When looking into implant-free rhinoplasty, it is important to distinguish between not using silicone and not using any cartilage at all. In actual clinical records, there are cases where the nasal bridge was elevated without an implant by using donor rib cartilage and pieces of septal cartilage. The term implant-free does not necessarily mean that only one's own cartilage was used.
In dorsal hump cases where the nasal bones are naturally large, we explain both the process of smoothing the bone and how the transition between the nasal tip and nasal bridge was designed. Even within the topic of implant-free rhinoplasty, an augmentation procedure differs from a procedure that trims existing structures. Rather than simply noting a patient's desire to avoid implants, look closely at records that detail the actual surgical steps performed.
View before-and-after cases ↓Comprehensive rhinoplasty guide
An upturned and deviated nose, accompanied by hesitation toward autologous rib cartilage due to past pneumothorax, was improved without implants using donor rib cartilage, recycled previous rib cartilage, nasal bone rasping, and nasolabial angle correction.
Performed or used in this surgery
To resolve a damaged septum, an upturned nasal tip, and rhinitis-related nasal obstruction after multiple surgeries, autologous rib cartilage septal reconstruction and inferior turbinate reduction were performed.
Performed or used in this surgery
For a patient who wanted primary rhinoplasty without artificial implants, lateral osteotomy was performed to straighten the deviated nasal bones, and donor rib cartilage and septal cartilage were used to reinforce the bridge and reshape the nasal tip.
Performed or used in this surgery
An upturned nose and pinched nostril caused by multiple prior surgeries were corrected after removing artificial dermis, performing implant-free bridge augmentation with donor rib cartilage and septal cartilage, and using a skin-cartilage composite graft on the right nostril.
Performed or used in this surgery
To correct nostril asymmetry, a short nose, and nasal obstruction that developed after previous implant-free rhinoplasty and alar rim lowering, autologous rib cartilage septal reconstruction and functional nasal surgery were performed.
Performed or used in this surgery
A case where a previously placed dermal graft had caused an uneven nasal bridge, alongside an unresolved bulbous nose and nostril asymmetry, which were corrected by completely removing the existing dermis and performing a comprehensive reconstruction using autologous rib cartilage.
Performed or used in this surgery
To maintain the existing bridge line and address a crooked nose and dorsal hump without major changes, we performed implant-free rhinoplasty using autologous cartilage, lateral osteotomy, and rhinitis surgery.
Performed or used in this surgery
To correct a traumatic nasal bone fracture and a deviated nasal tip, closed reduction and autologous rib cartilage septal extension were performed without an implant, with plans to adjust the nasal bridge height after an observation period.
Performed or used in this surgery
A case where a septum weakened by excessive harvest was reinforced with autologous rib cartilage, and the nasal structure was reconstructed without artificial implants using lateral osteotomy along with diced cartilage and dermis grafts.
Performed or used in this surgery
To improve a bulbous nasal tip, residual hump sensation, and asymmetry without silicone implants, autologous rib cartilage was used to elevate the nasal bridge and dorsal line, combined with cartilage repositioning, cartilage binding, and nasolabial angle correction.
Performed or used in this surgery
A case in which septal extension using donor rib cartilage, lateral osteotomy, and inferior turbinate rhinitis surgery were performed for a dorsal hump, crooked nose, and nasal obstruction that worsened after trauma.
Performed or used in this surgery
A case of nostril stenosis and an upturned nose following previous surgeries, reconstructed using autologous rib cartilage instead of a silicone implant, along with skin grafting and lower lateral cartilage reconstruction.
Performed or used in this surgery
A case of implant-free nasal reconstruction using autologous rib cartilage for septal reconstruction and lateral osteotomy in a 22-year-old male patient who suffered from inflammation and contracted nose deformity.
Performed or used in this surgery
For a patient experiencing a dorsal hump, drooping nasal tip, and nasal obstruction, we performed implant-free rhinoplasty using autologous rib cartilage along with dorsal hump reduction, lateral osteotomy, septoplasty, and turbinoplasty.
Performed or used in this surgery
In a patient with a persistent crooked nose, nostril asymmetry, a wide nasal dorsum, and nasal obstruction after a prior rhinoplasty, autologous rib cartilage septal reconstruction, osteotomies, and inferior turbinate resection were performed without an implant.
Performed or used in this surgery
In a patient presenting with septal fracture, nasal obstruction, and tip deviation resulting from trauma, septal correction and extension using donor rib cartilage, dorsal reinforcement with dermis, and osteotomy were performed via an implant-free, closed approach.
Performed or used in this surgery
A case of correcting a long dorsal hump, crooked nose, and nasal obstruction without an implant. Through a closed approach, the bone was refined, lateral osteotomy was performed, and septoplasty along with bridge augmentation using diced cartilage was carried out.
Performed or used in this surgery
To improve a short, upturned nasal tip, a bulbous nose, and a dorsal hump, implant-free rhinoplasty was performed. Using a closed approach, autologous rib cartilage septal extension, lower lateral cartilage repositioning, and septal correction were carried out.
Performed or used in this surgery
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The records include cases where the nasal bridge was elevated without implants such as silicone, using donor rib cartilage and pieces of septal cartilage instead. Therefore, the term implant-free alone does not mean that only autologous rib cartilage was used. Checking both the absence of artificial implants and the source of the cartilage will help you find cases that closely match your preferred material choices.
There are records of augmenting the nasal bridge with materials such as donor rib cartilage, as well as records explaining the transition between the nasal tip and bridge while trimming naturally large nasal bones and a dorsal hump. Because the initial nasal height and anatomical structure differ, it is difficult to compare results simply under the umbrella term of implant-free rhinoplasty. It is helpful to review both the preoperative anatomy and the actual materials used.
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