Straight-Line Nose Surgery Using Rib Cartilage – Real Case of Refining a Bulbous, Upturned Nose

[Nose Lab Clinic]

Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.

Today, I’m sharing a real case of straight-line nose surgery performed using autologous rib cartilage on a patient with a bulbous, slightly upturned nose and a short nasal profile. Her goal was to achieve a chic, elevated straight nasal line, often referred to as a “jikban-line”, while maintaining natural harmony with her facial structure.

Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

🔎 Initial Assessment – Upturned Nose with Bulbous Tip and Lack of Projection

Frontal View Observations

• Rounded and wide nasal tip

• Slightly upturned nasal shape

• Wide nasal bridge

Side View Observations

• Short nasal length

• Low nasal dorsum

• Tip overly lifted, mouth protrusion visible

Patient Skin Characteristics

• Thick nasal tip skin

• Limited elasticity

• Average-width nasal base

✨ Surgical Goals – Enhancing the Nasal Line through Straight-Line Nose Surgery

• Create a refined and elevated straight-line profile

• Extend the nasal tip with structural stability

• Lower the columella for aesthetic balance

• Achieve natural harmony without tension on the skin

💉 Surgical Technique – Rib Cartilage for Straight-Line Nose Surgery

Tip Reconstruction

• Septal extension using autologous rib cartilage

• Corrected upturned nose and enhanced tip projection

• Lowered the columella

Dorsal and Nasal Bridge Refinement

• Sculpted a smooth, straight nasal dorsum (jikban-line)

• Performed osteotomy to refine the wide nasal bridge

• Adjusted nasolabial angle to reduce mouth protrusion appearance

Customized for Thick Skin

• Tailored the framework to accommodate low skin stretchability

• Ensured smooth and natural transitions

✅ Postoperative Results – Defined Straight-Line Nose and Balanced Profile

Before (Left) / Immediately After (Right)

Frontal View

• Slimmer and more symmetrical nasal bridge

• Defined nasal tip

• Reduced nostril show

Before (Left) / Immediately After (Right)

Side Profile

• Clean straight-line contour

• Balanced nasal projection and height

• Less visible mouth protrusion

Before (Left) / Immediately After (Right)

Overall Outcome

• Stable and elegant nasal shape

• Enhanced facial proportions

• Sophisticated and natural-looking transformation

Before (Left) / Immediately After (Right)

👨‍⚕️ Expert Commentary on Straight-Line Nose Surgery

Immediately After Surgery: Frontal, Side, and Oblique Side View Photos

Immediately After Surgery: Nostril View Photos

This case demonstrates the power of straight-line nose surgery using rib cartilage to transform a small, bulbous, and upturned nose into a structured, high-profile shape. By carefully considering the patient's skin limitations and desired profile, we were able to create a defined jikban-line that blends seamlessly with her face.

The use of autologous rib cartilage not only allowed for safe structural extension but also helped maintain long-term support and stability. Adjustments to the nasolabial angle played a crucial role in improving the patient’s side profile by softening the impression of a protruding mouth.

The final result? A beautifully elevated, straight-line nose that balances well with her entire facial structure.

🟢 Nose Lab performs all surgeries using the closed (endonasal) approach.

Postoperative precautions and possible complications

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