Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.
Today, I’d like to share the case of a 29-year-old male patient who achieved a natural, yet refined transformation of his short and wide nose through rhinoplasty. This case highlights the unique considerations for male rhinoplasty and the key techniques for creating balanced and masculine results.
1. Patient’s Goals
The patient’s primary concern was nasal congestion, but he also hoped for a more masculine and attractive nasal shape.
2. Pre-Surgical Analysis
Upon analyzing the patient’s nasal and facial features, we observed:
Pre-Surgery Design Consultation: Frontal View, Right Side View, and Oblique Side View Photos
Low nasion, with a blunt and wide nasal shape overall
A nose that appeared relatively short and small in proportion to his face
A rounded, broad nasal tip
Horizontally widened nostrils
Protrusive lips
Hidden columella from a side view, and a nasolabial angle less than 90 degrees
These characteristics contributed to a nose that appeared small, short, and disproportionately wide on his face.
Pre-Surgery Design Consultation: Nostril View, Left Side View, and Oblique Side View Photos
3. Surgical Plan
To address both his functional and aesthetic needs, we developed the following plan:
Nasal Tip Refinement: Elevate the tip to add length while maintaining a natural, non-pointed appearance, improving facial proportions.
Columella Adjustment: Lower the columella to achieve a better nasolabial angle, which would enhance the masculine, structured look from a side view.
Bridge Augmentation: Create a more defined, masculine profile by refining the blunt, wide bridge.
Materials:
Septal Cartilage: Assessed for suitability, with autologous rib cartilage as a backup if septal cartilage was insufficient.
Silicone Implant: Restricted to the bridge for a subtle height increase that maintains a natural look.
Alar Adjustment: Reposition and suture the alar cartilage to narrow the nasal base, reducing the appearance of flared nostrils.
Functional Improvement: After diagnosing septal deviation and hypertrophic rhinitis, we planned a septoplasty and turbinate reduction using high-frequency laser.
This comprehensive approach aimed to meet both the patient’s aesthetic goals and his functional needs for a well-rounded outcome.
4. Surgical Process
During surgery, we found that his septal cartilage wasn’t ideal for nasal tip support, so we harvested autologous rib cartilage for this purpose. This decision highlights the importance of real-time adjustments to ensure optimal results. While this added about 30 minutes to the procedure, it allowed us to create a more stable and natural nasal structure.
5. Results
Post-surgery, the results were outstanding:
Before Surgery (Left) / Immediately After Surgery (Right)
Before Surgery (Left) / Immediately After Surgery (Right)
Before Surgery (Left) / Immediately After Surgery (Right)
Before Surgery (Left) / Immediately After Surgery (Right)
Nasal Tip: The previously wide nasal tip was refined, giving a sharper, more masculine appearance.
Nasion Height: The bridge’s height subtly increased, adding definition and enhancing facial symmetry.
Proportional Harmony: The nose’s size and length better matched his facial proportions, creating a balanced appearance.
Masculine, Straight Nose Line: Known as the “straight nose” or “masculine line,” this result delivered the strong, structured look he desired.
Nostril Improvement: The nostrils no longer appeared overly wide, achieving a balanced look from the front.
Profile View: With the columella repositioned and nasolabial angle corrected, his profile gained a clean, masculine silhouette.
Photos Immediately After Surgery: Frontal, Side, and Oblique Side Views
Photos Immediately After Surgery: Nostril View
6. Key Points for Male Rhinoplasty
Male rhinoplasty requires unique considerations:
Straight Contours: Male noses generally benefit from straighter lines rather than curves, adding strength and masculinity.
Wider Tip and Bridge: Compared to female noses, a slightly wider tip and bridge work well with male facial structures.
Ideal Nasolabial Angle: For men, an angle of around 90 degrees (slightly smaller than the ideal for women) creates a strong, distinct boundary between the nose and lips.
Minimal Nostril Exposure: A natural look for men includes limited nostril visibility from the front.
Height of the Nose: Male noses often benefit from a slightly higher bridge, adding structure and definition to the face.
This case provides valuable insights for men considering rhinoplasty, emphasizing the importance of both functional and aesthetic aspects in creating a balanced, natural, and masculine look.
Rhinoplasty, especially for male patients, requires a custom approach to match individual facial characteristics, skin type, and desired outcomes. If you’re considering rhinoplasty, I recommend consulting with a rhinoplasty specialist to determine the best approach for your unique needs.
Nose Lab Clinic is dedicated to helping you achieve beautiful, healthy results with safety and satisfaction as our top priorities.
Thank you,
Dr. Cha-Young Kang, Director of Nose Lab Clinic.
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