Changes in tip projection and the process of reinforcing the underlying support structures are often discussed together, but they represent distinct surgical aspects. Examples include cases using autologous rib cartilage for tip reconstruction, as well as cases where support structures were established for patients seeking a softer, non-pointed tip shape. It helps to separate which cartilage was used from the specific aesthetic goals.
In revision rhinoplasty, the removal or replacement of existing implants, tip reconstruction, and nasolabial angle correction are often documented together. These records illustrate how the materials used for the nasal bridge connect with the cartilage work performed on the tip. Rather than comparing tip height alone, checking the pre-existing condition of the support structures and the specific areas reconstructed clarifies the distinct differences within nasal tip surgery.
View before-and-after cases ↓Comprehensive rhinoplasty guide
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
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
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
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
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
This is a case of septal damage, a deviated nasal bridge, a bulbous nose, and nasal obstruction following double jaw surgery and two prior rhinoplasties. Autologous rib cartilage septal reconstruction, cartilage repositioning, lateral osteotomy, and functional nasal surgery were performed.
Performed or used in this surgery
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
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
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.
Performed or used in this surgery
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.
Performed or used in this surgery
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
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
A case involving a long, drooping nasal tip and nasal obstruction following previous rhinoplasty with a silicone implant and septal cartilage. The nasal tip was corrected using autologous rib cartilage, performed concurrently with septoplasty, inferior turbinate reduction, and synechia adhesiolysis.
Performed or used in this surgery
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.
Performed or used in this surgery
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.
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
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
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
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Case records show that even when autologous rib cartilage was used to support the nasal tip, a natural, non-pointed shape was created in accordance with the patient's request. The structural reinforcement process and the final targeted aesthetic shape are addressed separately. Therefore, rather than assuming a specific tip height or sharpness based on the term 'reconstruction' alone, it is important to review both the patient's requests and the specific procedures performed.
One revision rhinoplasty record details the removal and replacement of an existing implant, tip reconstruction using autologous rib cartilage, and nasolabial angle correction as separate steps. This was a case where different anatomical structures were addressed in the bridge and the tip. When reviewing before-and-after results, distinguishing where an implant was used from where cartilage was applied allows for a clearer understanding of the extent of change.
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