Why the nose looks long due to a drooping tip after rhinoplasty, and nasal tip reconstruction with autologous rib cartilage

Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce the case of a patient who was concerned about a drooping nasal tip and an elongated look after previous rhinoplasty.

• Approximately 6 years ago: Rhinoplasty using silicone implant (at another clinic)

• History of nasal filler procedures

• Correction of the drooping nasal tip

• Desire to lower the radix (starting point of the nose)

• Improvement to make the midface appear shorter

• Desire for a natural nasal tip that is not overly sharp

• Preference for using autologous rib cartilage

1. Removal of existing implant

• Removal of silicone implant placed during previous surgery

• Removal of residual nasal filler

2. Nasal tip reconstruction using autologous rib cartilage

• Correction of the elongated nasal tip into a well-defined, natural shape

• Reinforcement of support for the drooping tip

• Creation of a refined tip shape without sharpness

3. Septal reconstruction

• Evaluation of the septal cartilage followed by reinforcement with autologous rib cartilage

• Securing stability of the nasal tip support framework

4. Correction of nasolabial angle

• Pleasing correction of the angle between the nose and upper lip

• Achieving a feminine and refined silhouette in profile

Front view changes:

• The previously long-looking nose improved into natural proportions

• A well-defined nasal tip that is not overly sharp

• Effect of making the midface appear shorter

Profile view changes:

• The drooping tip was naturally elevated

• Feminine profile line achieved through nasolabial angle correction

• Smooth curve from the radix to the nasal tip

Nostril view changes:

• Balanced nostril shape

• Overall facial harmony achieved through nasal tip correction

A nose that looks long becomes even more noticeable when the nasal tip is drooping or the nasolabial angle is inadequate. In this type of case, autologous rib cartilage was used to secure strong tip support while shaping the tip into a well-defined and natural contour.

In particular, because the patient did not want an excessively sharp nose, the focus was placed on creating a natural yet refined nasal tip. By properly correcting the nasolabial angle, a feminine and appealing silhouette could be achieved from the profile view.

A drooping or elongated tip is not merely an isolated problem of the nasal tip itself; it is related to the overall structural balance of the entire nose. Through a structural approach utilizing autologous rib cartilage, stable and aesthetically satisfying results were obtained.

I hope this is helpful to those with similar concerns. This has been Medical Director Dr. Peter C. Kang. Thank you.

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