Structure and correction methods for a short and upturned nose

Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce a customized rhinoplasty case of a patient who was troubled by a short and upturned nose.

Rhinoplasty for a small and short nose requires advanced technique and meticulous planning, so I would like to explain the process in detail through this case.

• Short and upturned nose

• Overall small nose

• Rhinitis symptoms

• Nasal obstruction

1. Front view

• Excessive nostril show

• Low nasal bridge

• Overall short and small nose

• Nasal length out of proportion with facial balance

2. Profile view

• Low glabella height

• Upturned nasal tip

• Columella completely hidden between the alae

• Proportional imbalance caused by a long philtrum

3. Oblique view

• Low radix

• Upturned nasal tip

• Overall lack of three-dimensional definition

4. Nostril view

• Left-right asymmetry

• Columella tilted to the left

• Unnatural nasal contour

On nasal CT and nasal endoscopy performed at our clinic:

• Distinct deviated septum

• Bilateral hypertrophic rhinitis was identified, so surgery to improve function was planned alongside cosmetic correction.

There was a particular circumstance during the harvesting of autologous rib cartilage. Signs of repetitive fractures and partial calcification were present in the cartilage, which made harvesting challenging. However, with practiced technique, an adequate amount of cartilage was harvested safely.

1. Functional nasal surgery

• Septoplasty for deviated septum correction

• Submucosal resection of the inferior turbinate using radiofrequency

2. Structural improvement

• Septal extension using autologous rib cartilage

• Establishing a strong nasal tip support structure

• Lowering the columella and correcting the nasolabial angle

• Creating a straight bridge line using a silicone implant

1. Front view improvement

• The previously upturned nasal tip was naturally brought down

• The glabella height was adequately elevated

• A nasal length harmonious with overall facial proportions was achieved

• Improved overall balance

2. Profile view improvement

• Creation of a natural columellar line

• Improved nasolabial angle

• A smooth straight line from the glabella to the nasal tip

• Improvement of the philtrum, which previously appeared elongated

3. Nostril improvement

• Nostril shape transitioned from round to a natural oval contour

• Improvement of asymmetry

• Correction of the previously tilted columella

Rhinoplasty for a short and small nose is by no means an easy procedure. Two key factors are essential to achieve a favorable outcome.

First, the limitation of limited skin elasticity and envelope must be overcome. Rather than simply raising the nose, the key is to design and balance the height and proportions so that the nose no longer appears short.

Second, the nasal tip must be reconstructed using strong and sufficient material. In most cases, septal extension using autologous rib cartilage is required, which is critical for supporting a stable result over the long term.

In this case as well, adhering strictly to these two principles allowed us to achieve a successful outcome. NOSELAB will continue to provide customized surgical solutions to address each patient's detailed concerns.

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

Thank you.

#closedrhinoplasty #shortnosecorrection #upturnednose #autologousribcartilage #customrhinoplasty #nasalobstructionrelief #facialproportions #septalextension