Improving Midface Depression Through Rhinoplasty

The nose is located at the center of the face, and people with a low and small nose often also have a small and low midface.

� Because the nose is also positioned in the midface of the face, people whose midface appears relatively sunken often also have a small and short nose.

� � 'Midface Depression (Sunken Midface)'

Midface Depression and a Flat Face

When midface development is insufficient, the midface appears relatively sunken compared to the upper and lower face, creating a flat, dish-like facial shape.

� Since the midface serves as the base and support for the nose, when the midface is small and sunken, the nose also appears significantly under-projected.

� � 'Columella Depression (Sunken Nasal Column)'

� In cases of midface depression, the nose often has a columella that is curled inward.

� When the columella is sunken, it is difficult to create a refined impression, and because of the angle and shape formed by the nose and philtrum, the mouth can easily appear relatively protruded.

� � 'Rhinoplasty and the Selection of Various Cartilage Materials'

� In rhinoplasty consultation, choosing the cartilage material is a very important factor.

� Usually, in a first rhinoplasty, the tip is raised using septal cartilage and ear cartilage, while the bridge is augmented with a silicone implant.

� However, when the nose is very small or short, or when the midface is sunken, I recommend using rib cartilage even in the first rhinoplasty.

Materials needed to build a house

� The reason material selection is important in rhinoplasty is that rhinoplasty can be compared to building a house in certain respects.

� If you have enough strong materials when building a house, you can build a taller house, but if the building materials are insufficient and weak, building a somewhat lower house is the more realistic approach.

� � 'Rib Cartilage Rhinoplasty'

� The strongest and most abundant material in rhinoplasty is rib cartilage. It has stronger support than other cartilage and there is also a greater amount available for harvest, so if you want a more definite result, autologous rib cartilage rhinoplasty is recommended.

� In particular, rib cartilage rhinoplasty is necessary when there is midface depression, when nasal support has become insufficient after double jaw surgery, or when there is a shortage of septal cartilage.

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Diagram of rib cartilage rhinoplasty when the midface is sunken

When there is a sunken midface, using autologous rib cartilage makes it possible to create multiple rib cartilage segments and secure support for the nasal tip.

� In particular, when the columella is sunken, in addition to the usual septal extension method using rib cartilage, an additional support can be inserted into the columella area to bring it downward.

� And through this columellar support at the nasal tip, the nasolabial angle formed by the nose and philtrum can also be adjusted.

� � 'Before-and-After Comparison of Rhinoplasty for Midface Depression'

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Before-and-after comparison of midface depression surgery (correction of columella depression, lowering the columella)

Before-and-after comparison of midface depression surgery (improvement of midface sunken appearance)

Before-and-after comparison of midface depression surgery (improvement of columella depression, lowering the columella)

Before-and-after comparison of midface depression surgery (improvement in philtrum length, correction of the nasolabial angle, and correction of protruding mouth)

� Many people planning rhinoplasty have a sunken midface or midface depression.

� In such cases, when surgery is performed like a typical first rhinoplasty, it often leads to unsatisfactory results and a revision surgery.

� If you have a sunken midface or midface depression, even if it is your first surgery, please consider rhinoplasty using rib cartilage.