In the articles discussing septal extension, you can see both the intended direction of the nasal tip change and the condition of the existing cartilage. These include cases correcting a short nose and upturned tip, as well as cases where the remaining lower lateral cartilage and septal cartilage were first partially reconstructed before performing the extension.
The materials used are not limited to a single option. Case records include fixing septal cartilage and donor rib cartilage on opposite sides, or using autologous rib cartilage for extension combined with lower lateral cartilage repositioning and dorsal hump correction. Rather than viewing the procedure merely as lengthening the nose, consider how the supporting structure and nasal tip position were addressed.
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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.
Performed or used in this surgery
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.
Performed or used in this surgery
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
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
Through a closed approach, a nose that became low, upturned, and showed excessive nostril exposure after silicone implant removal was refined using autologous rib cartilage tip extension, nasal bridge height restoration, and correction of the nasolabial angle to 90 degrees.
Performed or used 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.
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
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.
Performed or used in this surgery
For a male patient presenting with a collapsed septum, severe nasal obstruction, and a drooping tip, autologous rib cartilage septal reconstruction, septal extension, and rhinitis surgery were performed.
Performed or used in this surgery
A clinical case in which a septum damaged from two previous surgeries and chronic nasal obstruction were restored using autologous rib cartilage reconstruction, septoplasty, rhinitis surgery, and bulbous tip correction.
Performed or used in this surgery
For a patient who developed an over-resected area and a crooked nose following a past osteotomy, we performed left nasal bone restoration, autologous rib cartilage septal extension, a customized silicone implant, and nasolabial angle correction.
Performed or used in this surgery
A severely deviated and damaged septum following previous surgery with a silicone implant and donor rib cartilage was reinforced and reconstructed using autologous rib cartilage, completing the nasal line through septal extension and nasolabial angle correction.
Performed or used in this surgery
To reinforce nasal tip support weakened after a previous silicone and ear cartilage surgery, the silicone implant was customized and replaced, and a stable nasal line was established using septal extension with autologous rib cartilage.
Performed or used in this surgery
A crooked dorsal hump, drooping tip, and nasal obstruction were refined using lateral osteotomy, septal extension with donor rib cartilage and septal cartilage, nasal tip volume refinement with ear cartilage, and nasolabial angle correction.
Performed or used in this surgery
An upturned nasal tip, a short columella, and an unnatural silicone bridge line from previous rhinoplasty were improved using autologous rib cartilage septal extension, custom-carved silicone implant replacement, and nasolabial angle correction.
Performed or used in this surgery
A case of a short, upturned, small nose with no prior rhinoplasty. Considering the skin tension, septal extension was performed using autologous rib cartilage, combined with functional surgery for the septum and turbinates.
Performed or used in this surgery
A case involving an implant from 17 years ago, residual filler, and a long, drooping nasal tip. Calcified autologous rib cartilage was harvested to correct the nasolabial angle and lower the radix starting point.
Performed or used in this surgery
A case of skin thinning, cartilage show-through, and an upturned nose following contracted nose surgery. The skin was reinforced with dermis and autologous rib perichondrium, along with septal extension.
Performed or used in this surgery
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One case correcting an upturned nose describes a situation where only part of the lower lateral cartilage and septal cartilage remained. The record notes that after partially reconstructing the damaged structures with autologous rib cartilage, septal extension was performed to lower the nasal tip. Because such reconstructive steps may take place alongside an extension procedure, it is helpful to first read about the preoperative condition of the cartilage.
The records include cases using autologous rib cartilage as well as combinations of septal cartilage and donor rib cartilage. The latter case details fixing different types of cartilage on the right and left sides. Therefore, even among articles grouped under the same procedure name, the actual materials and placements may vary, and it is helpful to review them alongside the intended direction of the nasal tip.
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