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Nasolabial angle correction and the nose-lip profile

Nasolabial angle correction often appears in surgical records explaining the relationship between the nose and the upper lip. Some articles address both a drooping tip and a profile where the mouth appears prominent, while others describe three-dimensional definition in noses with thick skin and wide nostrils. The angle measurement itself should be evaluated separately from the overall changes to the nose.

There are also cases where the nasolabial angle was corrected while reinforcing thinned nasal tip skin with dermis. Statements in before-and-after photos noting a changed impression around the mouth must be distinguished from moving the facial bones or teeth themselves. Please examine which structures were surgically addressed alongside how the original text observed the profile.

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Why an L-shaped silicone implant gradually causes the nasal tip to become upturned: removal and reconstruction — Before-and-after comparison
Before-and-after comparison

Why an L-shaped silicone implant gradually causes the nasal tip to become upturned: removal and reconstruction

A case where an L-shaped implant placed about 10 years ago caused skin thinning and an upturned nasal tip. The L-shaped silicone implant was removed, and nasal tip reconstruction with autologous rib cartilage, septal correction, and dermal tissue reinforcement were performed.

Performed or used in this surgery

Key considerations when revising ear cartilage rhinoplasty with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Key considerations when revising ear cartilage rhinoplasty with autologous rib cartilage

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.

Performed or used in this surgery

Nasal reconstruction when almost no septum remains after two nose surgeries — Before-and-after comparison
Before-and-after comparison

Nasal reconstruction when almost no septum remains after two nose surgeries

This is a case of septal cartilage deficit, nasal bone asymmetry, and nasal obstruction remaining after two surgeries. Through a closed approach, autologous rib cartilage was used for septal reconstruction, along with nasolabial angle correction, nasal bone asymmetry correction, and radix adjustment.

Performed or used in this surgery

Why an implant is palpable and visible through the nasal tip: rib cartilage reconstruction and dermis reinforcement — Before-and-after comparison
Before-and-after comparison

Why an implant is palpable and visible through the nasal tip: rib cartilage reconstruction and dermis reinforcement

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.

Performed or used in this surgery

Why implants alone should not be placed in a small, low nose and nasal tip support structure — Before-and-after comparison
Before-and-after comparison

Why implants alone should not be placed in a small, low nose and nasal tip support structure

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.

Performed or used in this surgery

Why a high radix makes the nose look long and overly prominent — Before-and-after comparison
Before-and-after comparison

Why a high radix makes the nose look long and overly prominent

Following prior surgeries, a bulbous and drooping long nose with an excessively high radix and nasal obstruction was corrected using a closed approach. Scar tissue debridement, osteotomy, nasolabial angle correction, and septoplasty were performed concurrently.

Performed or used in this surgery

Why mesh remaining in the septum causes an upturned nose, and reconstruction after removal — Before-and-after comparison
Before-and-after comparison

Why mesh remaining in the septum causes an upturned nose, and reconstruction after removal

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.

Performed or used in this surgery

Why a nose becomes upturned and the columella retracts after repeated revisions, and how to reconstruct the septum — Before-and-after comparison
Before-and-after comparison

Why a nose becomes upturned and the columella retracts after repeated revisions, and how to reconstruct the septum

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.

Performed or used in this surgery

Why a narrow nasolabial angle with a dorsal hump makes the mouth appear protruding and how to correct it — Before-and-after comparison
Before-and-after comparison

Why a narrow nasolabial angle with a dorsal hump makes the mouth appear protruding and how to correct it

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.

Performed or used in this surgery

Why the nasal tip can look bulbous and crooked after rhinoplasty with ear cartilage — Before-and-after comparison
Before-and-after comparison

Why the nasal tip can look bulbous and crooked after rhinoplasty with ear cartilage

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.

