Why a short, upturned nose makes the philtrum look long and septal extension graft

Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce the case of a patient who visited our clinic concerned about a short, upturned nose and a philtrum that appeared long.

The patient had no prior nasal surgery and was undergoing primary rhinoplasty. However, because he regularly experienced rhinitis symptoms, he needed both aesthetic improvement and functional correction at the same time.

• Improvement of excessive nostril show caused by a short and upturned nose

• Correction of the appearance of a long philtrum

• Desire for a masculine straight line rather than a sharp, pointed nose

• Preference for an implant on the nasal bridge with autologous rib cartilage for the nasal tip

1. Septal extension using autologous rib cartilage

We naturally extend the length of the short, upturned nasal tip and construct a sturdy support strut that resists deformation over time.

2. Correction of the nasolabial angle using autologous rib cartilage

This reduces the elongated appearance of the philtrum and establishes balance in the profile view.

3. Lateral osteotomy of the nasal bones

Correcting the deviated portion restores symmetry and stability to the nasal bones.

4. Nasal bridge design using a silicone implant

By precisely carving the implant to match the patient's nasal bone anatomy, we create a masculine yet soft straight bridge line.

5. Concurrent rhinitis surgery

By improving nasal airway breathing function at the same time, both cosmetic and functional concerns are addressed together.

6. Removal of a small wart on the right nasal ala

A natural finish provides a clean, neat profile impression.

Front view changes: The short, upturned appearance has become much calmer, and the excessive nostril show visible from the front has been naturally refined. The deviated area was also corrected, establishing stable symmetry.

Profile view changes: With properly extended length, a well-proportioned profile line was created, and the elongated appearance of the philtrum was alleviated. The result was finished with a masculine straight bridge that is not overly sharp.

Nostril changes: The angle of the nostrils visible from the front was smoothly improved, maintaining a natural nostril shape.

A short, upturned nose cannot be resolved simply by elevating the nasal bridge. If one attempts to lengthen the nose without adequate support at the nasal tip, the tip can become upturned again or deform over time. Therefore, a structural approach utilizing autologous rib cartilage to provide a sturdy support strut is essential.

In this case, to achieve the masculine, non-pointed straight nose requested by the patient, we performed both septal extension and nasolabial angle correction with autologous rib cartilage, naturally adjusting the tip length and angle. In addition, the bridge was sculpted with a silicone implant tailored precisely to his nasal bone anatomy to form a smooth straight line.

Unlike female rhinoplasty, male rhinoplasty focuses on creating a stable line that is neither excessively high nor overly pointed. Addressing functional problems such as rhinitis at the same time offers the advantage of improving both surgical satisfaction and everyday comfort.

I will continue to carry out personalized surgeries tailored to each individual's facial proportions and lifestyle.

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

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