Why nostrils appear triangular in an upturned nose, and how to correct nostril shape

Hello, I am Dr. Peter C. Kang.

Today, I will share the case of a patient who sought correction for an upturned nose and nostril concerns after multiple previous nasal surgeries.

• 13 years ago: Nose filler procedure

• 13 years ago: Silicone implant + ear cartilage surgery (after dissolving the nose filler)

• 6 years ago: Revision rhinoplasty for an upturned nose and nasal obstruction (silicone implant + ear cartilage)

• 5 years ago: Revision rhinoplasty due to swelling of the nasal bridge

1. Functional issues

• Alternating nasal obstruction

• Rhinorrhea (runny nose) symptoms

• Difficulty breathing

2. Aesthetic and structural concerns

• Upturned nose

• Significant triangular nostril show with asymmetry

• High radix

• Improvement of upturned nose

• Improvement in nostril shape

• Lowering the radix

1. Nostril improvement

• Structural stabilization using cartilage grafts

• Improvement of nostril shape through skin grafting

• Upturned nose correction combined with adjusting nostril visibility

2. Correction of the upturned nose

• Lowering the radix

• Stabilization of the overall nasal profile

• Appropriate height adjustment

3. Functional improvement

• Septoplasty

• Treatment for hypertrophic rhinitis

• Improvement of nasal obstruction

1. Front view

• Improved nostril show and asymmetry

• Natural nostril shape

• Balanced overall structure

• Natural appearance between the eyebrows (glabella)

2. Profile view

• Radix adjusted for a more natural transition

• Correction of the upturned nose

• Straight bridge line

• Corrected nasolabial angle

3. Function

• Improvement of nasal obstruction

• Expected improvement in runny nose symptoms

• Stable septal framework

This was the case of a patient who had undergone multiple nasal surgeries over a long period of 13 years. In particular, excessive triangular nostril show on the frontal view and an upturned nose were the primary areas targeted for improvement.

To refine the shape of the nostrils, nostril-lowering surgery was performed using cartilage and skin grafts simultaneously. This helped cover the nostrils naturally and stabilized the nasal tip contour. In addition, correcting the upturned nose and lowering the radix enhanced profile balance.

Taking into account internal anatomical changes from previous surgeries, a meticulous approach was taken to maintain structural stability. On the functional side, septoplasty and rhinitis treatment helped relieve breathing difficulties.

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

Thank you.

#closedrhinoplasty #revisionrhinoplasty #upturnednosecorrection #nostrilcorrection #customrhinoplasty