This case demonstrates a complete structural transformation that addresses both aesthetic imbalances and anatomical asymmetry through advanced surgical techniques. By refashioning the underlying cartilage framework, ThS-BS Nguyen Tien Huy successfully converted a short, thick-skinned, and retracted nasal profile into a balanced, golden-ratio structure.
Key Before-and-After Anatomical Corrections
- Bridge Elevation and Dorsal Alignment: Replaced a low, flat nasal bridge with a higher, well-proportioned dorsal line that seamlessly connects the glabella to the tip, creating a cohesive facial contour.
- Tip Extension and Projection: Corrected an upturned, retracted nasal tip by elongating the cartilage framework, achieving optimal projection, a refined apex, and a harmonious nasolabial angle.
- Columellar Alignment and Nostril Geometry: Straightened a slightly deviated columella to establish a firm, stable base, transforming narrow, asymmetrical nostrils into symmetrical, almond-shaped openings.
- Soft Tissue and Alar Refinement: Overcame thick nasal skin by structuring a sharp internal scaffold that slims down a bulbous tip and narrows flared nostrils without compromise to airway functionality.
Surgical Significance and Outcomes
The multi-angle comparison highlights a complete restoration of mid-face harmony. From the frontal and three-quarter profiles, the new structural height lengthens the nose, balancing the proportions between the upper, middle, and lower thirds of the face. From the basal view, establishing a sturdy columellar strut rectified the baseline asymmetry and restored proper nostril geometry.
Overall, this case demonstrates how targeted structural grafting can successfully refine thick skin and correct severe retraction to yield a natural, stable, and aesthetically pleasing result.