Why the nasal tip looks spread out and how to address the nasal sill and nasolabial angle together

Hello, I am Dr. Peter C. Kang.

Today, I would like to share a case where a patient troubled by a wide nasal tip, a spread-out nasal sill, and a protruding mouth achieved a natural and refined transformation.

Past history:

• 9–10 years ago: Nose filler

• January of this year: filler removal

Main concerns:

• Wide nasal tip

• Wide-appearing nasal sill

• Protruding mouth

• Remaining filler residue

• Nasal obstruction caused by a deviated septum and rhinitis

• Improvement of a wide nose

• Natural result

• Harmonious with the face

• Improvement of nostril asymmetry

• Relief of nasal obstruction

1. Refining the wide nasal tip with donor rib cartilage

We naturally gathered the wide nasal tip and elevated it to an appropriate height. Donor rib cartilage provided sufficient structural support, creating a balanced shape that suits the facial proportions.

2. Lower lateral cartilage trimming

By precisely trimming the lower lateral cartilages, we defined the nasal tip contour more clearly. The broad appearance was improved, resulting in an overall well-defined impression.

3. Nasal sill reduction

We appropriately narrowed the wide-appearing nasal sill. From the front view, the entire nose now looks slimmer and more refined.

4. Improving a protruding mouth through nasolabial angle correction

4. Correcting the protruding mouth with nasolabial angle correction. By carefully adjusting the angle between the nose and the upper lip, the profile line became three-dimensional and refined.

5. Removal of residual filler

The foreign material (filler) remaining in the existing nasal bridge was completely removed during surgery. Securing a clean foundation improved safety.

6. Treatment of deviated septum and rhinitis

We cleared the obstructed airway to restore normal breathing. Septoplasty and rhinitis surgery make daily life much more comfortable.

• Natural refinement of a wide nasal tip using donor rib cartilage

• Clearer definition achieved through lower lateral cartilage trimming

• A slimmer front view via nasal sill reduction

• Protruding mouth improved and a refined profile created through nasolabial angle correction

• Complete removal of residual filler

• Breathing restored by treating septal deviation and rhinitis

• An overall natural and balanced impression achieved

In cases like this, it is necessary to naturally refine the wide nasal tip and nasal sill while addressing both the protruding mouth and nasal obstruction at the same time.

Refining a wide nasal tip:

A wide nasal tip makes the nose look large and blunt. Elevating it appropriately with donor rib cartilage and precisely trimming the lower lateral cartilages can define the contour and create a refined impression.

The effect of nasal sill reduction:

When the nasal sill is wide, the entire nose appears broad from the front view. Narrowing it appropriately creates a slimmer, more refined look. Excessive narrowing can look unnatural, so maintaining balance suited to the patient's facial proportions is essential.

The importance of filler removal:

Residual filler can cause inflammation or deformation. Completely removing it during surgery secures a clean, stable foundation.

Simultaneous functional and aesthetic improvement:

A deviated septum and rhinitis are major causes of nasal obstruction. Treating them concurrently with cosmetic rhinoplasty allows all concerns to be addressed in a single recovery period.

We will continue to do our best as a specialized clinic to deliver natural and harmonious results tailored to each patient's facial proportions and individual characteristics. This was Medical Director Dr. Peter C. Kang. Thank you.

#closedrhinoplasty #closedrevisionrhinoplasty #widenosecorrection #donorribcartilage #nasalsillreduction #nasolabialanglecorrection #protrudingmouthcorrection #fillerremoval #deviatedseptum #rhinitissurgery