Correction of Long Nose and Wide Nasal Bridge: A Revision Rhinoplasty Case

Hello, this is Dr. Cha-Young Kang, the director of Nose Lab Clinic.

Today, I’ll share the story of a patient who sought revision rhinoplasty to address a long nose, wide nasal bridge, and related functional issues. This case highlights the importance of balancing aesthetic and functional goals for a harmonious outcome.

1. Surgical and Procedural History

• 19 years ago: Nasal filler (later dissolved completely)

• 20 years ago: Ear cartilage graft + hump nose correction + no implant rhinoplasty

• 10 years ago: Nasal tip surgery (using septal cartilage)

2. Key Symptoms

Design Consultation: Frontal View, Left Oblique Side View, and Side View Photos

• Scar tissue in the left nasal mucosa causing mucus retention

• Seasonal nasal congestion

• Deviated nose

• Flat and wide nasal bridge

Design Consultation: Right Oblique Side View, Side View, and Nostril View Photos

3. Surgical Plan

Aesthetic Goals:

1. Narrow and sculpt the wide nasal bridge through lateral osteotomy.

2. Add structure and support using autologous rib cartilage grafts.

3. Perform alar base lowering to create balance and symmetry.

Functional Goals:

1. Correct septal deviation for improved airflow.

2. Use radiofrequency turbinate reduction to alleviate chronic congestion.

Patient’s Preferences:The patient initially considered a no-implant approach but decided to proceed with implant-based augmentation during consultation for a more refined result.

4. Preoperative Analysis

Surgical Scene

1. Front View:

• Flat and wide nasal bridge

• Deviated nasal alignment

• Thin and under-projected nasal tip

• Asymmetry in the nostrils

2. Side View:

• Overall elongated nose

• Drooping nasal tip

• Subtle, pointed tip appearance

3. Nasal Base View:

• Larger right nostril causing asymmetry

• Flared and wide nasal base

5. Surgical Results

1. Front View Improvements:

Before (Left) / Immediately After (Right)

• Enhanced projection and definition in the previously flat nasal bridge

• Straightened nasal alignment

• Improved nasal symmetry

• Natural and balanced tip contours

2. Side View Enhancements:

Before (Left) / Immediately After (Right)

Before (Left) / Immediately After (Right)

• Proportionately shortened nose

• Drooping tip lifted for a harmonious profile

• Smooth and natural tip contour

3. Nasal Base Adjustments:

Before (Left) / Immediately After (Right)

• Right nostril size reduced to achieve symmetry

• Balanced and aligned alar base

6. Final Thoughts

Immediately After Surgery: Frontal, Side, and Oblique Side Views

Immediately After Surgery: Nostril View

This surgery successfully addressed both aesthetic and functional concerns. By combining structural corrections with functional improvements, the patient achieved a refined yet natural-looking nose that complemented their facial features.

Key elements of this case include:

• Addressing a wide, flat nasal bridge with structural augmentation.

• Balancing nasal tip proportions to reduce the impression of a long nose.

• Correcting nasal asymmetry for a harmonious facial appearance.

At Nose Lab Clinic, we are committed to creating personalized surgical plans that consider the unique needs and preferences of each patient. Whether you’re considering your first rhinoplasty or a revision, our expertise ensures results that align with your expectations and enhance your confidence.

If this story resonates with your concerns, we’re here to provide tailored solutions.

Thank you for reading. This is Dr. Cha-Young Kang.