Short Upturned Nose Revision Surgery: Rib Cartilage Is Essential! (feat. Alar Reduction)

Among rhinoplasty procedures, one of the most difficult is #shortnose #upturnednose.

If you ask a group of plastic surgery clinic directors, all 10 out of 10 will say that the most difficult surgery is the one that lengthens a short nose.

That is how well surgeons who have performed a lot of nose surgeries know that it is not easy to increase insufficient tissue.

From an analysis of the cause, a nose that looks short and upturned is ultimately a problem of the nasal tip cartilage or skin tissue, and rather than the bridge, the nasal tip tissue needs to be carefully

lengthened.

Also, because an upturned, short nasal tip means that the tip cartilage is short and cephalo-upturned, the conclusion is that the lifted tip cartilage needs to be extended.

But in fact, if you try to lengthen the nasal tip using only the limited nasal tip cartilage tissue, you eventually reach a limit and end up disappointed that it cannot be made much longer.

So the savior for nasal tip lengthening is rib cartilage.

In some patients, lengthening the nose works well with only ear cartilage and septal cartilage, but because the amount of cartilage that can be harvested from the small nose of an East Asian patient is ultimately

limited, rib cartilage, which is relatively large and strong, can be the optimal material for lengthening a short nose.

Rib cartilage costal cartilage

short nose correction, essential biomaterial !

For an experienced rhinoplasty surgeon, another point to watch closely in #shortnosecorrection is the columella seen from the side.

If that columella looks flat and broad from the side, like the place indicated by the red arrow, the short nose will look even more upturned, so

making that columella thicker and bringing it downward can become a key technique in short nose correction.

It definitely looks less short and has a better shape when the columella is brought down, right?

When viewed from the oblique view, you can see how important the flatness or prominence of the columella is to the shape of the nasal tip.

Increasing the nasolabial angle is also important in short nose correction, but increasing the volume of the columella is also very important.

The photo above shows how important that is.

Also, the more circular the nostrils are, the more the nose can look like a pig nose, which can worsen the appearance and make it look shorter.

These nostrils can be corrected again into longer nostrils through #alarreduction.

When reducing nostril size, rather than reducing it thoughtlessly, the resection design should be adjusted according to the nostril shape.

For nostrils like these, where the base of the nostril is wide, the important thing is to design the reduction so that most of the cutting is done at the base of the nostril to reduce its size!

Lari Plastic Surgery, which is good at nose revision surgery, is close to Exit 4 of Apgujeong Station on Subway Line 3.

If you had nose surgery and are not satisfied with the result, be sure to add Lari Plastic Surgery to your consultation list!