Why a nose looks low and wide: surgical technique starting from the nasal tip structure

Hello, I am Dr. Peter C. Kang.

Today, I would like to share the case of a patient who visited our clinic with concerns about a low and wide nose.

This was a primary rhinoplasty case for a patient who had never previously undergone any nasal surgeries or cosmetic procedures. The nose was congenitally low and wide, and the patient came in for a consultation wanting to improve the overall nasal line.

The patient's specific requests were as follows:

• Improving the low nasal height

• Narrowing the wide-looking nasal tip

• Natural bridge line

• Improvement in nasal obstruction (deviated septum and rhinitis symptoms)

1. Nasal tip plasty using donor rib cartilage

• Reinforcing the nasal tip support structure with donor rib cartilage

• Bringing together the wide nasal tip for a slimmer definition

• Naturally raising the nasal tip height to create a refined line

2. Nasal bridge augmentation using a silicone implant

• Silicone implant precisely carved to fit the nasal bone

• Naturally connecting the nasal tip and the forehead line

• Providing natural height along the dorsum

3. Septoplasty and inferior turbinate reduction

• Internal nasal structures realigned by correcting the deviated septum

• Rhinitis symptoms improved by reducing hypertrophied inferior turbinates

• Restoration of breathing function

Front view changes

• The previously wide-looking nasal tip is gathered into a slimmer shape

• The overall width of the nose is naturally reduced

• An overall refined and balanced nasal contour

Profile view changes

• Previously low nasal bridge naturally elevated

• Creating a smoothly transitioning line from the forehead to the nasal tip

• The nasal tip is elevated distinctly, completing a refined profile silhouette

Changes on the oblique view

• Natural nasal contour visible even at a 45-degree angle

• A harmonious line between the elevated bridge and the gathered tip

• A sense of balance that suits the entire face

Changes in nostril shape

• As the wide nasal tip was gathered, the nostril shape also changed naturally

• Balanced, symmetric nostril shape

• Overall neat and refined nasal base line

A low and wide nose is a common anatomical presentation among Asians. In these cases, rather than simply raising the nasal bridge, it is crucial for a natural result to properly reconstruct the framework of the nasal tip and bring the spread tissues together.

In this surgery, donor rib cartilage was used to reinforce the nasal tip support framework and gather the wide tip into a slimmer profile. Donor rib cartilage provides sufficient structural support without the need to harvest autologous cartilage, which reduces physical burden for the patient while building a stable nasal tip structure.

For the nasal bridge, a silicone implant was carved meticulously to match the contours of the patient's nasal bone and positioned on the dorsum. Rather than focusing merely on height, emphasis was placed on naturally connecting the nasal tip to the forehead line, completing a nasal contour in harmony with the entire face.

In addition, septoplasty and inferior turbinate reduction were performed concurrently to address nasal obstruction. Performing rhinoplasty and functional nasal surgery together is efficient, as it allows both aesthetic refinement and airway improvement to be achieved in a single operation.

For those concerned about a low and wide nose, rather than unconditionally raising the height, it is essential to establish a surgical plan that comprehensively considers the balance between the nasal tip and bridge. At NOSELAB, we analyze each patient's facial shape and nasal characteristics to achieve the most natural result possible.

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

#closedrhinoplasty #closedrevisionrhinoplasty #lownosecorrection #widenosecorrection #donorribcartilage #tipplasty #deviatedseptum #nasalobstructionsurgery #siliconeimplant