Artificial Looking Nose Correction Rhinoplasty
- Dr. Chayoung Kang
- 2024년 8월 6일
- 6분 분량
This case reviews artificial looking nose correction rhinoplasty in a patient with an obvious nasal implant, deviated nasal appearance, elevated columella and tip position, prominent nostril asymmetry, right alar depression, dorsal hump, drooping nasal tip, limited columella visibility, large alar appearance, rightward tip tilt, deviated septum, rhinitis-related turbinate hypertrophy, and functional breathing concerns. Surgery focused on autologous rib cartilage septal extension, columella lowering, nasolabial angle correction, alar cartilage repositioning, right alar cartilage reconstruction, lateral osteotomy, implant replacement, septoplasty, turbinate reduction, and closed rhinoplasty structural correction.
Author: Dr. Cha-Young Kang
Clinic: NoseLab Clinic
Published: 2024
Last Updated: 2026
Introduction
Hello, this is Dr. Cha-Young Kang of NoseLab Clinic.
This case involves artificial looking nose correction rhinoplasty in a patient whose previous nasal implant looked obvious and made the nose appear unnatural and deviated.
The patient was concerned about an artificial-looking nasal contour, nostril asymmetry, an elevated columella and tip position, a depressed area near the right alar region, and breathing-related concerns.
Because the case involved implant visibility, nasal deviation, alar cartilage damage, columella position, and functional airway factors, the surgical plan required both structural and aesthetic correction.
The surgery was performed using a closed rhinoplasty / endonasal approach. The goal was to make the implant less noticeable, improve nasal axis balance, adjust columella position, reconstruct the depressed alar area, address nostril asymmetry, and improve functional nasal airflow factors.
Preoperative Analysis Before Artificial Looking Nose Correction Rhinoplasty
Preoperative photos were reviewed from the frontal, side, oblique, and nostril views.
Frontal View: Deviation, Elevated Tip, and Nostril Asymmetry
From the frontal view, the nose appeared slightly deviated.
The columella and nasal tip looked relatively elevated compared with the alar rims.
Prominent nostril asymmetry was observed, along with a depressed area on the upper right side of the alar region.
Side View: Dorsal Hump, Drooping Tip, and Limited Columella Visibility
From the side profile, a dorsal hump was visible.
The nasal tip appeared drooping, and the columella was barely visible from the side.
The alar region appeared relatively large, which affected the lower nasal balance.
Oblique View: Obvious Implant and Nasal Deviation
From the oblique view, the nasal implant appeared noticeable.
The nasal contour also appeared deviated, suggesting that implant position, dorsal contour, and bony alignment needed to be evaluated together.
Nostril View: Tip Tilt and Nostril Asymmetry
From the nostril view, nostril asymmetry was noticeable.
The nasal tip appeared slightly tilted toward the right side.
Because nostril shape depends on septal support, alar cartilage, columella position, scar tissue, and healing response, nostril correction was planned within the patient’s anatomical limits.
Surgical Plan for Artificial Looking Nose Correction Rhinoplasty
The surgery was performed using a closed rhinoplasty / endonasal approach.
Nasal Tip Correction with Autologous Rib Cartilage
Autologous rib cartilage was used for septal extension grafting.
This helped support the nasal tip and improve the bent or tilted tip position.
In revision cases, rib cartilage may be considered when stronger support is needed for tip position, columella control, and lower nasal framework stability.
Columella Lowering and Nasolabial Angle Correction
The septal cartilage was corrected, and the alar cartilage was repositioned.
The columella was lowered in relation to the alar rim, and the nasolabial angle was adjusted to improve lower nasal balance.
This step was important because columella position can strongly influence whether the nose appears natural-looking or unusual.
Right Alar Cartilage Reconstruction
The depressed area on the right alar region was addressed.
The right alar cartilage, which was suspected to be damaged, was reconstructed to improve lower nasal support and contour balance.
Lateral Osteotomy for Deviated Nose Correction
Lateral osteotomy was performed to address the deviated nasal appearance.
This step was planned to improve the nasal axis and support a more balanced frontal contour.
Implant Replacement for a Less Obvious Dorsal Contour
The existing implant was removed.
A wider implant was placed under the periosteum to make the dorsal contour appear less obvious and better blended with the nasal framework.
The implant was adjusted according to the patient’s nasal bone structure, skin thickness, and contour needs.
