Short and Upturned Nose Correction – Closed Rhinoplasty Korea

noselab
2024년 8월 29일
3분 분량

최종 수정일: 9월 29일

Hello, this is Dr. Chayoung Kang, Director of Noselab Rhinoplasty Clinic. Today, I will introduce a short nose correction case of a patient with a short and upturned nose, combined with facial asymmetry.

Because this patient had overall facial asymmetry, the surgery required a delicate approach to not only correct the nose but also enhance overall facial harmony.

Patient’s Concerns and Preoperative Analysis – Short Nose Correction Case

showing nasal deviation from the facial midline — Frontal view

An overall wide and short nose
Excessively visible and asymmetric nostrils
Plain and deviated nose caused by the facial asymmetry
Misalignement of the center of the glabella, nose tip, philtrum and chin.

Side profile

Upturned nose tip
Big nasolabial angle and protruding mouth
Prominent retracted chin
Flat glabella and short nose

Short nose correction Korea – 45-degree view before surgery showing upturned nasal tip and facial imbalance — 45-degree angle

More visible protruding mouth
Blunt and upturned nose tip

Short nose correction Korea – nostril view before surgery showing asymmetry and deviated columella — Nostril view

The right nostril is smaller than the left
Columella crushed to the right side
Visible nostril asymmetry

Surgical details

The following surgeries were performed using a closed rhinoplasty approach:

a) Rib cartilage harvesting and transplant:

Reinforcement of the cartilage on both sides of the nose tip for the surgery using autologous rib cartilage from the patient.

b) Septal extension graft surgery

Strenghtening and extension of the septal cartilage using the rib cartilage.
This corrects the short lenght of the nose and lowers the upturned part of it.

c) Septal reconstruction surgery:

Moving the septal cartilage that was crushed on the right side to the left side and fixing it in order to improve the nasal asymmetry.

d) Adjustment of the nose tip location:

To enhance the facial asymmetry, we move the nose tip to the left side.

e) Insertion of an implant on the nose bridge:

The implant was positioned approximately 1 mm to the left of the center of the face to minimize facial asymmetry.

f) Columella correction

Lowering of the retracted columella using the rib cartilage.
This gives an improved effect to the protruding mouth.

g) Improvement of the nostril asymmetry

Great natural improvement of the nostril asymmetry by moving the columella to the left side.

Before and After surgery photos

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

The upturned nose and visible nostrils appearance disappeared naturally.
The wide and plain nose became more three-dimensional and slimmer.
Straightening of the deviated nose.
Improvement of the overall facial balance as the asymmetry was improved.

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

The upturned nose tip was naturally lowered, and the overall shape improved.
Proportion enhancement as the short nose became longer
Nasolabial angle correction improved the appearance of the mouth protrusion.

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

The upturned and blunt nose tip became sophisticated and more natural-looking
Improvement of the overall balance of the face by the correction of the protruding mouth

Nostrils before surgery (left) after surgery (right)

The columella that was pressed on to the right side was corrected and fixed at the center.
Nostril asymmetry improvement

After Surgery Table Photos

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

Overview – short, upturned nose and facial asymmetry.

This case is one that simultaneously addresses the complex issues of a short and upturned nose, and facial asymmetry. In particular, in cases of facial asymmetry, it is necessary to take on a careful approach that considers the overall facial balance, rather than simply correcting the nose.

Septal extension graft surgery using autologous costal cartilage was effective in correcting a short and upturned nose. In addition, we were able to solve the nostril asymmetry issue by adjusting the position of the columella through septal reconstruction surgery.

The key to this surgery was to finely adjust the position of the nasal tip and bridge implants to minimize the facial asymmetry. This allowed for not only nose correction but also improvement in overall facial balance.

All procedures were performed using a closed approach, completing the surgery without external scars.

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

Thank you.

Noselab Rhinoplasty Clinic

Dr. Chayoung Kang.