When it comes to the very first impression of a person on his or her appearance, it is most likely determined by the profile of the person’s face. People tend to look at others from the side more often than from the direct front. The profile of the face is that important, and it is mostly determined by the nose.
A nose has a defined shadow and image by the nasal bridge and the tip-columello-labial angle from the 90-degree side view. Obtuseness, roundness of the tip and the nasal show from the oblique side of the view. The front appearance of the nose is rather easier to modify by applying lighting and makeup in many cases; however, there are limitations to do the same for the side of the nose. Due to these reasons, the nasal bridge, the nose tip and the columello-labial angle becomes very important. An upturned or short nose looks fatty and obtuse with less definition. Long or crooked nose makes a person look older than actual age and reminds an image of a witch from fairy tales.
Many experts agree that long or crooked nose is relatively easier to correct by shortening and rotating the nasal cartilages; however, the short and upturned nose is considered much difficult to correct. It is necessary to remove all the scar tissue and fibrotic bands holding the cartilage tight in order to make it movable and defined. Every structure and every tight bands should be released from the nasal cartilages to skin and to mucosa. After all these tedious and delicate time-consuming procedure, the more important part should be done, which is to set an adequate size and length of pillar to stand against the recurrent retracting and dragging force. Here, there comes an issue about the adequate pillars. Pillars are usually too weak to stand alone for a septal cartilage in primary cases, otherwise there are no remaining septal cartilage to use for revisional cases. Some patients are unable to use the nasal cartilages due to conventional rhinitis surgery or previous nasal surgery, so alternatives could be to use their own rib cartilage or donated ribs as pillars. However, many patients avoid these alternative options as autologous rib leaves a scar on chest and gets warped easily. The donated ribs are usually short in supply and has a risk of infection.
Expert’s Approach to Correct Upturned or Short Nose
Dr. Julie jiyoun Kim, the Director at Light Plastic Surgery Clinic, recommends PCL (polycaprolactone) plates for such cases. It is an FDA-approved material that has been used as a substitute for cranial defects in pediatric cranioplasty. The 3D-printed structure of the PCL plate provides the skeleton for the cells to grow in. Backed by nasal surgery results using PCL material, it has already been widely documented in many research papers that the material can be used safely while reducing the fear of inflammation and bending and that it is considered an appropriate material for both functional and aesthetic rhinoplasties.
Examples of Before and After
Proper Post Operative Care Is Critical
Revisional rhinoplasty for upturned and short noses is a highly challenging operation in many aspects. The technique and the experience required for such surgery is critical; moreover, the postoperative care is tremendously demanding than other surgeries. Hyperbaric oxygen chamber system enhances early recovery eliminating any possible unwanted scar tissue formation. Patients can now expect even better results with proper postoperative medication to lessen natural scar phase.
About Light Plastic Surgery Clinic
Light Plastic Surgery Clinic is located in the heart of Gangnam, South Korea, and it is run by Dr. Julie Jiyoun Kim who’s experience span for over 10 years in this particular specialty area. As a first female board-certified plastic surgeon from Seoul National University Hospital (SNUH), known as the best hospital in Korea, she aims to deliver the best result possible with individually differentiated design and technique. She adds that preoperative CT (computed tomography) analysis and postoperative hyperbaric oxygen chamber therapy with professional and systematic care is the key to achieving successful result.
It is time for patients, suffering from short or upturned nose, to end their concerns and offer their nose the opportunity to change with Dr. Kim.
Jiyoun Kim, Director of Light Plastic Surgery Clinic