How to correct a short nose and nasal obstruction together

Hello, I am Dr. Peter C. Kang.

Today, I would like to share a case of a patient whose daily life was disrupted by nasal obstruction and a diminished sense of smell.

• Nasal obstruction

• Decreased sense of smell

• Desire to correct a short nose

• Desire to reduce excessive nostril show

• Need for better balance with overall facial proportions

1. Front view

• Excessive nostril show

• Short and flat nose

• Deviated nose

2. Profile view

• Low radix

• Upturned nasal tip

• A nose that appears small relative to the face

3. Oblique view

• Distinct protruding mouth

• Drooping tip

4. Nostril view

• Left-right asymmetry

• Left nostril is large and rounded

• Septal cartilage deviated to the right

• Rhinitis with bilateral inferior turbinate hypertrophy

• These conditions were suspected to be causing nasal obstruction and reduced olfactory function

1. Functional improvement

• Correction of deviated septum using autologous rib cartilage

• Correction of hypertrophic inferior turbinates via submucosal resection of the inferior turbinates (rhinitis surgery) using a radiofrequency laser

2. Structural improvement

• Septal extension using autologous rib cartilage to correct the short appearance

• Lateral osteotomy of the nasal bones to correct the crooked nose

• Nasal sill reduction to correct a wide nasal floor

• Reinforcement of nasal tip support

1. Functional improvement

• Balanced expansion of the internal nasal airway to support improvement in breathing and olfactory function

• Stable nasal airway structure

2. Aesthetic improvement

• Natural nasal length

• Correction of the spread appearance

• Correction of the blunt appearance

• Natural nostril appearance

• Improvement of protruding mouth through nasolabial angle correction

• Balanced facial proportions

The patient visited the clinic with primary complaints of nasal obstruction and a decreased sense of smell, while also wishing to correct a short nose. When olfactory improvement is needed alongside standard relief of nasal obstruction, the surgical approach must place greater focus on airflow patterns. Because olfactory function depends heavily on air properly reaching the nasal roof, the positions of the septum and the inferior turbinates must be carefully evaluated. By sufficiently widening the severely narrowed nasal cavity space, we can anticipate an improvement in olfactory function after surgery.

In addition, for the nose that appeared short and small relative to the face, septal extension using autologous rib cartilage helped achieve balanced facial proportions, creating a natural and feminine impression.

In cases like this, I will continue to do my best to achieve both functional improvement and aesthetic satisfaction.

I hope this is helpful to those with similar concerns.

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

#shortnosecorrection #nasalobstructionrelief #smellimprovement #autologousribcartilage #customrhinoplasty