Long and Flat Nose Rhinoplasty Case – Closed Rhinoplasty Korea

noselab
2024년 10월 15일
2분 분량

최종 수정일: 9월 29일

Long and Flat Nose Rhinoplasty Case – Closed Rhinoplasty Korea

Hello, this is Dr. Cha-Young Kang from NOSELAB Clinic.

Today, I’d like to introduce a closed rhinoplasty Korea case involving a patient who was concerned about a long and flat nose. The main request was to create a shorter-looking nose while reducing nostril exposure and correcting asymmetry.

Preoperative design consultation, frontal view, 45-degree view and side profile view.

Excessively exposed and asymmetrical nostrils
Nasal deviation to the left
High glabella starting point
Sagging columella with bumpy nasal bridge
Flat dorsum with a long philtrum and protruding mouth
Small nasolabial angle (<90°)

Preoperative design consultation, 45-degree view, side profile view, and nostril view.

This patient had undergone two previous rhinoplasties:

2 years prior: septoplasty + ear cartilage graft + silicone implant
6 months earlier: implant replacement

Surgical Plan for Long and Flat Nose Correction

Septal Extension with Autologous Rib Cartilage

Strengthened nasal structure
Corrected nostril asymmetry
Stabilized columella alignment

Implant Replacement for a Natural Nasal Bridge

Removed the old silicone implant
Inserted a new implant only where necessary for natural definition

Nasolabial Angle and Nostril Symmetry Correction

Adjusted alar cartilages and performed cartilage tying
Refined columella position
Improved balance between nose and lips

Lowering the Glabella Starting Point

Designed a shorter nose impression
Enhanced overall proportion without unnecessary lengthening

Results After Closed Rhinoplasty Korea

Frontal view before surgery (left) after surgery (right)

Frontal View: Improved nostril asymmetry, straighter nasal alignment, shortened appearance by lowering glabella starting point

45-degree angle view before surgery (left) after surgery (right)

45-Degree View: Nose length adjusted, reduced nostril exposure, smoother dorsal line

Side profile view before surgery (left) after surgery (right)

Side Profile: Flat dorsum corrected into a straight profile, improved nasolabial angle, reduced philtrum length and mouth protrusion

Nostrils before surgery (left) after surgery (right)

Nostril View: Significant symmetry improvement, columella straightened

Medical Insights on Long and Flat Nose Correction

This case emphasizes the balance between patient requests and surgical principles.While the ideal approach for visible nostrils often involves lengthening the tip, this patient strongly requested not to lengthen her nose. Therefore, we carefully followed her wishes while improving symmetry and proportion through alternative methods.

By lowering the glabella starting point, we created a visually shorter nose while enhancing facial harmony. Rib cartilage septal extension provided stability and reliable correction for nostril asymmetry.

This case highlights that rhinoplasty is not simply about changing nasal length or height but requires tailoring to individual needs and facial balance.

Photos taken immediately after surgery, frontal view, 45-angle view, and side profile.

Conclusion

Cosmetic surgery often presents a dilemma between medical standards and patient desires. In this case, the patient’s sensitivity about nasal length guided the surgical plan. Through clear communication and a careful approach, we were able to achieve both subjective satisfaction and objective improvement.

At NOSELAB Clinic, we focus on harmonizing patient goals with functional and aesthetic correction through closed rhinoplasty Korea.

Thank you for reading.

— Dr. Cha-Young Kang, Chief Director at NOSELAB Clinic