This is page 12 of natural rhinoplasty designs and before-and-after cases. Browse surgical records and before-and-after photos 199–216 of 218.
View before-and-after cases ↓Comprehensive rhinoplasty guide
The existing silicone implant extending to the nasal tip was removed, the thinned tip skin was reinforced, and the profile was improved into a masculine straight line through autologous rib cartilage reconstruction and dorsal silicone replacement.
Patient goals
Calcium filler causing a widened glabella was thoroughly removed using a closed approach, and the low nose was given three-dimensional correction through autologous rib cartilage septal extension and silicone implant placement.
Patient goals
To resolve an upturned nose, bulbous nasal tip, and right-sided nasal obstruction, we performed septal extension, lateral osteotomy, silicone implant placement, septoplasty, and turbinate reduction.
Patient goals
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.
Patient goals
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.
Patient goals
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.
Patient goals
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.
Patient goals
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.
Patient goals
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.
Patient goals
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.
Patient goals
In a short, upturned nose with insufficient skin, a support was built using autologous rib cartilage to sufficiently lower the nasal tip, and a silicone implant was used to smoothly connect the nasal bridge.
Patient goals
In a nose where the implant was overly conspicuous and the radix was excessively high, the silicone implant was removed to transition to a no-implant approach, creating natural contouring along the nasal tip and columella.
Patient goals · Postoperative record
This is a case of correcting a bulbous and drooping long nose caused by thick, broad tip skin. A portion of the subcutaneous tissue beneath the nasal tip skin was removed, and the nasal tip height, the starting point at the glabella, and the drooping columella shape were adjusted.
Patient goals
For a bulbously drooping nasal tip, a C-shaped deviated nasal bridge, and nostril asymmetry, the drooping was naturally corrected without excessively raising the tip, and the deviated bridge line was gently straightened.
Patient goals
A long, drooping arrow-shaped nose and dorsal hump were refined through osteotomy and implant replacement, while septal extension using autologous rib cartilage and nasal sill reduction improved the nasolabial angle and nostril asymmetry.
Postoperative record
The excessively high Gore-Tex implant was removed from the glabella, the radix was lowered to the pupil line, and the septum and retracted columella were corrected using autologous rib cartilage.
Postoperative record
A case of a patient who visited our clinic with a bulbous, drooping tip and nostril asymmetry. During surgery, severe damage to the septum and lower lateral cartilages was identified, leading to reconstruction with autologous rib cartilage, while alar rim lowering and lateral osteotomy were included in the surgical plan.
Patient goals
6 dissolvable threads inserted into the nasal bridge were removed, and autologous rib cartilage was used to reconstruct the upturned nasal tip and damaged right lower lateral cartilage, correcting the asymmetry.
Patient goals
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