Even among primary rhinoplasty records, the starting points vary widely. For patients with no prior surgical history, some presented with a combination of a dorsal hump, a crooked nasal bridge, and nasal obstruction caused by a deviated septum, while others had small lower lateral cartilages and a drooping tip as their primary concerns. Surgical history and the nose's shape and function are separate factors that must be evaluated individually.
This collection presents both what primary rhinoplasty patients wished to change and the clinical findings I identified. Some cases feature multiple concurrent characteristics, such as an upturned nasal tip, a hanging columella, and excessive nostril show. Rather than simply checking whether the outcome resembles your ideal nose photo, observe how the preoperative front and profile views compare with your own concerns.
View before-and-after cases ↓Comprehensive rhinoplasty guide
A case where a short, upturned nasal tip and a drooping columella in an unoperated nose were corrected through septal extension. A strut was built using donor rib cartilage and septal cartilage, accompanied by columellar elevation and silicone implant placement.
Preoperative condition
A primary rhinoplasty case involving a small, low nose and an upturned tip causing excessive nostril show. Using a closed approach, septal reconstruction with autologous rib cartilage, nasolabial angle correction, artificial dermis skin reinforcement, and a silicone implant were performed.
Preoperative condition
This is a primary rhinoplasty case correcting an irregular dorsal hump and an acute nasolabial angle. Using a closed approach, we refined the dorsal hump, performed nasal tip plasty with autologous rib cartilage, reconstructed the septum, placed a silicone implant, and corrected the nasolabial angle.
Previous surgeries and procedures
A case of correcting a short, upturned nasal tip and a pinched nostril caused by congenital septal cartilage weakness. Autologous rib cartilage was used to reconstruct the septum and lower lateral cartilage, combined with lowering the nostril rim and lateral osteotomy.
Preoperative condition
We extended the septum with autologous rib cartilage and corrected the nasolabial angle to improve an upturned nasal tip and a long philtrum. Lateral osteotomy, a custom silicone implant, and rhinitis surgery were performed concurrently.
Previous surgeries and procedures
In a primary rhinoplasty patient, a severely deviated septum was reconstructed using autologous rib cartilage, and hypertrophied inferior turbinates were reduced. Dermis was grafted into the depressed alar region, and the nasolabial angle was adjusted.
Previous surgeries and procedures
A blunt, pug-like nose, retracted columella, and wide nasal bridge were transformed into a slim, three-dimensional profile using autologous rib cartilage tip plasty, columellar lowering, lateral osteotomy, and cartilage reduction with suturing.
Previous surgeries and procedures
In a male patient in his early 20s presenting with a crooked nose, dorsal hump, and nasal obstruction, osteotomy, tip rhinoplasty using donor rib cartilage and septal cartilage, and columellar correction were performed.
Preoperative condition
A dorsal hump and drooping tip were smoothly refined through a closed approach using autologous rib cartilage tip plasty, hump reduction, lateral osteotomy, and nasolabial angle correction.
Previous surgeries and procedures
A drooping nasal tip and crooked dorsal hump caused by small lower lateral cartilages were refined through autologous rib cartilage support reinforcement, lateral osteotomy, a silicone implant, and nasolabial angle correction.
Previous surgeries and procedures
A bulbous, spread-out nasal tip and deviated septum were refined with autologous rib cartilage septal extension, nasolabial angle correction, a silicone implant on the nasal dorsum, and functional nasal surgery.
Previous surgeries and procedures
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.
Preoperative condition
To improve an inherently low and wide nose along with rhinitis symptoms, primary rhinoplasty was performed using donor rib cartilage for tip support, a customized silicone implant for the bridge, and septoplasty.
Previous surgeries and procedures
To improve the low, bulbous nasal tip and retracted columella in a patient with no previous surgical history, autologous rib cartilage was used to reinforce the septum, elevate the nasal bridge and nasal tip, and correct the nasolabial angle.
Previous surgeries and procedures
For a male primary rhinoplasty patient with a bulbous, crooked nose with a dorsal hump, lateral osteotomy, cartilage tying, nasal tip plasty with autologous rib cartilage, and a customized silicone implant were performed.
Previous surgeries and procedures
Foreign material was removed from the nasal bridge, and lateral osteotomy, a custom-carved silicone implant, and donor rib cartilage were used to eliminate the dorsal step-off, creating a slim, straight bridge line.
Preoperative condition
A case of minimally correcting a deviated, small, and thin septum, then refining a wide nasal bridge and bulbous tip using lateral osteotomy, a custom-carved silicone implant, and autologous rib cartilage tip plasty.
Previous surgeries and procedures
To correct nasal tip deformity and asymmetrical nostril show, the nasal tip was supported with donor rib cartilage and septal cartilage, accompanied by right alar rim lowering and a customized silicone implant placement.
Previous surgeries and procedures
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Yes. Among the primary rhinoplasty cases, some records note not only a crooked nasal bridge on the front view and a dorsal hump on the profile view, but also nasal obstruction resulting from a deviated septum. In these articles, cosmetic concerns and functional discomfort are explained separately. This is why primary rhinoplasty cases are not categorized merely as cosmetic shape changes simply because they are first-time procedures.
You can distinguish them by the clinical findings documented in the original records. One primary rhinoplasty record describes small lower lateral cartilages, weak structural support, and a drooping nasal tip. Another article documents an upturned nasal tip, significant nostril show, and a hanging columella together. Rather than focusing solely on the shared condition of a first surgery, compare which specific areas were identified as concerns.
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