Simply stating that ear cartilage was used does not mean the entire nasal tip was supported with ear cartilage. In actual cases, ear cartilage was grafted onto the anterior alar rim to lower the nostril rim, while the opposite side of the same patient was addressed by repositioning the lower lateral cartilage. This is why the material name and the specific graft site must be considered together.
Ear cartilage may also appear as a past surgical history rather than a material used in the current procedure, as in cases where patients seek correction for a long nose after prior surgery with septal and ear cartilage. Records detailing the removal or reuse of existing tissue have also been compiled. Choose which articles to read based on whether you are looking for current ear cartilage use or revision of nasal shape after past ear cartilage surgery.
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A case of a patient seeking a slimmer line after a previous rhinoplasty. Nasal tip reconstruction with autologous rib cartilage, nasal bridge implant replacement with lowering of the radix, nasal sill reduction, and full-face autologous fat grafting were performed together.
Previous surgeries and procedures
A case where a silicone implant became palpable, the nasal tip skin thinned, and asymmetry developed after a previous rhinoplasty. The implant was removed, the nasal tip and septum were reconstructed using sliced autologous rib cartilage, and artificial dermis was used for reinforcement.
Previous surgeries and procedures
This is a case where mesh left in the septum after previous surgeries resulted in an upturned nose and excessive nostril show. All foreign material was removed, followed by septal reconstruction using autologous rib cartilage, replacement of the silicone implant, and reinforcement of the skin with acellular dermal matrix.
Previous surgeries and procedures
A case where damage from previous surgeries led to collapse of the anterior septum and nostril asymmetry. The septum was reconstructed using autologous rib cartilage, followed by nasal tip rhinoplasty with donor rib cartilage and implant replacement.
Previous surgeries and procedures
A case correcting an upturned nasal tip caused by loss of the septum from repeated revision surgeries. Autologous rib cartilage septal reconstruction, nasal mucosal advancement flap, silicone implant adjustment, and rhinitis surgery were performed concurrently.
Previous surgeries and procedures
A case of staged nasal reconstruction for a nose damaged by recurrent implant inflammation. After foreign body removal, a 2-year resting period, and stem cell therapy, the structure was rebuilt using donor rib cartilage and an implant was inserted.
Previous surgeries and procedures
This is a revision rhinoplasty case where the patient experienced a drooping tip, a deviated septum, and nasal obstruction after previous surgery. The septum was reconstructed using autologous rib cartilage, and silicone implant replacement along with rhinitis surgery was performed using a closed approach.
Previous surgeries and procedures
A case where repeated surgeries and inflammation led to depressed nasal tip skin and implant show-through. The damaged skin was revised, dermal and cartilage grafts were placed, the septum was reinforced with autologous rib cartilage, and the implant was replaced.
Previous surgeries and procedures
A revision rhinoplasty case where the septum was depleted due to excessive cartilage use in prior surgeries. The septum was reconstructed using autologous rib cartilage, a cartilage fragment on the bridge was removed, and silicone implant replacement was combined with osteotomy.
Previous surgeries and procedures
A high, deviated silicone implant was replaced to lower the radix, and septal extension was performed using donor rib cartilage. Partial soft tissue resection, cartilage tie, and rhinitis surgery addressed the bulbous tip and nasal obstruction.
Previous surgeries and procedures · Performed or used in this surgery
Septal cartilage damaged from previous surgeries was reconstructed using autologous rib cartilage, and the lower lateral cartilages were restored. Lateral osteotomy and rhinitis surgery were performed concurrently to correct the crooked nose and nostril asymmetry.
Performed or used in this surgery
To correct septal cartilage loss from 3 prior surgeries, a short nose appearance, and a bulbous tip, the septum was reconstructed using autologous rib cartilage and the radix was lowered.
Previous surgeries and procedures
Nostril asymmetry caused by a tilted columellar axis and loss of alar cartilage after Gore-Tex insertion was corrected through Gore-Tex removal, autologous rib cartilage alar reconstruction, and septoplasty.
Previous surgeries and procedures
After 6 previous surgeries, a drooping and tilted columella, crooked nose, and nostril asymmetry were stabilized through a closed approach using autologous rib cartilage reinforcement, lateral osteotomy, and columellar alignment correction.
Previous surgeries and procedures
Following previous surgeries and double-jaw surgery, an upturned nasal tip and nostril asymmetry were precisely corrected using donor rib cartilage septal reconstruction, lower lateral cartilage restoration, and a composite dermis-fat graft to the soft triangle.
Previous surgeries and procedures
We removed previous foreign materials and implants, reconstructed the nasal tip using autologous rib cartilage, reinforced the thinned skin with autologous dermis, recarved a silicone implant, and performed fat grafting between the eyebrows.
Previous surgeries and procedures · Removed in this surgery
Persistent bulbous tip and upturned nasal tip after surgery with ear cartilage were addressed with autologous rib cartilage septal extension, partial scar tissue excision, cartilage repositioning, and a silicone implant.
Previous surgeries and procedures
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.
Previous surgeries and procedures
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In a representative record, ear cartilage was grafted to the anterior portion of one alar rim to correct a nostril that appeared pointed from the front. On the opposite side, the existing lower lateral cartilage was repositioned to achieve the same objective. Because techniques can differ between the left and right sides, the overall approach to the nasal tip cannot be judged solely by the mention of ear cartilage as a material.
There are records of patients presenting with concerns about a nose that still looked long even after filler removal and rhinoplasty using septal and ear cartilage. In such cases, ear cartilage was the material from the previous surgery. When reading the relevant articles, you can distinguish what was used in the past from how the length and nasal tip direction were addressed in the current surgery.
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