1.
Short nose correction
Man Koon Suh, M.D.
JW Plastic Surgery Center, Seoul, Korea
I. Introduction
Short nose means too much nostril show as well as short length of nose. So the
correction must aim at not just lengthening of the nose but also reducing too
much visible nostril floor.
Short nose correction is one of the most prestigious and high-level techniques in
Asian rhinoplasty.
This presentation will cover both simple primary short nose and severe
contracted short nose due to infection or multiple operations.
II. Methods
1. Primary short nose correction
For the primary short nose correction, the surgeon must be familiar with such
techniques as alar cartilage release from upper lateral cartilage(ULC) and
maintaining techniques of released alar cartilage(septal extension graft, derotation
graft, L-shaped strut).

2.
<Derotation graft> <Septal extension graft, by Byrd>
<L-shaped strut, by MK Suh>
In case harvested septal cartilage is too small and insufficient to do the septal
extension graft effectively, hybrid septal extension graft designed by the author
can be a good option to overcome small septal cartilage. IHCC(irradiated
homologous septal cartilage) is carved into thin batten shape and fixed to the
caudal septum bilaterally and the small septal cartilage is fixed between two
IHCCs.

3.
<Hybrid septal extension graft>
2. Contracted short nose correction
Mid- or high level surgeons are challenged by severe contracted short nose.
Contracted nose correction requires scar tissue release, alar cartilage release, dual
plane dissection of the skin envelope from the underlying scar tissue(capsule) and
septal extension graft using septal cartilage or rib cartilage.

4.
<Dual plane dissection in the contracted short nose correction>
3. Cases
(1) Case I: Contracted short nose correction using septal extensioin graft
with septal cartilage

5.
(2) Case II: Contracted short nose correction using septal extension graft with
IHCC

6.
(3) Case 4: Collapsed midvault reconstruction and contracted short nose
correction using rib cartilage