Hello, this is Dr. Hyungtaek Kim from Kowon Plastic Surgery.

Today, I’d like to introduce a case where we were able to maximize nasal tip extension in patients with a short, bulbous, and upturned nose.

For short noses, especially those with an overly upturned tip, adequate extension of the nasal tip is key to achieving a well-balanced and aesthetically pleasing nasal line.

Proper extension not only enhances the nose’s appearance but also helps create the illusion of a more defined lower face, improving overall facial harmony.

Because of this, the ability to extend the nasal tip sufficiently is a crucial factor in determining the success of the surgery.

As you can see in the photos, the nose is short and upturned, with the nostrils visibly exposed from the front—

commonly referred to as a "piggy nose" or severely upturned nose. Additionally, the overall nose size is quite small.

In cases like this, there is often insufficient septal cartilage available for rhinoplasty.

When this happens, we need to secure additional graft material by using rib cartilage (costal cartilage) or

ear cartilage to ensure adequate structural support and achieve the desired extension and refinement.