Short Nose Rhinoplasty With the Rib Cartilage Technique for an Upturned, Contracted Nose

A short, upturned and contracted nose is a nasal structure that can look out of proportion and make the face look less symmetrical. A short nose makes the face look shorter, an upturned tip shows the nostrils clearly from the front and makes the area between the nose and lips look wide and out of proportion, and a tip that is pulled upwards with wide alae can make the nose look bigger. Seen as a whole, the nose is the focal point of facial balance. In some cases the nose is well shaped and in proportion while the eyes and lips are not, yet the face still looks balanced. In other cases the facial structure, eyes and lips are well proportioned and balanced, but the nose is short, upturned and contracted, so the face as a whole looks out of proportion. This is why many people decide to have rhinoplasty to reshape the nose so it is in harmony with the face and brings out their features.

S45 Clinic reshapes short, upturned and contracted noses with the open technique
Sharing an experience of rhinoplasty with the S45 Original shape by Dr. Ty (นายแพทย์กิตติศักดิ์ วงค์เทียนชัย, ว.35602)

Which Rhinoplasty Technique Suits a Short, Upturned and Contracted Nose

Open rhinoplasty is a technique for rhinoplasty and reshaping, especially for complex problems such as a short, upturned and contracted nose. With this technique, the surgeon can see the internal structure in detail, which helps correct the problem structure in balance and treat several areas at once, such as the nasal root, the bridge, the tip and the alae. This gives a well-proportioned result that follows the design discussed before the procedure. Choosing rib cartilage for rhinoplasty also allows the nose to be lengthened into a slimmer, longer shape, with a lower chance of implant extrusion and a lower risk of inflammation from the body reacting to or rejecting silicone.

Why Use Rib Cartilage

Rib cartilage is your own tissue and suits rhinoplasty or reshaping for a short nose that needs lengthening. Because the cartilage is strong and is your own tissue, it can lengthen a short nose enough without putting the kind of pressure on the tissue that raises the chance of extrusion with silicone. There is also enough rib cartilage to correct several areas, for example for people with a short, upturned and contracted nose, and it can be carved to the design you want.

The surgeon uses the 7th or 8th rib through a small incision (1.5cm to 3cm) under the breast crease, so the scar is usually hard to see once it has healed. This technique is often used to reshape difficult and complex noses.

However, rhinoplasty and reshaping with rib cartilage is complex, so choose a surgeon with direct experience of this technique. This helps reduce the risk of later problems (when cared for by an experienced surgeon) and helps avoid effects on your general health.

Open Rhinoplasty and Reshaping With Rib Cartilage

• lengthens the nose and treats a short, upturned nose at the same time by placing cartilage at the tip
• raises the bridge continuously from the root to the tip with a single piece of cartilage
• refines the tip and adjusts the tip angle to the right level
• reduces the width of the alae and helps with a contracted nose

A well-proportioned nose shape, with a result intended to last long term without further reshaping, depending on each person.

If you have had nose reshaping elsewhere without the result you hoped for, a surgeon declined to treat you, or for other reasons, do not lose heart. Book a consultation with us at S45 Clinic, where experienced surgeons provide nose reshaping as one of our main services. We care for cases linked to medical conditions, difficult reshaping cases, difficult cases after accidents and many others.

Note: Repeat nose surgery, which many people know as ‘nose reshaping’, is surgery for people who have had nose surgery before and need a further assessment by a surgeon. The approach to care depends on the original problem, the nose structure and the surgeon’s judgement in each case.