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1. Procedure History and Patient Goals (Short Nose Correction Case)

Procedure History:

  • 7 years ago: 1 session of nasal filler (not dissolved)

Patient Goals:

  • Create an elegant nasal line

  • Achieve a balanced starting point height

  • Enhance columella visibility

  • Correct nasolabial angle

  • Improve the appearance of a wide nose

  • Use autologous rib cartilage

Short Nose Correction – Preoperative frontal, side, and oblique view photos showing a small, upturned nose with wide nasal base and short columella before closed rhinoplasty.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
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2. Preoperative Analysis for Short Nose Correction

a. Frontal View:

  • Blunt, wide nasal tip

  • Asymmetrical nostrils

  • Low and broad nasal dorsum

  • Overall small and short nose

b. Side View:

  • Short and upturned nose

  • Noticeable protrusion of the upper lip

  • Sunken columella

  • Nasolabial angle less than 90 degrees

c. Nostril View:

  • Asymmetrical nostrils

  • Left-tilted columella

  • Wide and flared nostrils

Short Nose Correction – Preoperative right side, oblique side, and nostril view photos showing upturned nose, short columella, and wide nostrils before closed rhinoplasty.
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos
Original image ↗

3. Surgical Approach in Short Nose Correction

a. Dorsal Enhancement

  • Performed lateral osteotomy to narrow the nasal width

  • Used a silicone implant to refine the nasal bridge line

  • Removed residual filler material

b. Nasal Tip Correction

  • Maximally stretched the skin to lower the upturned nose

  • Elevated the nasal tip to its optimal height

c. Columella and Nasolabial Angle Correction

  • Gently lowered the columella for natural projection

  • Adjusted the nasolabial angle to approximately 95 degrees to improve the appearance of a protruding upper lip

d. Additional Procedures

  • Performed goryeop (paranasal augmentation) surgery

  • Administered botox injections to the masseter muscles

4. Postoperative Outcomes of Short Nose Correction

Short Nose Correction – Before (left) and immediately after surgery (right) frontal view photos showing improved nasal length, refined tip, and natural columella projection after closed rhinoplasty.
Before (Left) / Immediately After (Right)
Original image ↗

a. Frontal View Improvements:

  • Refined and narrowed nasal tip

  • Improved nostril symmetry

  • Enhanced nasal dorsum height for better proportion

  • A more harmonious nose that complements the face

Short Nose Correction – Before (left) and immediately after surgery (right) side view photos showing elongated nasal bridge, lowered columella, and corrected nasolabial angle after closed rhinoplasty.
Before (Left) / Immediately After (Right)
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b. Side View Improvements:

  • Straightened and elongated nasal line

  • Natural columella projection

  • Corrected nasolabial angle, reducing the appearance of a protruding upper lip

Short Nose Correction – Before (left) and immediately after surgery (right) 45-degree oblique side view photos showing elongated nasal tip, refined nasal bridge, and improved facial balance after closed rhinoplasty.
Before (Left) / Immediately After (Right)
Original image ↗

c. Nostril View Improvements:

  • Balanced nostril size and shape

  • Straightened columella tilt

  • Reduced flaring for a more elegant look

Short Nose Correction – Before (left) and immediately after surgery (right) nostril view photos showing improved symmetry, reduced flaring, and straightened columella after closed rhinoplasty.
Before (Left) / Immediately After (Right)
Original image ↗

5. Expert Insights on Short Nose Correction

Correcting a small, short nose to achieve both functionality and aesthetics is a complex and delicate procedure.There are inherent challenges in maximizing nasal height while maintaining structural stability and skin integrity.

Postoperative Care Recommendations:

Because stretching the nasal skin significantly during surgery can temporarily impair blood circulation, postoperative management is crucial:

  • Hyperbaric oxygen therapy

  • Vasodilator injections

  • Helium laser therapy

These additional treatments aid in stabilizing results and ensuring smooth recovery.

Short Nose Correction – Immediately after surgery frontal, oblique, and side view photos showing elongated nasal line, refined tip projection, and corrected nasolabial angle after closed rhinoplasty.
Immediately After Surgery: Frontal, Oblique Side, and Side View Photos
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Short Nose Correction – Immediately after surgery nostril view showing improved nostril symmetry, reduced flare, and corrected columella tilt after closed rhinoplasty.
Immediately After Surgery: Nostril View Photos
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6. Closing Thoughts

This case highlights the importance of individualized planning and a multifaceted approach to achieve natural yet transformative results. Patients with small, upturned noses require meticulous planning and execution to harmonize the nose with the overall facial structure.

If you’re considering rhinoplasty to correct a small or upturned nose, I hope this case provides useful insights and inspiration. At Nose Lab Clinic, we are committed to delivering results that balance functionality, aesthetics, and patient satisfaction.

👉 Nose Lab performs all surgeries with a closed (non-open) rhinoplasty approach.

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Postoperative precautions and possible complications after rhinoplasty – includes information on infection, bleeding, asymmetry, allergic reactions, and scarring.
Case photograph 9
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