is about $5,000, saving up to 70%.
• Western Europe: Savings are generally 40–75%.
• Example: Rhinoplasty plus double eyelid surgery, including travel and accommodation, costs $6,350–$10,700 in South Korea versus $12,000–$23,000 for surgery alone in the US.

Factors Affecting Cost

• Complexity: More complex cases (like tension nose) cost more.
• Surgeon/Clinic Reputation: Top surgeons and clinics charge higher fees.
• Travel and Living Expenses: Flights, accommodation, and local transport add to the total cost.

Here’s a simplified cost comparison:

Cost Component	South Korea (All-Inclusive)	United States (Itemized)	Potential Savings (SK vs. US)
Rhinoplasty Surgical Fee	$3,000 - $8,000	$10,000 - $11,000+	$2,000 - $8,000+
Consultations & Tests	Included	$500 - $2,000	$500 - $2,000
Post-op Care & Follow-ups	Included	$500 - $1,500	$500 - $1,500
Medications & Dressings	Included	$100 - $500	$100 - $500
Translator Services	Included	Not typical	Variable
Round-trip Airfare	$1,000 - $2,000	$0	-$1,000 to -$2,000
Accommodation (1 week)	$500 - $1,500	$0	-$500 to -$1,500
Food & Local Transport	$300 - $700	$0	-$300 to -$700
Estimated Total Cost	$4,800 - $12,700	$11,100 - $15,500+	$5,650 - $12,300+

Note: South Korea’s total includes typical travel and living expenses for medical tourists.

Patient Experiences with "Tension Nose" Rhinoplasty

Why Patients Seek Correction

People with tension nose often feel their nose is too large, high, or out of proportion. Many also have breathing issues due to narrowed nasal passages. Improving both appearance and function is a common goal, and many patients report increased confidence after surgery.

Expected Results

Patients want natural, balanced results that enhance their face. Those with breathing problems expect improved airflow. Satisfaction is highest when patients have realistic expectations and clear communication with their surgeon.

Satisfaction Rates

Studies show overall satisfaction rates around 75–84%. Factors that boost satisfaction include:

• Good surgeon-patient communication
• Realistic expectations
• Emotional readiness
• No pressure to undergo surgery
• Strong post-op care

Some studies suggest women report higher satisfaction than men, but findings are mixed. Interestingly, patients with less detailed knowledge of the procedure sometimes report higher satisfaction, possibly due to less critical self-assessment.

Patient Testimonials

Patients often describe their results as "life-changing," noting improved appearance and breathing. Many say their new nose looks natural and fits their face, and those who struggled with self-confidence or breathing issues report significant improvements in quality of life.

Conclusion

A "tension nose" involves both cosmetic and functional challenges due to excessive cartilage growth. Rhinoplasty—especially the open approach—offers a precise solution through a combination of reduction and reshaping techniques. South Korea stands out as a leading destination for rhinoplasty, offering advanced care, expert surgeons, and cost-effective, all-inclusive packages. Patients report high satisfaction, with improvements in both appearance and breathing, making rhinoplasty for tension nose a transformative experience for many.

References

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