The phrase "natural nose" can refer to different appearances depending on the patient. While some records show patients concerned about an upturned nose and a wide nasal tip wanting their alae to look narrower, other cases show patients requesting a natural nose while bringing reference photos of a high, dramatic shape. You can read about the desired changes by specific anatomical areas and shapes.
We have also included articles documenting structural limitations regarding nostril asymmetry alongside observations of changes in the nasal tip and deviation after surgery. We do not assume that a patient's initial goal was identical to the recorded changes. Rather than comparing only the word "natural," examine whether height, width, or alignment was requested, and review the changes and limitations noted in the photos and text.
View before-and-after cases ↓Comprehensive rhinoplasty guide
A case where an L-shaped implant placed about 10 years ago caused skin thinning and an upturned nasal tip. The L-shaped silicone implant was removed, and nasal tip reconstruction with autologous rib cartilage, septal correction, and dermal tissue reinforcement were performed.
Patient goals · Postoperative record
A case of a patient seeking a slimmer line after a previous rhinoplasty. Nasal tip reconstruction with autologous rib cartilage, nasal bridge implant replacement with lowering of the radix, nasal sill reduction, and full-face autologous fat grafting were performed together.
Patient goals
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
A case where a short, upturned nasal tip and a drooping columella in an unoperated nose were corrected through septal extension. A strut was built using donor rib cartilage and septal cartilage, accompanied by columellar elevation and silicone implant placement.
Patient goals
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
This is a case where mesh left in the septum after previous surgeries resulted in an upturned nose and excessive nostril show. All foreign material was removed, followed by septal reconstruction using autologous rib cartilage, replacement of the silicone implant, and reinforcement of the skin with acellular dermal matrix.
Patient goals
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.
Patient goals
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 staged nasal reconstruction for a nose damaged by recurrent implant inflammation. After foreign body removal, a 2-year resting period, and stem cell therapy, the structure was rebuilt using donor rib cartilage and an implant was inserted.
Patient goals · Postoperative record
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
A case where post-surgical trauma caused a septal tear, resulting in a crooked nose and nostril asymmetry. Septal reconstruction was performed using autologous rib cartilage, along with realigning the columellar central axis and replacing the implant.
Patient goals
A case involving a long, drooping nasal tip and nasal obstruction following previous rhinoplasty with a silicone implant and septal cartilage. The nasal tip was corrected using autologous rib cartilage, performed concurrently with septoplasty, inferior turbinate reduction, and synechia adhesiolysis.
Patient goals
A case where repeated surgeries and inflammation led to depressed nasal tip skin and implant show-through. The damaged skin was revised, dermal and cartilage grafts were placed, the septum was reinforced with autologous rib cartilage, and the implant was replaced.
Patient goals
A high, deviated silicone implant was replaced to lower the radix, and septal extension was performed using donor rib cartilage. Partial soft tissue resection, cartilage tie, and rhinitis surgery addressed the bulbous tip and nasal obstruction.
Patient goals
Residual facial asymmetry and a deviated septum following double jaw surgery were corrected using autologous rib cartilage reconstruction. Lateral osteotomy, precision carving of a silicone implant, and rhinitis surgery were performed concurrently.
Patient goals
Implant show-through at the nasal tip and thinned skin were reinforced with donor dermis, and foreign substances were removed. The nasal tip was reconstructed using autologous rib cartilage, along with dragon nose correction and lateral osteotomy.
Patient goals
Contracture and septal defect resulting from repeated surgeries were reconstructed using autologous rib cartilage. For the retracted columella, retroauricular free skin flap grafting and perichondrium grafting were performed to restore its shape.
Postoperative record
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In the original records, there are cases where patients stated they wanted a natural nose while bringing reference photos showing a high, dramatic look. Other patients hoped to make their alae appear narrower and improve an upturned look. Because the same expression can mean different things, it is helpful to look at the specific shape described in the consultation notes rather than assuming a low bridge or subtle change.
One article explains changes to the nasal tip, deviation, and nostril show, while also noting that complete correction of nostril asymmetry was difficult due to structural limitations from previous surgery. Rather than reading only positive descriptions of the outcome, you can review these limitations as well. This case helps in distinguishing between the desired design and the actual observations.
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