Why the nasal bridge looks artificial and the nose becomes upturned, and how to reconstruct it

Hello, this is Dr. Peter C. Kang, medical director.

Today, I would like to share a case where we restored a natural nasal line for a patient who was concerned about an artificial nasal bridge and an upturned nose.

• 4 to 5 years ago: Nasal filler injection (subsequently dissolved before surgery)

• 4 years ago: Rhinoplasty with a silicone implant, septal cartilage, and donor rib cartilage

Front view

• Upturned nasal appearance

• Excessive nostril show

• Nostril asymmetry

• Artificial look with a chalk-like appearance along the nasal bridge implant

• Harsh impression caused by a high radix starting point

Profile view

• Very artificial curve of the nasal bridge

• Excessive nostril show visible on the profile view

Nostrils

• Columella tilted to the right

• Nostril asymmetry observed

• Correction of a wide-looking nasal width

• Reduction of nostril show

• Result harmonious with the face

• Correction of deviated nose

Structural improvement

• Septal extension using autologous rib cartilage

• Correction of upturned nose

• Alar rim lowering

• Correction of crooked nose

• Correction of the nasolabial angle

Morphological improvement

• Lowering the nasal bridge starting point

• Refining the artificial curve into a natural line

• Achieving an overall natural nasal shape

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

Front view

• Improvement in upturned nasal shape

• Reduction of nostril show

• Enhanced nostril symmetry

• Natural nasal bridge starting point

• Softened impression

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

Profile view

• Natural nasal bridge line

• Reduced nostril show

• Harmonious nasal line

• Balanced overall proportions

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

Nostrils

• Straightened columellar position

• Improved nostril symmetry

• Natural nostril shape

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

In this case, the patient had undergone surgery 4 years prior using a silicone implant and donor rib cartilage, with a very artificial nasal appearance as the primary concern. In particular, the bridge implant gave an unnatural look that resembled an inserted piece of chalk, and the curve of the nasal bridge was also excessively artificial.

The most prominent issues were the upturned nose and excessive nostril show. The nasal bridge starting point was positioned too high, creating an overall harsh impression, and the columella was tilted to the right, showing visible nostril asymmetry.

To address these issues, septal extension using autologous rib cartilage was performed to correct the upturned nose. In particular, through alar rim lowering, the excessively exposed nostrils were lowered to an appropriate position to create a natural appearance.

Lowering the starting point of the nasal bridge softened the harsh impression, and the previously artificial curve of the dorsum was reshaped into a natural contour. In addition, the crooked portion of the nose was corrected to enhance overall symmetry.

By adjusting the nasolabial angle, a harmonious line was achieved from the profile view as well, and the wide-looking nasal width the patient was concerned about was improved by adjusting the overall proportions.

As a result, the artificial impression from the previous surgery was resolved, achieving a natural nose shape that harmonized with the face. In particular, the upturned tip and excessive nostril show were addressed, making this a meaningful case where the patient obtained the desired natural result.

This has been Dr. Peter C. Kang, medical director.

Thank you.

#closedrhinoplasty #upturnednosecorrection #artificialnosecorrection #alarrimlowering #naturalnoseline #customrhinoplasty