Rhinoplasty for Long Mid-Face Correction in Korea

noselab
2024년 10월 23일
2분 분량

최종 수정일: 9월 29일

Rhinoplasty for Long Mid-Face Correction in Korea

Hello, this is Dr. Cha-Young Kang, the head surgeon at Nose Lab Clinic.

Today, I’d like to share a rhinoplasty case where we corrected a nose that emphasized a long mid-face appearance, along with crookedness, nostril asymmetry, and a pinched look. Through a closed rhinoplasty approach, we achieved a more elegant and balanced facial proportion.

Rhinoplasty for long mid-face correction – preoperative consultation photos showing frontal, left oblique, and left side views — Pre-Surgery Design Consultation: Frontal View, Left Oblique Side View, and Side View

Patient History and Concerns with Long Mid-Face Appearance

Surgery History:

2016: Nose filler injection
2020: Silicone + donor rib cartilage + nostril reduction
2021: Philtrum reduction surgery

Concerns and Requests:

Correction of crooked nasal bridge
Improvement of sagging and pinched nostrils
Reduction of long mid-face appearance
Creation of a straight nasal line
Narrow-looking bridge correction
Lowering the columella and nasal starting point (glabella)
Correction of nostril asymmetry and tilted columella

Rhinoplasty for long mid-face correction – preoperative consultation photos showing right oblique, right side, and nostril views — Pre-Surgery Design Consultation: Right Oblique Side View, Side View, and Nostril Photos

Surgical Plan for Mid-Face Balance and Crooked Nose Correction

Septal reconstruction using autologous rib cartilage
Septal extension surgery to refine the nasal tip
Lowering of the columella and nasolabial angle correction (~95°)
Repositioning and reshaping alar cartilage to correct asymmetry
Replacement of silicone implant with broader implant
Lowering of nasal starting point for facial proportion
Nostril correction for symmetry and softer shape

Closed Rhinoplasty with Rib Cartilage Reconstruction

Using a closed rhinoplasty approach:

Autologous rib cartilage was harvested and used for septal reconstruction.
Septal extension refined the nasal tip.
The columella was lowered and nasolabial angle adjusted to ~95°.
Alar cartilage repositioned for improved nostril shape.
Old silicone implant replaced with a broader one to reduce implant visibility.
Nostril shape was softened, and symmetry restored.

Before-and-After Results of Mid-Face Correction Rhinoplasty

Rhinoplasty for long mid-face correction – before (left) and after (right) frontal view photos — Before Surgery (Left) / Immediately After Surgery (Right)

Frontal View: Crooked nasal bridge straightened, implant visibility resolved, nostril symmetry improved.

Rhinoplasty for long mid-face correction – before (left) and after (right) oblique view photos — Before Surgery (Left) / Immediately After Surgery (Right)

Oblique View: Droopy nasal tip raised, smoother line achieved.

Rhinoplasty for long mid-face correction – before (left) and after (right) side view photos — Before Surgery (Left) / Immediately After Surgery (Right)

Side View: Nasal starting point lowered, straight dorsal line created, columella lowered to balance profile.

Rhinoplasty for long mid-face correction – before (left) and after (right) nostril view photos — Before Surgery (Left) / Immediately After Surgery (Right)

Nostril View: Columella straightened, nostril asymmetry corrected, rounded natural nostrils achieved.

Conclusion

hinoplasty for long mid-face correction – immediate postoperative photos showing frontal, side, and oblique views — Immediately after surgery: Frontal view, side view, and oblique side view photos.

Rhinoplasty for long mid-face correction – immediate postoperative nostril view photo — Immediately after surgery: Nostril view photos.

This case demonstrates how rhinoplasty can balance a long mid-face by lowering the nasal starting point and correcting the nasolabial angle. By refining the nasal proportions, the overall face appears more harmonious.

At Nose Lab Clinic, we emphasize both aesthetics and functionality through closed rhinoplasty techniques, ensuring natural and lasting results.

Nose Lab performs all surgeries using the closed rhinoplasty approach.