Long and Wide Nose Corrective Rhinoplasty _Rhinoplasty Korea

Hello, this is Dr. Chayoung Kang, Director of Noselab Rhinoplasty Clinic. Today, I would like to introduce a rhinoplasty case of a patient who was concerned about a long and wide nose.

​This patient came to the clinic with the main goal of improving her droopy nose

Preoperative Design Consultation

Patient’s requirements

• Improving droopy nose

• Natural shape

• Increased nose height

• Straight nose shape

• A nose bridge that is not too thin

• Round nose tip

Frontal view

• An overall wide nose

• Prominent long nose appearance

Side profile view

• Mouth protrusion

• High nose bridge starting point

• Long nose tip

• Nose lacking three-dimensionality

• Currently undergoing corrective dental treatment

45-degree view

• High nose starting point

• The first half of the nose looks long

Nostril photo

• The right nostril is wider

• Noticeable nostril asymmetry

Surgical plan

​We established the following surgical plan taking into account the patient’s condition and needs:

a) Nose tip correction:

• Donated costal cartilage and septal cartilage were used as per the patient’s request.

• Septal extension surgery

​b) Nose bridge correction:

• Lateral osteotomy to improve wide appearance.

​c) Improvement of nostril asymmetry:

• Nasal cartilage repositioning

• Application of cartilage tying technique

Originally, we recommended using autologous costal cartilage to straighten the tip of the nose, but at the patient’s request, we decided to use donated costal cartilage.

​Surgical details

The following surgeries were performed using a closed rhinoplasty approach:

a) Septum and nose tip correction:

• During the surgery, we found that the nasal septum cartilage was deviated to the right, but its size was sufficient.

• The nose tip surgery was performed using donated costal cartilage and septal cartilage together.

• The blunt and wide appearance of the nose tip improved while maintaining its roundness as much as possible.

b) Nose bridge correction:

• Through the lateral osteotomy, the wide appearance improved. c) Improvement of nostril asymmetry:

c) Improvement of the nostril asymmetry:

• Asymmetry was improved by repositioning the alar cartilage and applying the cartilage tying technique.

​During the surgery, the shape of the tip of the nose was given special attention. The degree to which the tip of the nose is round or pointed is very subjective, so it is difficult to get it exactly right. In particular, if the nose is not large, and the tip of the nose is raised, the skin becomes thinner, which can make it look pointy. To prevent this, we carefully adjusted the width of the cartilage at the tip of the nose and meticulously shaped the columella to prevent it the tip to look pointy as much as possible.

Before and After Surgery Photos

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

• The wide nose became slimmer

• A more balanced face as the lenght of the nose was improved.

• Improvement of the nostril asymmetry.

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

• As the droopy nose was adjusted and raised, the facial harmony became enhanced.

• Reduction of the protruding mouth

• Natural adjustment of the nose bridge starting point

• Enhancement of the three-dimensionality.

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

• The long appearance improved

• As the nose tip and bridge became more balanced the overall apperance chnaged to be more harmonious.

Nostrils before surgery (left) after surgery (right)

• The issue of the righ nostril being wider than the left side improved.

• Improvement of the symmetry.

After Surgery Table Photos

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

Photo of the nostrils

Overview

This case is one where both a long and wide nose improved at the same time. We paid great attention to achieving a natural result while reflecting the patient’s needs as much as possible. The use of donated costal cartilage and septal cartilage together was a choice to achieve stable results while respecting the patient’s request. Through septal extension surgery, we tried to improve the droopiness of the nasal tip while maintaining a its round shape. Improving the wide nose appearance through lateral osteotomy played a significant role in refining the overall contour of the nose. In addition, the alar cartilage repositioning and tying were used to correct the nostril asymmetry problem.

In particular, what was important in this case was to maintain the ‘naturalness’ that the patient wanted. We carefully adjusted the tip of the nose to make it look high without making it look sharp, and we also paid attention to making sure that the bridge of the nose did not look too thin.

By performing this surgery through the closed rhinoplasty method, which does not leave external scars, we were able to increase the patient’s satisfaction, while ensuring a fast recovery period.

With Noselab Rhinoplasty Clinic you can achieve a beautiful and healthy nose.

Thank you.

Noselab Rhinoplasty Clinic

Dr. Chayoung Kang.