Blunt Nose Correction with Protruding Mouth Improvement – Noselab Korea

noselab
2024년 6월 21일
2분 분량

최종 수정일: 10월 2일

Hello! This is Dr. Chayoung Kang, the Director of Noselab Clinic.

Today I will share a rhinoplasty case that improved not only a blunt nose but also the appearance of a protruding mouth.

Blunt Nose Correction is often combined with nasal base narrowing and nasolabial angle adjustment to enhance facial balance.

Preoperative Design and Analysis

< Frontal view >

Overall, the nose looked bulbous and blunt.
The nasal base was wide which emphasized the bulbous appearance of the nose.
The nasal bone and nostrils were asymmetric, which made the nose appear crooked.

Frontal preoperative design

< Side view >

The space betwen the nasal bridge and glabella was flat and plain.
The nose tip was droopy, and the space between the columella and alar was barely visible, to the point that the columella appear retracted.
Excessively protruding maxilla.

Side preoperative design

< Nostril view >

Since the nasal base was too wide, the alar on both sides had different sizes.

The shape of the nostrils was asymmetric.

Nostril preoperative design photo showing wide nasal base, asymmetrical alar size, and uneven nostril shape.

Nostrils preoperative design

Surgical Plan for Blunt Nose Correction

Preoperative 3D skull image and CT scan showing nasal structure before blunt nose correction and septum reconstruction planning.

To correct the bulbous nose, part of the subcutaneous tissue would be removed in order to reduce the skin thickness. The wide shape of the nose would be improved by relocating the alar cartilage, and by using the self-rib cartilage, we can heighten the nose tip while giving it a three-dimensional effect.
To reduce the width of the nose, we would perform a nasal base reduction surgery.
To correct the crooked nose, we would perform a nasal bone osteotomy.
In the preoperative CT scan findings, we estimate that after getting double jaw surgery, there was a separation of the base of the septum and the upper jaw bone, so we planned a septum reconstruction surgery.
To observe improvement in the appearance of the protruding mouth, we planned to perform a nasolabial angle correction.

Photos after the surgery

In the 90-degree side profile view, we can observe that the plain line has become more refined. The droopy nose tip has become sharper, and through the nasolabial angle correction, the protruding maxilla appearance has visibly improved.

Before surgery (left), after surgery (right)

45-degree oblique side view before-and-after photos showing sharper nasal tip, reduced bulbous shape, and improved nasolabial angle

From the front, we can observe that the bent appearance has improved significantly, and the wide nasal base has been reduced considerably. Especially, the appearance of the nasal alar asymmetry has improved a lot, and the ACR (alar columella relationship) has become visibily more natural-looking.

Frontal before-and-after photos showing correction of crooked nose, reduced wide nasal base, and improved nostril symmetry after blunt nose correction.

When observing the nostril view photos, the right nostril that was bigger, and the nasal base on the right side that was also wider have definitely become more similar.

Nostril before-and-after photos showing narrower nasal base, improved nostril symmetry, and more balanced alar-columella relationship. — Before surgery (left), after surgery (right)

Results after the surgery

Photos after the surgery. 90° angle | 45° angle | Frontal view

Today we talked about the rhinoplasty case of a patient with a protruding mouth. I hope this article is helpful for anyone who is concerned about mouth protrusion, and is interested in rhinoplasty.

Dr. Chayoung Kang

Director of Noselab Clinic