Correction approach considering height and proportions for a small nose

Hello, I am Dr. Peter C. Kang.

Today, I would like to share a customized rhinoplasty case of a patient with a small and short nose.

• 7 years ago: 1 nose filler treatment (not dissolved)

• Defined nasal line

• Appropriate radix height

• Desire for columellar show

• Correction of the nasolabial angle

• Improvement of a wide nose

• Preference for autologous rib cartilage

1. Front view

• Blunt and broad nasal tip

• Nostril asymmetry

• Low and wide nasal bridge

• Overall small and short nose

2. Profile view

• Short and upturned nose

• Protruding mouth findings

• Retracted columella

• Nasolabial angle under 90 degrees

3. Nostrils

• Left-right asymmetry

• Columella tilted to the left

• Flared nasal tip

1. Nasal bridge improvement

• Narrowing nasal width with lateral osteotomy

• Creating a nasal bridge line with a silicone implant

• Foreign body removal from the nasal bridge

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

2. Nasal tip improvement

• Expanding the skin as much as possible,

• Derotating the upturned nose, and

• Raising nasal tip height as much as possible

3. Columella and nasolabial angle

• Lowering the columella naturally,

• Correcting the nasolabial angle to around 95 degrees,

• And improving the appearance of a protruding mouth

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

4. Additional procedure

• Paranasal augmentation

• Masseter Botox

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

Nostril view on day 0 immediately after surgery. Immediate postoperative photos show swelling and may differ from the final result.

Maximizing height while balancing a small, short nose with facial proportions is a very challenging surgery. Because skin stretch is limited, multiple complex techniques are required.

Postoperative care is also critical. When a tight skin envelope is stretched significantly, temporary circulatory compromise can occur. To help improve this, the following treatments are recommended:

• Hyperbaric oxygen therapy

• Vasodilator injections

• Helium laser therapy

These additional treatments can help stabilize surgical results and support recovery.

I hope this case is helpful to anyone considering rhinoplasty for a short and upturned nose.

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

Thank you.

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