STEP 01
Tip
The tip cartilage is redirected upward and fixed with a cartilage graft
TYPE 04 — Long & arrow nose
Long & arrow nose
How is a long or arrow nose operated on?
Lifting a drooping tip and tidying the side profile. If the tip drops further when you smile, a muscle may be the cause, so we check that alongside.
KOWON's surgical approach
What the operation actually addresses, step by step.
- Tip
- Bridge
- Muscle
- Aftercare
kowon plastic surgery
Who comes in with this
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A tip that points downward and reads as sharp, or older
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A tip that drops further when you smile, making the philtrum look short
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A tip that droops toward the lip when seen from the side
In Dr. Kim's words
Arrow and long noses are among the things I am most confident in.
Lifting a tip is not, in itself, a difficult operation for anyone. But lift the tip alone and it rarely stays lifted.
A long or arrow nose is often accompanied by a problem with the muscle that pulls and spreads the tip.
If a physical force drags the tip down every time you make an expression, the tip you lifted will droop again that much faster.
At consultation I ask you to smile, and I only operate on the muscle when its movement is unmistakable. It is not done for every long nose.
Lifting the tip also changes the angle between the columella and the upper lip. So it does not end at the tip: we look at a simulation of the whole side profile together and decide the design from there.
— Kim Hyung-taek
PROCESS
How it is done
STEP 02
Bridge
The bridge line tidied where needed
STEP 03
Muscle
Tip muscle correction alongside, only where the pull on smiling is strong
Recovery
How it goes varies a little with the extent of surgery and what was done alongside. Below is the usual course.
- 4 daysCold compressCold compress for four days, and sleep with your head raised for five.
- Day 5Stitches outThe stitches come out on day 5.
- During recoveryA stiff tipA stiff feeling at the tip resolves on its own as the swelling goes.
SURGERY LOG
Representative records for this type
Dr. Kim's own notes on what each nose presented with and how it was solved.
Q&A
Frequently asked questions
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Where muscle pull is the cause, tip muscle correction improves it. Where the pull is weak, moving the tip position alone is enough.
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If the bridge is high enough, often yes. If the bridge is low the balance can break, so we look at both.
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It depends on the face. We set it within a range that will not leave you with an upturned nose.
Consultation tip Bring a profile photo with a neutral face and another smiling broadly. The bigger the difference in tip position, the more the muscle needs checking.
Related procedures
Drooping Tip (Tip Muscle Correction)
Read more →J-Curl Rhinoplasty
Read more →RIBFIT™ Autologous Implant
Read more →
Consultation
Long & arrow nose
Dr. Kim Hyung-taek takes personal responsibility
from diagnosis through surgery and aftercare.
Outcomes and side effects vary from person to person. Bleeding, infection, swelling and asymmetry may occur. Please consult our medical team before making a decision.