Reasons for a high radix and upturned nasal tip and correction methods

Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce a case where a patient troubled by a high radix, elevated nasal tip, and columellar asymmetry achieved a natural and balanced nose.

Surgical history: primary surgery with silicone implant and ear cartilage 4 years ago

Main concerns:

• High radix

• Upturned nasal tip

• Frustrated profile view due to a protruding mouth

• Columella tilted to the left

• Nostril asymmetry

• Natural radix

• Improvement of the upturned nasal tip

• Improvement in a protruding mouth

• Correction of columellar and nostril asymmetry

• Balanced overall impression

1. Nasal tip correction using autologous rib cartilage

Autologous rib cartilage was used to naturally lower the upturned nasal tip and refine its shape. It provides stable support with sufficient strength and maintains the intended shape over time.

2. Lower lateral cartilage suturing and trimming

The lower lateral cartilage was properly sutured and unnecessary portions were precisely trimmed. This produced a clearer, more natural tip definition, completing the overall harmony.

3. Improvement of columellar tilt and nostril asymmetry

The columella tilted to the left was aligned straight, and the size and position of the nostrils were adjusted to achieve symmetry. This creates a balanced appearance when viewed from the front.

4. Radix adjustment and a new nasal bridge implant

The high radix was naturally lowered, and the existing implant was removed and replaced with a new silicone implant. It was precisely carved to match the nasal bone structure to create a natural line.

• Upturned nasal tip naturally lowered using autologous rib cartilage

• Clear nasal tip definition achieved by refining the lower lateral cartilage

• Columellar alignment and resolution of nostril asymmetry

• Lowered radix and natural nasal bridge with a new implant

• Balanced profile line through improvement of the protruding mouth appearance

• Overall natural and harmonious impression achieved

In this type of case, it was necessary to naturally improve the high radix and upturned nasal tip while simultaneously resolving the columellar and nostril asymmetry.

Importance of the radix:

If the radix is too high, the appearance becomes artificial and awkward. Adjusting it to an appropriate position creates a natural yet refined impression. Precisely carving the implant to fit the nasal bones is key.

Correction of an upturned nasal tip:

An upturned nasal tip can look juvenile and immature. Lowering it appropriately with autologous rib cartilage gives a mature and elegant feel. If it is lowered too much, it can look aged, so balance suited to facial proportions is essential.

Columellar and nostril symmetry:

When the columella is tilted or the nostrils are asymmetrical, overall facial balance is disrupted. Securing symmetry through precise correction significantly improves the frontal impression.

Role of the lower lateral cartilage:

Properly suturing and trimming the lower lateral cartilage sharpens the nasal tip contour. Using it in conjunction with autologous rib cartilage provides a more stable and natural result.

I will continue to do my best as a specialized clinic to deliver natural, harmonious results that consider each patient's facial proportions and unique characteristics.

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

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