Performed or used in this surgery

Why a operated nose deviates and nostrils become asymmetric after physical trauma, and how septal reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why a operated nose deviates and nostrils become asymmetric after physical trauma, and how septal reconstruction is performed

A case where post-surgical trauma caused a septal tear, resulting in a crooked nose and nostril asymmetry. Septal reconstruction was performed using autologous rib cartilage, along with realigning the columellar central axis and replacing the implant.

Performed or used in this surgery

Why a short, upturned nose makes the philtrum look long and septal extension graft — Before-and-after comparison
Before-and-after comparison

Why a short, upturned nose makes the philtrum look long and septal extension graft

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.

Performed or used in this surgery

Changes that occur when an implant is positioned high and deviated: methods for replacement and bulbous tip correction — Before-and-after comparison
Before-and-after comparison

Changes that occur when an implant is positioned high and deviated: methods for replacement and bulbous tip correction

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.

Performed or used in this surgery

Why the nose looks long and the nostrils look pinched after multiple rhinoplasties — Before-and-after comparison
Before-and-after comparison

Why the nose looks long and the nostrils look pinched after multiple rhinoplasties

Lost lower lateral cartilage was reconstructed using autologous rib cartilage, and asymmetric, pinched nostrils were corrected. By lowering the radix, the appearance of a long nose was reduced, and surgery for rhinitis and nasal valve stenosis was performed concurrently.

Performed or used in this surgery

Why implants show through and nostrils look M-shaped, and how to reconstruct them — Before-and-after comparison
Before-and-after comparison

Why implants show through and nostrils look M-shaped, and how to reconstruct them

Implant show-through at the nasal tip and thinned skin were reinforced with donor dermis, and foreign substances were removed. The nasal tip was reconstructed using autologous rib cartilage, along with dragon nose correction and lateral osteotomy.

Performed or used in this surgery

Why the nose looks short and the columella retracts after revision rhinoplasty, and how to reconstruct the septum — Before-and-after comparison
Before-and-after comparison

Why the nose looks short and the columella retracts after revision rhinoplasty, and how to reconstruct the septum

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.

Performed or used in this surgery

Nasal obstruction from a severely deviated septum: why cartilage reconstruction is necessary — Before-and-after comparison
Before-and-after comparison

Nasal obstruction from a severely deviated septum: why cartilage reconstruction is necessary

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.

Performed or used in this surgery

Why a dorsal hump looks prominent and how to correct it along with the nasal tip — Before-and-after comparison
Before-and-after comparison

Why a dorsal hump looks prominent and how to correct it along with the nasal tip

Previously injected nasal filler was removed, the protruding dorsal hump was rasped, and lateral osteotomies were performed. The blunt nasal tip was elevated using autologous rib cartilage, and both the nasolabial angle and septum were corrected.

Performed or used in this surgery

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Common questions before reading the cases

How should statements claiming nasolabial angle correction improved a protruding mouth be interpreted?

Related articles note that the appearance of a prominent maxilla or mouth improved after correcting the nasolabial angle. This describes the profile and visual impression in those specific cases and should not be interpreted as surgery that repositioned the teeth or jawbone. It is important to distinguish the actual anatomical areas operated on from the visual changes observed in the photos.

Should these results be viewed as solely due to nasolabial angle correction?

This collection includes records where the nasolabial angle was adjusted while addressing a drooping tip, or where skin reinforcement and nasolabial angle correction were performed together. The before-and-after photos may reflect simultaneous surgery on multiple structures. While focusing on the angle between the nose and lip, you should also take into account concurrent adjustments to height, skin, and cartilage to properly understand the scope of change shown in the photos.

Related topics to explore

Harmonizing facial and midface proportionsDrooping tipTip reconstruction and structural support reinforcementLowering the columella

Surgical records referenced in this guide

  • Correction of a bulbous nose, wide nasal spread, and drooping tip using autologous rib cartilage
  • How to improve a bulbous nose and a protruding mouth
  • Why an L-shaped silicone implant gradually causes the nasal tip to become upturned: removal and reconstruction
Original article

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