Q. I’m Worried After Arrow Nose Tip Surgery — Which Type of Nose Surgery Do I Need?

Hello, I’m Director Kim Hyeong-taek of KoWon Plastic Surgery.

Noses with a lot of tip movement, such as an arrow nose or a fleshy nose, often change shape depending on facial expressions, so many people continue to worry even after surgery.

In particular, if the nostrils spread widely when smiling or the columella drops downward and makes the nose look like an arrow nose, you may feel confused about which surgery to choose. There are also many questions about whether revision surgery is necessary when you are not satisfied with the impression after surgery, and which muscles or structures need to be corrected.

Today, based on an actual consultation case, I will clearly explain how to distinguish the causes of arrow nose tip surgery and nostril changes, and what kinds of correction are possible.

Q.

I have already undergone surgery for an arrow nose and a fleshy nose. After the surgery, the arrow nose became more noticeable, and the fleshy nose improved a little after the fleshy nose surgery.

But I’m still concerned about the arrow nose, so I’m considering nose revision surgery. However, when I told the doctor what I was unhappy with, they said that my nostrils naturally point upward more than other people’s, so the arrow nose looks more pronounced when I smile. They also explained that if the columella is raised further, it may end up looking like an upturned nose.

But even when I’m just resting, the columella seems to droop more, my nostrils look wider after surgery, and when I smile, the spreading of the nose becomes very noticeable.

If the nostrils rise especially a lot when smiling, which approach among the types of nose surgery would improve this? Could it get better with nostril reduction alone, without arrow nose tip surgery?

#TypesOfNoseSurgery #ArrowNoseTipSurgery #KoWonPlasticSurgery

A.

Hello. I’m Kim Hyeong-taek, a plastic surgery consultant on Hidoc-Naver Knowledge iN.

If the nostrils spread upward when smiling and the columella remains unchanged, it can easily look like an arrow nose. Especially for people who have previously been told they have an arrow nose, arrow nose tip surgery is often reconsidered.

However, if it still looks like an arrow nose even when resting, among the different types of nose surgery, a method that slightly lifts the nose tip may be applicable as arrow nose tip surgery.

The exact approach can only be determined by examining the actual nose shape directly. The tendency for the sides to spread when smiling may be a structural characteristic, so complete correction may be difficult.

However, if the columella droops downward when smiling and the nose looks like an arrow nose, arrow nose tip surgery that blocks the action of the depressor of the nasal septum (the muscle that pulls the tip down) may be helpful. This is also a commonly used correction method among the various types of nose surgery.

In addition, if the nose spreads and looks wider when smiling, there are cases where nostril reduction alone can improve it, but in most cases, a more natural result comes from approaching it together with arrow nose tip surgery. In other words, it is better to judge this together with the nasal tip structure rather than relying on nostril reduction alone.

Because the current condition (front view, movement, and changes in smiling expression) must be assessed accurately, it is necessary to determine which type of nose surgery is the most appropriate, so receiving a detailed consultation would be the safest option.

I hope you achieve a good result. Thank you.

Hello, this is KoWon Plastic Surgery, a place known for revision rhinoplasty that carefully designs various nose shapes. Today, focusing on cases of nose surgery after jaw surgery, I will explain in detail the points that people considering female rhinoplasty are especially curious about.

After jaw surgery, the shape of the nose often changes, which can be a concern. When the position of the jaw changes, the support structure of the nose also changes, which can make the nose look upturned or become wider on both sides. This occurs as the support of the septal cartilage weakens due to jaw movement, and in such cases, it can be corrected with nose tip surgery.

This female patient had previously undergone a type of nose tip surgery called nasal tip cartilage binding, so problems such as the nose becoming overly upturned or wider were not severe.

However, the overall nose structure was asymmetrical, and the nasal bridge was low, so from the front, the area between the eyebrows looked sunken. This is a common case in female rhinoplasty.

If you look at the before-and-after photos of the autologous rib cartilage rhinoplasty compared below, the wide, round nostrils became naturally slimmer, and the low, blunt nasal tip became higher, confirming that the overall image improved much more clearly.

This kind of change is a common feature in the combination of nose tip surgery and autologous rib cartilage.

The patient did not want an implant, so instead of silicone, surgery was performed using rib particles and rib cartilage. This is one of the approaches commonly considered by patients looking for a place known for revision rhinoplasty.

In particular, rib particles have a low absorption rate, making surgical results easier to predict, and because there is little change in shape after surgery, they are highly preferred as an alternative implant in female rhinoplasty.

The patient had undergone nasal tip cartilage binding in the past, but the effect was not sufficient. To naturally improve the shape of the nasal tip, it is very important for the nostrils to have an oval shape.

In this surgery, the nasal tip was reopened, the cartilage was carefully reorganized, and the position and structure of the nasal tip were stably corrected through nose tip surgery.

For the nasal bridge, autologous rib particles were used instead of silicone, and the nasal tip was firmly supported with rib cartilage.

Since this was not long after the autologous rib cartilage rhinoplasty, some swelling remains, but overall you can see a soft and natural line. This is also an element that people looking for a place known for revision rhinoplasty consider especially important.

The problem of the mouth appearing more protruded because of the low nasal bridge was also improved.

That concludes the introduction to nose surgery after jaw surgery and autologous rib cartilage rhinoplasty cases. KoWon Plastic Surgery provides customized surgery based on accurate analysis and professional design not only for those considering their first rhinoplasty, but also for those considering revision surgery.

You can find more cases of female rhinoplasty and nose surgery after jaw surgery on the blog, so please take a look. Thank you.

Posts worth referring to for arrow nose and fleshy nose surgery

Q. How do you treat a blunt nasal tip that becomes an arrow nose when smiling?