The nose is located at the center of the face, and its height and shape significantly impact the overall appearance. As a result, not only women but also men are increasingly seeking cosmetic surgery to overcome complexes and improve their image.
However, if surgery is performed without an accurate diagnosis and surgical plan from the medical staff, it is impossible to avoid rhinoplasty complications and the need for revision surgery. Therefore, special caution is required.
In particular, rhinoplasty involves various types of implants, such as silicone, septal cartilage, ear cartilage, and autologous dermis. There are also different surgical methods, including open rhinoplasty, closed rhinoplasty, incision rhinoplasty, and non-incision rhinoplasty, which require extra care.
It is essential that rhinoplasty is performed by medical professionals who have extensive clinical experience and a deep understanding of the anatomical structure of the nose. They should provide a precise diagnosis of the nose’s issues and conduct personalized surgery that considers both the nose’s function and the overall beauty of the face.
Rhinoplasty Techniques by Type
Low Nose Rhinoplasty
Since people of East Asian descent generally have smaller and lower noses compared to those of Western descent, rhinoplasty is often performed to enhance the height of the nose by inserting implants or using autologous cartilage.
For low nose rhinoplasty, both artificial implants (such as silicone and Gore-Tex) and autologous cartilage (such as septal cartilage, ear cartilage, and autologous dermis) are used. By making incisions inside the nostrils, this surgical method can avoid visible external scars, which increases patient satisfaction.
Short Nose / Upturned Nose Rhinoplasty
An upturned nose, often referred to as a short nose, is characterized by a tip-to-lip angle of 105 to 110 degrees or more, where the tip of the nose is lifted and the nostrils are visible.
An upturned nose can occur congenitally due to underdeveloped nasal bones or cartilage, or a lack of skin on the nose. It can also result from contraction after rhinoplasty, causing the nose to appear upturned.
If the nose is short and the nostrils are visible, the length of the nose needs to be extended using a septal extension graft with septal cartilage. Depending on the situation, cartilage repositioning or cartilage grafts can be used to naturally extend the length of the nasal tip.
In upturned nose rhinoplasty, it is important to use autologous cartilage when extending the nose tip to avoid strain on the soft tissues and skin. Additionally, care must be taken not to extend the tip excessively.
Hump Nose Rhinoplasty
A hump nose refers to a nose with a protrusion in the middle part of the nasal bridge, which can result from the excessive growth of bone and cartilage congenitally or due to trauma acquired later in life.
For mild cases of a hump nose, the protruding bone can be smoothed out by shaving it down or simply covering it with an implant to achieve a smooth appearance.
In severe cases, it is necessary to remove the hump and reshape the overall structure of the nose.
The primary goal of hump nose correction is to smooth out the protruding bone and cartilage on the nasal bridge. Since the surgical method varies depending on the individual’s condition, an accurate diagnosis is essential.
Long Nose / Arrow Nose Rhinoplasty
A long nose, often referred to as an arrow nose, is characterized by a nasal tip that droops downward, giving the appearance of an arrow.
An arrow nose typically results from the misalignment of the alar cartilage and the excessive development of the septal cartilage. To correct an arrow nose, the drooping nasal tip needs to be elevated.
Arrow nose rhinoplasty involves completely separating the drooping nasal tip cartilage and reducing or repositioning the excessively developed cartilage to make the tip more prominent. Depending on the situation, the muscles that pull the tip downward may also be corrected to prevent it from drooping again.
Bulbous Nose Correction
A bulbous nose refers to a nose with a rounded and broad tip. In the past, it was considered a sign of wealth in physiognomy, but recently, many people choose bulbous nose correction because it can give a heavy and dull impression.
The correction of a bulbous nose can involve various surgical methods depending on the shape, structure, and thickness of the skin. These methods include gathering the alar cartilage, grafting with autologous cartilage or dermis on the nasal tip, and removing subcutaneous tissue.
If the nasal bridge is low, rhinoplasty might be performed, and if the alar is wide, nostril reduction surgery may be done.
Since the surgical approach for bulbous nose correction varies for each individual, it is advisable to consult with experienced medical professionals to choose the most suitable method.
Rhinoplasty by Incision Site
Rhinoplasty techniques include the open surgery method, which involves making an incision on the columella; the closed surgery method, which involves making an incision inside one nostril; and the endonasal surgery method, which involves making incisions inside both nostrils.
Features of Open Rhinoplasty
- Incision on the columella
- Easier to secure a clear view during surgery
- Allows for complex rhinoplasty procedures
- Possibility of nasal tip deformation
- Long recovery period
Features of Closed Rhinoplasty
- Incision inside the nostrils
- Difficult to secure a clear view during surgery
- Complex rhinoplasty is challenging
- High surgical difficulty
- Short recovery period
Each hospital has its preferred surgical methods, and the appropriate implants and techniques vary for each individual. Therefore, it is important to consult with medical professionals who have a deep anatomical understanding and years of rhinoplasty experience to determine the best surgical approach for you.
By accurately diagnosing and identifying individual issues, we consider both nasal function and facial proportions to develop a natural and ideal personalized surgical plan.
Through extensive clinical experience and expertise, the chief surgeon, who is well-versed in the anatomical structure of the nose, provides comprehensive care, from consultation to surgery and postoperative management, ensuring satisfying results.
Additionally, we select personalized implants based on the individual’s nose size, skin thickness, and shape, and use autologous cartilage to ensure safer rhinoplasty and minimize complications at the nasal tip.