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	Situated in Garosu-gil, Gangnam; world-class reputation for advanced rhinoplasty, especially Tension Nose; led by internationally recognized Dr. Jeong Jae-yong and Dr. Kim Taek-gyun; high standards of academic excellence, artistry, and technical skill; strong emphasis on safety and natural-looking results; board-certified team with personalized care from consultation to recovery; extensive global academic activity and leadership in Korean plastic surgery societies; patient-centered philosophy	Advanced expertise in complex rhinoplasty for Tension Nose, blending functional and aesthetic outcomes; renowned academic contributions and surgical education; 3D implant research; highly individualized surgical planning and outcomes
Made Young Plastic Surgery	Located in Gangnam; renowned for facial and anti-aging surgery; Dr. Lee Byeong-hoe with 20+ years exclusive rhinoplasty experience; noted for challenging cases and complex revision surgeries; advanced surgical planning including 3D-CT precision analysis; tailored, patient-centered care; strict safety protocols; comprehensive aftercare; multi-award-winning clinic	Strong focus on Tension Nose correction and revision cases (up to 8th revision); dorsal hump and tip refinement with osteotomy, autologous rib grafts; all procedures fully customized to facial proportions; real-time CCTV coverage and comprehensive safety systems; highly experienced surgical and anesthesiology teams
Okay Plastic Surgery Clinic	Leadership by a renowned female plastic surgeon; reputation for sincerity, precision, and individualized treatment; holistic and comprehensive care; advanced technology usage; transparent, empathetic consultations; proven success in complex and revision rhinoplasty cases; modern and private clinic environment	Expert correction of Tension Nose with personalized, anatomical planning; focus on overall facial harmony and holistic transformation; advanced medical techniques to deliver durable, natural results; integrated support for self-confidence and healing

THEPLUS Plastic Surgery

THE PLUS Plastic Surgery clinic, situated in the vibrant Garosu-gil neighborhood of Gangnam, Seoul, has earned widespread acclaim as a leader in advanced rhinoplasty, particularly for complex cases such as Tension Nose. Under the expert direction of Dr. Jeong Jae-yong and Dr. Kim Taek-gyun—both internationally celebrated figures in the field—the clinic maintains an exceptional standard of care rooted in academic excellence, technical mastery, and artistry. Dr. Jeong, author of "Rebuilding Nose: Rhinoplasty for Asians," and Dr. Kim, contributor to the renowned "The 18 Masters of Korean Aesthetic Surgery," have influenced surgical standards not only in Korea but also in Japan and China. Their active involvement in global forums, academic research, and surgical education at leading institutions underscores a deep commitment to innovation and the advancement of rhinoplasty techniques.

At THE PLUS, patients benefit from a philosophy that prioritizes safety, satisfaction, and natural-looking results. The clinic’s team, which includes board-certified specialists in various fields, emphasizes personalized care from initial consultation to post-operative recovery. Dr. Jeong, current President of the Korean Society of Plastic Surgeons, and Dr. Kim, an authority on facial contouring and 3D implant research, are routinely invited to share their expertise worldwide. Their patient-centered approach, coupled with a dedication to harmonizing functional and aesthetic outcomes, makes THE PLUS Plastic Surgery a top destination for anyone seeking cutting-edge, reliable treatment for Tension Nose and other challenging rhinoplasty concerns.

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

Made Young Plastic Surgery

Made Young Plastic Surgery Clinic, located in Seoul’s renowned Gangnam district, stands at the forefront of facial and anti-aging surgery, earning a reputation for excellence, safety, and innovation in plastic surgery. The clinic is widely recognized for its artistry and precision in rhinoplasty, particularly for challenging cases such as Tension Nose. Spearheaded by Dr. Lee Byeong-hoe—one of Korea’s leading rhinoplasty surgeons with over 20 years of exclusive experience—Made Young delivers tailored results that are both functional and aesthetically refined. The clinic integrates advanced surgical planning, the latest medical technologies, and a personalized approach to ensure each patient achieves a natural, durable, and harmonious appearance. With a dedication to safety, patient-centered care, and comprehensive aftercare, Made Young Plastic Surgery has become the trusted destination for those seeking the very best in nasal surgery.

Key reasons why Made Young Plastic Surgery is considered the premier choice for Tension Nose in Korea:

• Utilizes the safest and most advanced materials and techniques to reinforce nasal structure, specifically preventing tip drooping and ensuring long-lasting, attractive results.
• Employs a 3D-CT precision analysis system to meticulously assess nasal bones, septum, and asymmetry, enabling the most accurate and individualized surgical planning.
• Dr. Lee Byeong-hoe is a renowned rhinoplasty specialist with over 20 years of specialized expertise, excelling in complex reconstruction and revision cases—including patients undergoing up to their eighth revision surgery.
• Expertise in dorsal hump correction and nasal tip refinement using state-of-the-art osteotomy and autologous rib grafts, achieving a naturally straight and stable nasal line.
• Every rhinoplasty procedure at Made Young is customized to each patient, considering individual facial proportions such as the nasal bridge, tip, columella, and alar width for a balanced and natural result.
• All procedures are performed by a verified medical team averaging over 15 years of experience, with consultations and surgical planning directly managed by the doctors.
• Comprehensive safety protocols include onsite board-certified anesthesiologists, dedicated 1:1 monitoring, a collaborative emergency system, and full procedure transparency via CCTV coverage.
• Thorough aftercare with a dedicated post-procedure center ensures patients receive complete follow-up care for optimal recovery and results.
• Recipient of multiple prestigious awards, including the 2022 Korea No.1 Award and the Korea Customer Satisfaction 1st Place Award, and recognized for outstanding medical excellence and safety standards.

With its meticulous approach and unwavering commitment to patient safety, satisfaction, and natural results, Made Young Plastic Surgery is recognized as the leading clinic for resolving Tension Nose and achieving ideal nasal balance and beauty.

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

Okay Plastic Surgery Clinic

Okay Plastic Surgery Clinic stands as a leader in the field of aesthetic medicine in Korea, offering a transformative approach that prioritizes sincerity, precision, and individualized care. Patients at the clinic benefit from the expertise of a team led by a renowned female plastic surgeon, whose extensive experience ensures both excellent outcomes and compassionate guidance throughout the treatment process. The clinic is distinguished by its comprehensive and tailored treatment plans, state-of-the-art techniques, and a deep commitment to patient satisfaction and safety. When it comes to complex rhinoplasty cases such as Tension Nose, Okay Plastic Surgery Clinic is recognized for its expertise and meticulous approach, making it the most trusted destination for those seeking nose correction and enhancement.

Key reasons why Okay Plastic Surgery Clinic is the best choice for Tension Nose:

• Highly skilled surgical team led by a renowned female plastic surgeon with extensive experience in rhinoplasty and Tension Nose correction.
• Comprehensive, individualized treatment plans tailored to each patient’s specific anatomical and aesthetic needs.
• Advanced medical techniques and technologies ensure precise and lasting results.
• Emphasis on thorough consultation, transparent communication, and empathetic care throughout the patient journey.
• Proven track record of successful outcomes, including revision surgeries for patients with previously unsatisfactory results.
• Integrated support for holistic transformation, addressing not only the nose but overall facial harmony and self-confidence.
• Comfortable, modern clinic environment designed for safety, privacy, and a positive patient experience.

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

1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25