Why a nose appears low and how to build height using autologous rib cartilage

Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce a rhinoplasty case of a male patient whose low nose was improved to look natural yet defined, matching his facial proportions.

In cases like this, the patient had a history of previous nasal procedures and surgeries.

• Childhood: Surgery for a nasal bone fracture

• Approximately 3 to 4 years ago: Nasal bridge filler injection to raise a low nose

• About 1.5 years ago: additional filler procedure

Before the filler procedures, the patient's nose was so low that the glabella area was hardly visible.

When the patient visited our clinic for consultation, the requests were as follows:

• Desire to raise the low nose

• Did not want an overly sharp tip

• Preference for a straight bridge line

• Preference for autologous rib cartilage

• A natural nose in harmony with the face

In particular, the patient wanted a natural yet defined nose suited to his facial proportions without looking excessive.

By analyzing the patient's requests and facial proportions, a surgical plan was established to achieve a natural yet defined aesthetic.

1. Removal of foreign material from the nasal bridge

• Complete removal of previously injected foreign materials such as filler

• Preparing to build a new structure on a clean foundation

2. Nasal tip plasty using autologous rib cartilage

• Use of autologous rib cartilage as the primary material, as requested by the patient

• Elevating the nasal tip cleanly for a defined, dramatic contour

• Natural nasal tip shape without being overly sharp

• Long-term shape maintained with stable structural support

3. Custom-carved silicone implant

• Silicone implant precisely carved to fit the patient's nasal bone contours

• Creation of a smooth, straight nasal bridge line

• Securing adequate height suited to facial proportions

4. Correction of nasolabial angle

• Adjustment of the angle between the nose and the lips

• Refined profile silhouette achieved

• Improvement in overall facial balance

5. Surgery to correct nasal obstruction

• Resolution of functional discomfort

• Securing comfortable breathing

• Simultaneous achievement of aesthetic and functional improvement

Front view changes:

• The previously low nose was elevated in proportion to the face

• Overall refined and glamorous impression

• A natural shape in harmony with the face

Profile view changes:

• Creation of a smooth, straight nasal bridge line

• A well-projected, natural tip shape that is not overly sharp

• A refined profile through nasolabial angle correction

Functional changes:

• Improvement in nasal obstruction symptoms

• Comfortable breathing

• Aesthetic satisfaction and functional improvement achieved simultaneously

The most important factor in surgery to raise a low nose is harmony with facial proportions. Simply increasing the height can make the nose appear unnatural, so an appropriate height and line must be determined by comprehensively considering the patient's facial contour and features.

In this type of case, the patient did not want an overly sharp tip, preferring a natural nose with a straight line. Accordingly, autologous rib cartilage was used as the primary material to stably support the nasal tip, and a silicone implant was meticulously carved to fit the nasal bone, creating a straight bridge line.

Because autologous rib cartilage is the patient's own tissue, it does not cause rejection and helps maintain a stable shape over the long term. In particular, when significant height needs to be achieved for a low nose, the strong structural support of autologous rib cartilage is a major advantage.

In male rhinoplasty, it is important to create a refined look without being overdone. In this case as well, we were able to achieve the natural yet defined nose that the patient desired.

I will continue to provide customized surgical care tailored to each patient. I hope this case helps those with similar concerns. This has been Dr. Peter C. Kang, Medical Director. Thank you.

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