Short Nasal Tip Surgeries (Upturned)

What is Short Nasal Tip (Nose Extension) Surgery?

Short and upturned nose overexposes the nostrils when it’s seen from the front. Nose extension surgery is classified as one of the most difficult surgeries requiring highly sophisticated skills. Therefore it is important to be performed by a clinically experienced specialist.

Who is a candidate?

Recommended to those who:

Have short and upturned nose
Have average nasal length, but has nostrils
that are too visible
Suffer from upturned nose due to implant
contracture from previous surgery

Short Nose Extension

Surgical Points for Short Nose Extension

Ideal nasal length 1/3 from the entire face
Ideal angle between the tip and the columella 45 degrees

Nose tip with an angle (between the columella and the upper lip) that exceeds 110 degrees is diagnosed as an upturned nose, which cause too much exposure of the nostrils. Improper silicone augmentation can worsen such defects. Therefore, customized surgery must be performed based on an ergonomic analysis of the nasal structure.

Short Nose Extension Surgical Method

Nasal tip surgery methods vary according to each individual’s tip structure. Below are the most commonly done tip plasty procedures.

METHOD 01

Cartilage Repositioning Method

Usually, a nose can look upturned and short when alar cartilage is angled upwards. In this case, the upper alar cartilage should be excised, repositioned and fixated downwards in order to extend the cartilage and make the nose look longer.

METHOD 02

Cartilage Transplant Method

If cartilage repositioning method isn’t enough to extend the tip, additional cartilage is transplanted in between the septum and alar cartilage. Septum cartilage is the most commonly used material in cartilage transplant methods.

METHOD 03

Cartilage Repositioning + Cartilage Transplant + Augmentation Rhinoplasty

This method is suitable for patients who desire to elevate the nasal bridge and the tip, after getting the above 2 procedures. Usually, silicone implant is used for bridge augmentation and ear cartilage is used to raise the tip.