Arrow Nose Correction

 626. <Arrow Nose Correction>

An arrow nose, where the tip droops and nostrils are hidden, creates the impression of a long, downward-pointing nose. Genetically, this shape evolved in colder climates—where longer nasal passages helped warm and humidify air before it reached the lungs. Over time, this led to more developed nasal bones and cartilage, forming a prominent, arrow-like silhouette.

Functionally, overuse of the depressor septi nasi muscle—especially during smiling or lip-puckering—can further accentuate the droop, making the tip fall over time.

Surgical correction focuses on refining and lifting. Instead of altering the nasal bone, we perform a cephalic trim—removing a portion of the upper alar cartilage to shorten the tip. The medial and lateral crura are sutured to enhance tip support, and if needed, autologous cartilage grafts (from the ear or rib) are used to project and rotate the tip.

Using a closed-open hybrid approach, we avoid external scarring and preserve tip circulation. A 1.5cm chest incision allows safe rib cartilage harvesting, which we sculpt into tip grafts and fine particles for dorsal refinement.

To prevent recurrence, we may dissect the depressor septi nasi origin and reinforce the nasolabial angle using rib cartilage micrografts, restoring facial harmony and expression.

This is not just aesthetic—it’s anatomical elegance. Done correctly, arrow nose correction restores balance while preserving the nose’s natural beauty and function.

“Arrow nose surgery is the art of lightening the heaviness of evolution—gracefully.”
—626mm growing pine tree-
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