In a patient presenting with an excessively high radix, a drooping tip, and nasal obstruction, a closed approach was used to lower the starting point, reconstruct the nasal tip using autologous rib cartilage, and perform septoplasty.
This is a case of a 21-year-old female with an upturned nose showing excessive nostril exposure and a bulbous tip. Subcutaneous tissue excision, silicone implant placement, lateral osteotomy, and septal extension grafting using septal and donor rib cartilage added definition and projection.
In this case, a 3D CT scan confirmed that the existing silicone implant was shifted to the left side of the nasal bone. We planned osteotomies, septal extension, and cartilage repositioning, verified the implant position during surgery, and documented the postoperative changes in the nasal bridge and columella.
A case where the columella tilted to the left and nostril asymmetry worsened after a previous surgery. The columella was shifted to the right to reduce shape differences, and residual asymmetry remained due to congenital nostril size differences.
This is a case of nasal bone deformity, a dorsal hump, and right-sided nasal obstruction following closed reduction for a nasal bone fracture. After confirming depression of the right nasal bone on CT, osteotomy and septal reconstruction were planned, and the changes in nasal shape after surgery were documented.
This is a case of a dorsal hump with a large skeletal framework and a high radix, accompanied by nasal deviation and a drooping tip. Considering facial proportions, the surgery was completed without implants, and changes in the dorsal hump, columella, and tip shape were documented.
A case of a short, upturned nose and residual semi-permanent filler following two-jaw surgery. Suspecting septal damage, reconstruction with autologous rib cartilage was planned. Here are the surgical details of the reconstruction and tip surgery, along with changes in the nasolabial angle and nostril show.
This is a case where the lower edge of the silicone implant along the nasal bridge became visible as the nasal tip drooped. We planned an implant exchange and autologous rib cartilage reinforcement, documenting post-operative changes in the nasal tip, nasolabial angle, and nasal bridge line.
A case correcting a nasal bridge and nasal tip that became wide and blunt after 5 nasal filler treatments. After dissolving and removing the filler, lateral osteotomy, silicone implant placement, and nasal tip correction using autologous rib cartilage were performed.
This is a case where mucosal adhesion, septal deviation, and tip deformity were identified following previous surgeries. We planned support reinforcement using autologous rib cartilage along with functional surgery, and recorded the postoperative changes in columellar and nostril asymmetry.
This is a case of a contracted nose following total removal of materials due to acute inflammation after a previous surgery. After stem cell injection therapy, the damaged septum and lower lateral cartilage were reconstructed using autologous rib cartilage, and adhesiolysis was planned to address nasal obstruction.
For a drooping, bulbous nose caused by glabella filler and bony asymmetry, the filler was removed, and refinement was achieved through lateral osteotomy, septal extension, and a thin silicone implant.
This is a case of recurrent inflammation leading to partial skin necrosis, a depressed scar, and contracture deformity of the nasal tip. After stem cell therapy, revision surgery was performed with a surgical plan including septal reconstruction, lowering the nostril rims, and dermal grafting.
This is a case of silicone implant show-through and a bulbous nasal tip from a surgery performed long ago. Calcification of the capsule around the removed implant was confirmed. Here, I introduce the surgical plan using septal cartilage and donor rib cartilage for tip reshaping, along with changes to the nasal bridge and tip immediately after surgery.
This is a case of a patient who visited the clinic to improve a high radix and the shape of the nasal tip and columella. We planned to adjust both the radix and nasal tip, and documented the changes in the columellar line and nostril asymmetry after surgery.
A case where a septum weakened by previous surgery was reinforced with donor rib cartilage, and nostril lowering was performed using an ear cartilage graft and lower lateral cartilage repositioning. The existing autologous gluteal dermis was reused at the nasal tip, and functional surgery for nasal obstruction was performed simultaneously.
A case addressing a bulbous, wide nasal tip, a flat bridge, and an impression of a protruding mouth. We adjusted the columella and nasolabial angle, and recorded the immediate postoperative changes in tip width and nostril asymmetry.
This is a case of implant-free rhinoplasty addressing a mild dorsal hump, a long, drooping tip, and an apparently crooked nasal bridge. Donor rib cartilage was partially filled along the nasal bridge, and the postoperative changes in the nasal tip, nasolabial angle, and nasal bridge line were documented.
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