What sets the limit when you want a higher nasal bridge: 3D custom implant and autologous rib cartilage tip support

Hello, I am Dr. Peter C. Kang.

Today, I would like to share the case of a patient who visited our clinic seeking a higher nose. Due to prominent brow bones, the patient wanted to balance the height of the nasal bridge and glabella, as well as correct a blunt nasal tip.

• 4 years ago: Nasal filler procedure (dissolved before surgery)

• 3 years and 6 months ago: Silicone implant + autologous rib cartilage surgery

• Desire for a higher nasal tip (as high as safely possible)

• Correction of a blunt nasal tip appearance

• Adjustment of nasal bridge and glabella height to match prominent brow bones

• Correction of the nasolabial angle

1. Nasal bridge elevation using a 3D custom implant

• Customized design tailored to the patient's prominent brow bones

• Creation of a natural line from the glabella to the nasal bridge

• Removal of the existing implant and replacement with a new 3D implant

2. Nasal tip elevation using autologous rib cartilage

• Maintenance of a high nasal tip with strong structural support

• Correction of the blunt appearance

• Creating a well-defined, refined nasal tip

3. Nasolabial angle correction

• Improvement of the profile silhouette

• Enhancing overall facial balance

Front view changes:

• As the nasal bridge was raised, the entire nose gained three-dimensional definition

• The previously blunt nasal tip was refined into a sharper shape

• Enhanced nasal presence along the facial midline

Profile view changes:

• Natural glabella-to-bridge transition tailored to the brow bone line

• A clear, well-defined profile line achieved through the elevated nasal bridge

• A refined profile through nasolabial angle correction

• Improvement in the overall nasal length proportion as the tip was elevated

Nostril view changes:

• Reduced nostril show through increased nasal tip projection

• Balanced nostril shape

For those seeking a higher nose, the most critical factors to consider are natural appearance and structural stability. Pursuing height alone without careful planning can result in an unnatural look or place excessive strain on the skin.

In this case, the patient's prominent brow bones were utilized as an aesthetic advantage. By designing the nasal bridge to harmonize with the height of the brow bones using a 3D custom implant, we were able to create a nose that is high yet harmonizes naturally with the face.

In particular, autologous rib cartilage was used to provide firm support for the nasal tip. Adequate structural support is essential to maintain a high nasal tip over time. Combining a 3D implant with autologous rib cartilage allowed us to achieve an aesthetically pleasing and structurally stable result.

Even patients who have previously undergone surgery can achieve meaningful improvement if they desire a higher and more refined nose. However, it is essential to establish a plan only after accurately evaluating the condition of prior surgeries and surrounding tissues.

I will continue to provide customized surgical approaches tailored to the facial features and concerns of each patient. I hope this case serves as a helpful reference for those considering a higher nasal profile. This has been Dr. Peter C. Kang, Medical Director. Thank you.

#closedrhinoplasty #closedrevisionrhinoplasty #3Dimplant #customrhinoplasty #highbridge #autologousribcartilage #tiprhinoplasty #bridgeaugmentation #male rhinoplasty