Long and Droopy Nose Correction with Self-Rib Cartilage and Nose Bump Removal

Dr. Chayoung Kang
2024년 3월 19일
2분 분량

최종 수정일: 2025년 10월 14일

Hello, this is Dr. Chayoung Kang, Director of Noselab Clinic, specializing in closed rhinoplasty in Korea that prioritizes natural beauty and minimal scars.

Today, I will introduce a real case of long and droopy nose correction combined with nose bump removal using a closed rhinoplasty technique.

Preoperative Consultation and Nasal Analysis

The patient visited our clinic to correct a long nose with a noticeable bump.

Despite undergoing a previous surgery at another hospital, the nasal hump remained, and the droopy nose tip continued to give the impression of a long, downward-sloping nose.

Preoperatively, the patient’s nasal bridge was high but unbalanced, and the columella and tip projection made the lower third of the face look elongated.

Surgical Plan for Long and Droopy Nose Correction

To correct the long and hooked nose, an outer osteotomy was planned to remove the bump and realign the nasal bone.

The droopy nasal bridge was gathered and reshaped, and the nose tip was lifted firmly using autologous rib cartilage (self-rib).

The droopy columella was also reduced for a more natural angle.

Since the skin of the nasal tip was thin, we used cartilage grafts for tip reinforcement and artificial dermis to soften the contour and prevent visible cartilage outlines.

Surgical Technique and Key Considerations

For a long nose correction, it is crucial to shorten the nasal bone slightly while lifting the tip.

To fix the hooked nose, both the nasal bone and upper lateral cartilage were partially trimmed, and a thin silicone implant was inserted to create a smooth and straight dorsal line.

The columella was also straightened to ensure central alignment.

A hooked or bumpy nose often makes the nose look longer, so correcting the bump simultaneously improves both the nasal profile and perceived length.

Before and after side view – long and droopy nose correction with bump removal through closed rhinoplasty using self-rib cartilage (Noselab Clinic)

Photos were taken immediately after the surgery with the consent of the patient. Before the surgery (below), After surgery (above). NOSELAB

Before and after 45-degree view – improvement of long and droopy nose with bump removal and lifted nasal tip through closed rhinoplasty (Noselab Clinic)

Photos were taken immediately after the surgery with the consent of the patient. Before the surgery (below), After surgery (above). NOSELAB

Before and after frontal view – long and droopy nose correction with bump removal through closed rhinoplasty using self-rib cartilage (Noselab Clinic)

Photos were taken immediately after the surgery with the consent of the patient. . Before the surgery (left), After surgery (right). NOSELAB

Before and after nostril base view – improved nasal symmetry and reduced columella after long and droopy nose correction with bump removal (Noselab Clinic)

Photos were taken immediately after the surgery with the consent of the patient. Before the surgery (left), After surgery (right). NOSELAB

Postoperative Overview and Results

Photos were taken immediately after surgery with the patient’s consent.After the procedure, the hump was removed, the droopy tip lifted, and the overall nasal line appeared shorter and more refined.

The nasal bone and upper cartilage were reshaped precisely through outer osteotomy, preventing “open roof” deformities and maintaining a natural slope.

The final result shows a balanced, harmonious nasal shape that looks natural from all angles.

Noselab Plastic Surgery Clinic by Dr. Chayoung Kang