Correction of Upturned Nose and Nostril Exposure – A Natural Rhinoplasty Case

noselab
4월 26일
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최종 수정일: 5월 2일

[Nose Lab Clinic]

Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.

Today, I’m sharing a case involving a patient who struggled with a highly visible nostril line (upturned nose) and a wide nasal base, seeking a natural yet defined nasal contour without excessive length or artificial appearance.

Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

🔎 Initial Consultation

1. Frontal View

Excessive nostril exposure (upturned appearance)
Wide nasal bridge
Low nasal dorsum
Slightly crooked nasal axis

2. Side Profile

Nostril exposure evident from the side
Protruding upper lip
Irregular dorsal contour

3. Nasal Base

Enlarged nostrils
Rightward deviation of the columella
Mild nostril asymmetry

✨ Patient Goals

A natural-looking nose with a well-defined profile
Reduce nostril exposure
Correct upturned tip
Avoid an overly long or artificial result

💉 Surgical Approach

1. Structural Correction

Repositioned the nasal tip to correct the upturned shape
Repositioned alar cartilages to reduce nostril exposure
Refined the broad nasal bridge

2. Profile Refinement

Smoothed the irregular nasal dorsum
Sculpted a natural, defined profile
Maintained an appropriate nasal length

3. Functional Treatment

Submucosal radiofrequency turbinate reduction for chronic rhinitis
Septoplasty for deviated septum

✅ Postoperative Results

Before (Left) / Immediately After (Right)

1. Frontal View

Significantly reduced nostril exposure
Slimmer, more refined nasal bridge
Straighter nasal alignment

Before (Left) / Immediately After (Right)

2. Side Profile

Corrected upturned tip
Improved nasolabial angle, reducing the appearance of a protruding lip
Smooth, natural dorsal line

Before (Left) / Immediately After (Right)

3. Nasal Base

Reduced nostril size
Corrected columellar deviation
Enhanced symmetry

Before (Left) / Immediately After (Right)

👨‍⚕️ Surgeon’s Note

Immediately After Surgery: Frontal, Side, and Oblique Side View Photos

Immediately After Surgery: Nostril View Photos

This case was focused on achieving a delicate balance: correcting the upturned tip and nostril exposure while avoiding an overly long or artificial look. The patient wanted a result that was defined yet natural, and we tailored the surgical plan accordingly.

Functional procedures were also essential, addressing nasal obstruction due to turbinate hypertrophy and a deviated septum. These functional aspects are eligible for medical insurance coverage in many cases.

Through precise cartilage repositioning, dorsal smoothing, and tip refinement, we achieved a nose that feels natural in both structure and aesthetics, fulfilling the patient’s goals of having a line that is alive, but never overdone.