Short noses are divided into two cases such as a short nose bridge and short nose tip.
01. A little nose with low nose bridge
The short nose bridge is mainly because of a low forehead. In this case, the forehead looks bigger, the face looks round and big so that an entire face gives a flat feeling – the typical look of Asians. Besides, the Mongolian fold looks more prominent. In order to correct this, the starting point of the nose should be lifted up to the height of the double eyelid lines by augmenting the forehead between the eyebrows. To make a sharp and long nose, ultra soft silicon, self-cartilage, self-fat, or filler are commonly used. If the forehead between eyebrows is lifted up, the nose bridge can be positioned in the center of face. Therefore, a three-dimensional look with a smaller forehead and round face gives a more stylish impression.
However, the extent of lifting is dependent on the range of the individual’s skin to prevent an artificial look of nose surgery. And, in the case of the use of prostheses, the prostheses should be positioned deeply into periost in order not to be moved or seen from outside. The use of self-cartilage and self fat is ideal because they are maintained permanently, but insufficient self-cartilage makes the surgery difficult. One of the simplest prostheses is filler, typically used to make a nose bridge. However, in the case where filler is not injected precisely, it may cause a wide nose bridge or bound filler. Therefore, it is highly recommended to have the operation from an experienced doctor.
02. Upturned nose surgery
An upturned nose occurs where the tip of the nose is lifted up. The major factors that sustain a nose are nasal bone, cartilage, and ligament tissue. Illustrating in terms of an apartment, it refers to a sturdy steel structure. The skin and mucous membranes of the nose tend to be stretched to some extent so it is not a big obstacle to make a nose longer. However, if the tip of the nose is not extended, the skin might get thinner, which results in an artificial look of the nose. Especially for an upturned nose after nose surgery, the skin and mucous membranes need to be peeled off and extended sufficiently, which requires a highly skilled expert.
After that, the cartilage of the nasal bulb is separated from the cartilage, and it is important to lower the ligament structure sufficiently. After lowering the nasal bulb, it is fixed and will not revert back again. Nowadays, septum lengthening is commonly used, but whatever methods used, it is important to strongly fix the nasal bulb to not be moved easily. Sometimes the cartilage is inserted between the cartilage of the nasal bulb and the cartilage above it, or the cartilage of the nasal bulb is fixed to the extended septum of the nose. Especially after past surgery, the inside support fixture should be made strongly so the costal cartilage is sometimes required to be used to support the nose.