Septoplasty for Deviated Septum
Septoplasty was performed to address the deviated septum.
This was included because septal deviation can contribute to nasal obstruction and structural imbalance.
Turbinate Reduction for Rhinitis-Related Narrowing
Submucosal reduction of the hypertrophic inferior turbinates was performed using radiofrequency.
This was planned to address turbinate-related narrowing associated with rhinitis symptoms.
Breathing changes should be evaluated over time because mucosal swelling, turbinate response, septal alignment, and healing process can affect nasal airflow.
Surgical Results After Artificial Looking Nose Correction Rhinoplasty
Frontal View: Nasal Deviation and Nostril Balance
From the frontal view, the diagonal deviated appearance appeared improved after osteotomy and structural correction.
The elevated relationship between the nasal tip, columella, and alar rims appeared more balanced.
Nostril asymmetry and the depressed area near the right alar region also appeared improved after lower nasal framework correction.
Side View: Dorsal Hump and Columella Position
From the side profile, the hooked or humped nasal appearance appeared softer after dorsal contour correction.
The drooping nasal tip appeared better supported, and the columella appeared lower and more visible after nasolabial angle correction.
The overall profile appeared more balanced after implant replacement, tip support, and columella adjustment.
Oblique View: Implant Visibility and Nasal Contour
From the oblique view, the implant appeared less obvious after replacement and repositioning under the periosteum.
The nasal contour appeared smoother and better blended with the surrounding nasal structure.
Nostril View: Tip Tilt and Alar Depression
From the nostril view, the nostril asymmetry appeared improved after tip support, alar cartilage reconstruction, and lower nasal framework correction.
The right-sided alar depression appeared softer after reconstruction.
The tilted nasal tip appeared more balanced within the limits of the patient’s cartilage condition, scar tissue, and healing response.
Functional Outcome After Septoplasty and Turbinate Reduction
Functional nasal obstruction factors were addressed through septoplasty and inferior turbinate reduction.
Breathing changes should be assessed over time because functional improvement depends on septal alignment, turbinate condition, mucosal swelling, and healing response.
Surgeon’s Commentary
In this artificial looking nose correction rhinoplasty case, one of the most important issues was the columella position.
Although the columella is a small part of the nose, it strongly affects the overall impression of the lower nose. If the columella is too high, too low, or poorly aligned with the alar rims, the nose may appear unnatural.
In this case, columella lowering was planned together with septal correction, alar cartilage repositioning, and nasolabial angle correction using autologous rib cartilage support.
Another important issue was implant visibility. In patients with thin skin or a noticeable implant contour, the implant may need to be replaced, repositioned, reshaped, or lowered depending on the anatomy.
For this patient, the implant height did not need to be reduced significantly. Instead, a wider implant was placed under the periosteum and adjusted to blend more smoothly with the surrounding nasal structure.
The surgery also addressed nasal deviation, dorsal hump, right alar depression, rhinitis-related turbinate hypertrophy, and functional airway factors.
This case shows that artificial looking nose correction rhinoplasty may require combined correction of implant visibility, nasal deviation, columella position, nasolabial angle, alar cartilage support, septal deviation, turbinate hypertrophy, and overall nasal balance.
FAQ
What makes a nose look artificial after rhinoplasty?
A nose may look artificial when the implant contour is too visible, the bridge is not well blended, the columella position is unbalanced, the nostrils are asymmetric, or the nasal tip and alar rims are not in harmony.
Can an obvious nasal implant be corrected?
An obvious implant may be addressed by removing, reshaping, repositioning, or replacing the implant depending on skin thickness, implant position, nasal bone structure, and tissue condition.
Why was rib cartilage used in this case?
Autologous rib cartilage may be used when stronger support is needed for septal extension, columella control, nasal tip support, or revision structural correction.
Can nostril asymmetry and alar depression be corrected together?
Nostril asymmetry and alar depression may be addressed together when they are related to alar cartilage damage, columella position, septal support, scar tissue, or previous surgery.
Can this surgery be performed with a closed approach?
A closed rhinoplasty / endonasal approach may be used depending on implant condition, scar tissue, cartilage needs, nasal deviation, airway findings, and surgical goals.
International Consultation
For international patients, a photo-based consultation may help clarify whether artificial looking nose correction rhinoplasty, implant replacement, autologous rib cartilage support, columella lowering, nasolabial angle correction, alar cartilage reconstruction, septoplasty, or turbinate reduction may be needed.
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