[Nose Lab Clinic]
Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.Today, I would like to share a transformative rhinoplasty case where a patient successfully addressed concerns regarding a long philtrum and asymmetrical nasal alae.
1. Procedure History and Patient Goals
Procedure History:
6 months prior: Radiesse filler (less than 0.5cc injected into the nasal dorsum)
Patient Goals:
Correct asymmetry in the nasal alae and nostrils
Refine the appearance of a wide nasal tip
Shorten the long philtrum for better facial balance
2. Preoperative Analysis
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
a. Frontal View:
Wide, bulbous nasal tip
Asymmetrical nasal alae and nostrils
Long philtrum, contributing to an imbalanced facial ratio
b. Side View:
Upturned nasal tip
Noticeable protrusion of the upper lip
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos
c. Nostril View:
Uneven nostril sizes
Rightward-tilted columella
3. Surgical Approach and Execution
a. Structural Enhancements:
Complete removal of residual filler and associated foreign materials
Utilized autologous rib cartilage for septal extension and stabilization
b. Functional Improvements:
Corrected deviated septum through septoplasty
Performed turbinate reduction surgery to address chronic rhinitis
c. Aesthetic Refinements:
Adjusted nasal base through alar base reduction surgery
Symmetrically reshaped nasal alae and nostrils
Sculpted a refined "straight bridge" line (직반라인) for a balanced and elegant profile
Adjusted the nasolabial angle to reduce philtrum prominence and soften the protrusion of the upper lip
4. Postoperative Outcomes
Before (Left) / Immediately After (Right)
a. Frontal View:
A sleeker, more defined nasal tip
Corrected asymmetry of nasal alae and nostrils
Shortened philtrum for improved facial proportions
Enhanced overall facial symmetry
Before (Left) / Immediately After (Right)
b. Side View:
Natural lowering of the upturned nasal tip
Improved nasolabial angle creating a harmonious side profile
Elegant straight bridge line
Before (Left) / Immediately After (Right)
c. Nostril View:
Corrected columella tilt to central alignment
Symmetrical nostril sizes and shapes
Balanced nasal base proportions
Before (Left) / Immediately After (Right)
5. Expert Insights and Closing Thoughts
Immediately After Surgery: Frontal, Oblique Side, and Side View Photos
Immediately After Surgery: Nostril View Photos
This case showcases the importance of addressing complex nasal concerns, such as philtrum length and asymmetry, within the broader context of facial harmony. Through meticulous planning and execution, we achieved a refined, elegant nose while preserving the patient’s natural beauty.
Key Takeaways:
Shortening a long philtrum can significantly improve the balance of facial proportions, especially in patients with a noticeable upper lip protrusion.
Symmetrical nasal alae and nostrils are crucial for a natural and harmonious appearance.
From foreign material removal to structural reconstruction using autologous rib cartilage, each step of the procedure was carefully tailored to the patient’s anatomy and aesthetic goals. Functional issues, including a deviated septum and rhinitis, were simultaneously addressed to ensure long-term satisfaction.
At Nose Lab Clinic, we believe that true beauty lies in balance. By harmonizing facial proportions and ensuring functional improvements, we help patients achieve results that enhance their natural features and boost their confidence.
If you’re considering addressing similar concerns, we invite you to consult with us. We are committed to delivering safe, precise, and aesthetically pleasing outcomes.
Thank you for reading.This is Dr. Cha-Young Kang from Nose Lab Clinic.
Thank you.
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