Lengthening Revision Rhinoplasty for a Short, Upturned Nose

This is a case of simple rhinoplasty performed at another clinic more than 10 years ago using silicone and ear cartilage.

Because several unsatisfactory points were not corrected, revision surgery was planned.

Exposed nostrils and retracted columella

This is the simplest form of rhinoplasty, in which a silicone implant is used to raise the bridge and ear cartilage is placed at the nasal tip.

Although this surgery is simple, it is a procedure that makes it difficult to correct a short nose.

Rhinoplasty using a silicone implant and ear cartilage

Through revision surgery, the existing silicone implant is removed, and the area between the alar cartilage and the upper lateral cartilage is delicately dissected so that the alar cartilage can be moved downward.

After removing the existing silicone implant, the alar cartilage is dissected and moved downward

The dissected alar cartilage is lowered and fixed well using a septal extension graft and a columellar strut.

A new silicone implant is then inserted so that it lies closely along the nasal bridge.

The alar cartilage is lowered using septal cartilage, and a columellar strut is created using ear cartilage.

To correct the nostril show seen from the front, which was unsatisfactory, a lengthening graft is performed on the alar cartilage using ear cartilage.

Alar cartilage lengthening graft to correct the upturned nose

From the front, the upturned nose, short nose, and columellar retraction have improved

The nose has been successfully lengthened at a 45-degree angle

A clear correction of the short nose from the side view

With the development of various surgical techniques, current rhinoplasty now makes it possible to delicately correct areas that could not be corrected in the past.

In particular, nostril show in the form of an upturned nose and columellar retraction can also be corrected in a refined way.