Correction methods for a long nose and dorsal hump considering facial proportions

Hello, I am Dr. Peter C. Kang.

Today, through the case of a 22-year-old female patient who sought improvement for a long nose and a dorsal hump, we will take a detailed look at the importance of customized rhinoplasty tailored to facial proportions.

• 22-year-old female

• History of zygoma reduction 1 year ago

1. Seasonal rhinitis

2. Deviated septum

3. Long nose, dorsal hump

4. Drooping nasal tip

5. Desires a natural result

1. Front view

* Nose that appears broad

* Asymmetry of nostrils and alae

* Arrowhead nose (drooping tip)

* Long nose

2. Profile view

* Dorsal hump observed

* Drooping columella

3. Nostrils

* Alar asymmetry

* Lateral nasal asymmetry

1. Septoplasty (correction of deviated septum)

2. Radiofrequency submucosal resection of the inferior turbinate (rhinitis surgery)

3. Septal extension using septal cartilage

4. Dorsal hump reduction

5. Lateral osteotomy

6. Nasal bridge augmentation using a silicone implant

Key points for correcting a long nose: Correcting a long nose involves more than simply reducing nasal length; it requires a delicate approach that accounts for overall facial proportions. Here are the key considerations focused on for this type of nose:

1. Considering facial proportions: Overall facial proportions were taken into account when determining the length and shape of the nose.

2. Establishing the starting point between the eyebrows: The starting point at the glabella was positioned at an appropriate height to create a natural profile line.

3. Considering alar shape: The design ensured that the alae would not appear excessively wide or flared from the front view.

4. Adjusting the nasolabial angle: Maximizing the nasolabial angle (the angle between the nose and upper lip) visually reduced the apparent length of the nose.

5. Columellar correction: As the most crucial step, naturally adjusting the columella improved both the overall shape and the apparent length of the nose.

Nostrils

As demonstrated in cases of this type, successfully correcting a long nose requires a thoughtful approach that emphasizes overall facial harmony rather than simply shortening the nose. In particular, natural correction of the columella plays a decisive role in refining the overall shape and length of the nose.

I always strive to carefully analyze each patient's individual facial features to achieve the most natural and harmonious result. If you are considering rhinoplasty, be sure to consult with a specialist to determine the approach best suited to your anatomy.

If you have any questions, please feel free to leave a comment.

I will answer your questions with sincerity and care.

This was Dr. Peter C. Kang. Thank you.

Thank you.

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