In discussions of facial harmony, what proportions could be addressed within the existing structure emerges as more important than simply raising the nose higher. In cases where the skin lacked elasticity and the nose was small, making it difficult to increase height significantly, the records note that overall proportions and a natural shape were prioritized. These entries document the achievable scope of change.
We also included observations where lowering the radix between the eyebrows altered the impression of facial proportions, as well as records of performing septal extension for a nose that was short and small relative to the face. Adjustments in opposite directions can serve the same goal of harmony. Rather than viewing facial proportions as a single numerical value or a universal correct answer, examine the preoperative characteristics alongside the anatomical areas actually addressed.
View before-and-after cases ↓Comprehensive rhinoplasty guide
This is a case of septal cartilage deficit, nasal bone asymmetry, and nasal obstruction remaining after two surgeries. Through a closed approach, autologous rib cartilage was used for septal reconstruction, along with nasolabial angle correction, nasal bone asymmetry correction, and radix adjustment.
Patient goals · Postoperative record
A case where a silicone implant became palpable, the nasal tip skin thinned, and asymmetry developed after a previous rhinoplasty. The implant was removed, the nasal tip and septum were reconstructed using sliced autologous rib cartilage, and artificial dermis was used for reinforcement.
Patient goals · Postoperative record
This is a case of septal damage, a deviated nasal bridge, a bulbous nose, and nasal obstruction following double jaw surgery and two prior rhinoplasties. Autologous rib cartilage septal reconstruction, cartilage repositioning, lateral osteotomy, and functional nasal surgery were performed.
Patient goals
A primary rhinoplasty case involving a small, low nose and an upturned tip causing excessive nostril show. Using a closed approach, septal reconstruction with autologous rib cartilage, nasolabial angle correction, artificial dermis skin reinforcement, and a silicone implant were performed.
Patient goals · Postoperative record
Following prior surgeries, a bulbous and drooping long nose with an excessively high radix and nasal obstruction was corrected using a closed approach. Scar tissue debridement, osteotomy, nasolabial angle correction, and septoplasty were performed concurrently.
Patient goals · Postoperative record
This is a primary rhinoplasty case correcting an irregular dorsal hump and an acute nasolabial angle. Using a closed approach, we refined the dorsal hump, performed nasal tip plasty with autologous rib cartilage, reconstructed the septum, placed a silicone implant, and corrected the nasolabial angle.
Postoperative record
A case correcting an upturned nasal tip caused by loss of the septum from repeated revision surgeries. Autologous rib cartilage septal reconstruction, nasal mucosal advancement flap, silicone implant adjustment, and rhinitis surgery were performed concurrently.
Patient goals
A case of correcting a short, upturned nasal tip and a pinched nostril caused by congenital septal cartilage weakness. Autologous rib cartilage was used to reconstruct the septum and lower lateral cartilage, combined with lowering the nostril rim and lateral osteotomy.
Patient goals
In a primary rhinoplasty patient, a severely deviated septum was reconstructed using autologous rib cartilage, and hypertrophied inferior turbinates were reduced. Dermis was grafted into the depressed alar region, and the nasolabial angle was adjusted.
Postoperative record
Nostril asymmetry caused by a tilted columellar axis and loss of alar cartilage after Gore-Tex insertion was corrected through Gore-Tex removal, autologous rib cartilage alar reconstruction, and septoplasty.
Patient goals
Following three prior procedures, a deviated nose caused by septal damage and a missing right lower lateral cartilage was restored through autologous rib cartilage structural reconstruction, silicone implant replacement, nasolabial angle correction, and rhinitis surgery.
Patient goals
An uneven nasal bridge, damaged septal cartilage, and nasal obstruction were corrected by removing the existing silicone implant and filler, followed by autologous rib cartilage reconstruction, re-insertion of a customized silicone implant, and septoplasty with inferior turbinoplasty.
Postoperative record
A protruding dorsal hump, drooping long nose, crooked nose, and nasal obstruction were addressed together using autologous rib cartilage tip support, lateral osteotomy, septoplasty for a deviated septum, and inferior turbinate surgery.
Postoperative record
Persistent bulbous tip and upturned nasal tip after surgery with ear cartilage were addressed with autologous rib cartilage septal extension, partial scar tissue excision, cartilage repositioning, and a silicone implant.
Postoperative record
A long nose, drooping nasal tip, crooked nasal bridge, and nasal obstruction remaining after prior functional surgery were corrected using autologous rib cartilage tip plasty, partial septal reconstruction, and lateral osteotomy.
Patient goals
A bulbous, spread-out nasal tip and deviated septum were refined with autologous rib cartilage septal extension, nasolabial angle correction, a silicone implant on the nasal dorsum, and functional nasal surgery.
Postoperative record
In a patient presenting with columellar retraction and a pinched right alar rim following rhinoplasty with silicone and donor rib cartilage, the existing materials were removed and reconstruction of the septum and alar cartilage was performed using autologous rib cartilage.
Postoperative record
To improve an inherently low and wide nose along with rhinitis symptoms, primary rhinoplasty was performed using donor rib cartilage for tip support, a customized silicone implant for the bridge, and septoplasty.
Postoperative record
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There are records noting that because skin size and elasticity made it difficult to raise the nasal tip substantially, overall proportions and a natural design were prioritized instead. There are also cases where lowering the radix altered the impression of facial proportions. The term harmony does not always mean increasing height, and you can review which areas were adjusted and how.
The archive includes separate articles detailing septal extension for a nose that was short and small relative to the face, and articles explaining the changes from lowering the radix. These are cases with different starting anatomies and different areas of adjustment. Even when the overarching goal of facial proportions is shared, they should not be seen as following the same surgical approach; instead, read each case by distinguishing its preoperative characteristics from the procedures actually performed.
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