Refining a Harsh Nasal Line โ Correction of an Overprojected Dorsum and Upturned Tip
- noselab
- 5์ผ ์
- 2๋ถ ๋ถ๋
Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.
Today, Iโd like to share a rhinoplasty revision case where we transformed an overly artificial nasal bridge and severely upturned tip into a more natural, balanced profile.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
๐ Surgical History
4โ5 years ago: Received nasal filler (later dissolved before surgery)
4 years ago: Underwent rhinoplasty with silicone implant, septal extension, and donor rib cartilage graft
Design Consultation: Right Oblique Side View, Side View, and Nostril View Photos
๐ Initial Assessment
Frontal View
Overly upturned nose (short and over-rotated tip)
Excessive nostril exposure
Nostril asymmetry
Nasal implant appeared unnaturally rigidโchalk-like in shape
High starting point of the bridge gave a harsh facial expression
Profile View
Extremely unnatural nasal dorsum curvature
Nostril exposure visible even in profile
Nasal Base
Deviated columella toward the right
Noticeable nostril asymmetry
โจ Patientโs Goals
Refine overly wide-looking nasal base
Reduce nostril exposure
Create a more harmonious nose that fits the face
Correct nasal deviation
๐ Surgical Plan & Techniques
Structural Correction
Septal extension using autologous rib cartilage
Downward rotation of the nasal tip to correct the upturned shape
Alar base repositioning to reduce nostril show
Osteotomy to correct deviated nasal bone
Columellar-labial angle refinement
Aesthetic Adjustments
Lowered the radix (starting point of the nasal bridge)
Softened and naturalized the dorsum curve
Overall reshaping to achieve a natural nasal contour
โ Surgical Outcomes
Before (Left) / Immediately After (Right)
Frontal View
Tip rotation corrected for a more natural projection
Reduced nostril exposure
Improved nostril symmetry
Lowered radix created a softer expression
Before (Left) / Immediately After (Right)
Profile View
Smooth, natural nasal dorsum line
Minimal nostril visibility from the side
Harmonious silhouette with improved facial proportion
Before (Left) / Immediately After (Right)
Base View
Realigned columella
Symmetrical nostrils
Stable and balanced structural support
Before (Left) / Immediately After (Right)
๐จโโ๏ธ Surgeonโs Commentary
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Immediately After Surgery: Nostril View Photo
This patient presented with a nose that appeared excessively artificial following a previous augmentation using silicone and donor rib cartilage. The most striking concerns were the chalky, overly rigid dorsum and severely upturned tip, both of which resulted in excessive nostril show and a harsh appearance.
To address these, we began by removing the unnatural implant and reconstructing the nasal framework using the patientโs own rib cartilage. A key component was the septal extension graft, which allowed us to rotate the tip downward and reduce nostril visibility. Alar base repositioning further refined symmetry and narrowed the nasal width.
We also softened the nasal bridge by lowering the radix and reshaping the dorsum, transforming the previously harsh lines into a smooth, natural profile. The deviation of the columella and nostril asymmetry were corrected through precise graft placement and structural realignment.
This case exemplifies how even significantly artificial prior results can be reversed through careful planning and natural tissue reconstruction. Most importantly, we were able to deliver on the patientโs request for a nose that felt in harmony with their overall appearance, restoring balance without creating an overly dramatic change.
Thank you,
Dr. Cha-Young Kang
Nose Lab Clinic
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