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Bulbous nose and blunt tip: identifying areas of widened tissue

This is page 8 of case reports on bulbous nose, bulbous tip, and distinguishing areas of spread. View surgical records and before-and-after photos for cases 127 to 144 of 208.

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Revision rhinoplasty methods considering remaining tissue after alar reduction — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods considering remaining tissue after alar reduction

Pinched alae, nostril stenosis, and contracture deformity caused by excessive alar reduction were corrected using autologous rib cartilage septal reconstruction and composite skin-dermis grafting.

Preoperative condition · Postoperative record

Closed correction of a short nose and facial proportions — Before-and-after comparison
Before-and-after comparison

Closed correction of a short nose and facial proportions

A low, sunken glabella and a short, blunt nasal tip were improved into a straight bridge line through closed autologous rib cartilage septal extension and silicone glabella implant placement.

Preoperative condition

Surgical planning for rhinoplasty addressing both a protruding mouth and the nasolabial angle — Before-and-after comparison
Before-and-after comparison

Surgical planning for rhinoplasty addressing both a protruding mouth and the nasolabial angle

This is a case where a retracted columella, a bulbous and upturned tip, and a small dorsal hump made a protruding mouth look prominent. Septal extension and lateral osteotomy were planned, and changes in the nasal tip and nasolabial angle were documented following closed rhinoplasty.

Preoperative condition · Postoperative record

How to reconstruct the nose after silicone implant exposure and inflammation — Before-and-after comparison
Before-and-after comparison

How to reconstruct the nose after silicone implant exposure and inflammation

In a case presenting with silicone implant exposure accompanied by inflammatory granulation tissue, the existing implant and capsule were removed, and autologous rib cartilage was used to perform septal extension and reconstruct the lower lateral cartilage.

Preoperative condition

How to simultaneously correct an upturned nose, dorsal hump, and crooked nose — Before-and-after comparison
Before-and-after comparison

How to simultaneously correct an upturned nose, dorsal hump, and crooked nose

For a complex presentation combining an upturned nose, dorsal hump, and crooked nose, closed septal extension grafting using donor rib cartilage and septal cartilage, lateral osteotomy, nasolabial angle correction, and tip modification were performed.

Preoperative condition · Postoperative record

Supportive structures of a low nose and autologous rib cartilage correction methods — Before-and-after comparison
Before-and-after comparison

Supportive structures of a low nose and autologous rib cartilage correction methods

A low, flat, and uneven nose was refined through closed autologous rib cartilage septal extension, tip and bridge augmentation, deviated septum correction, and lateral osteotomy.

Preoperative condition · Postoperative record

Structure and reconstruction methods for a contracted nose after MRSA infection — Before-and-after comparison
Before-and-after comparison

Structure and reconstruction methods for a contracted nose after MRSA infection

A contracted nose with cartilage damage caused by MRSA infection was reconstructed using a closed approach with autologous rib cartilage septal reconstruction and extension, osteotomy, and lower lateral cartilage correction.

Preoperative condition · Postoperative record

Methods for correcting nasal deformities associated with cleft lip and palate — Before-and-after comparison
Before-and-after comparison

Methods for correcting nasal deformities associated with cleft lip and palate

A case in which asymmetry, a right maxillary bone defect, and nostril floor depression resulting from cleft lip and palate were corrected by reconstructing the septum and lower lateral cartilage and augmenting the nasal floor bone using autologous rib cartilage.

Preoperative condition

Revision rhinoplasty approach for an upturned nose caused by contracture — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty approach for an upturned nose caused by contracture

To address a contracted and upturned nose with nostril asymmetry resulting from inflammation and implant removal, stem cell therapy was performed first, followed by autologous rib cartilage septal extension, alar rim grafting, and silicone nasal bridge augmentation.

Preoperative condition · Performed or used in this surgery · Postoperative record

Closed correction method for a crooked nose, bulbous tip, and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Closed correction method for a crooked nose, bulbous tip, and nostril asymmetry

For a patient who presented after two prior surgeries with a crooked nose, nostril asymmetry, and a bulbous tip, we performed septal reconstruction and extension using autologous rib cartilage, lateral osteotomy, silicone implant exchange, and a dermal graft to the nasal tip.

Preoperative condition · Postoperative record

Correction method for a small, upturned nose considering the nasolabial angle and nasal function — Before-and-after comparison
Before-and-after comparison

Correction method for a small, upturned nose considering the nasolabial angle and nasal function

To correct nasal obstruction along with an upturned nose, short nose, and low glabella, septoplasty, submucosal resection of the inferior turbinate, autologous rib cartilage septal extension, and lateral osteotomy were performed using a closed approach.

Preoperative condition · Postoperative record

How to reconstruct a nose upturned from contracture using autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

How to reconstruct a nose upturned from contracture using autologous rib cartilage

Following multiple nasal surgeries and inflammation that led to contracture, an upturned nasal tip, and nostril asymmetry, autologous rib cartilage was used to extend and reconstruct the septum, creating the dorsal hump line requested by the patient.

Preoperative condition

Supportive structures and correction methods for a bulbous and upturned nose — Before-and-after comparison
Before-and-after comparison

Supportive structures and correction methods for a bulbous and upturned nose

To correct an upturned tip, a bulbous tip, and a low glabella while avoiding the use of rib cartilage, a septal extension graft using septal cartilage and nasal bridge augmentation with a silicone implant were performed via a closed approach.

Preoperative condition · Postoperative record

Planning rhinoplasty to address multiple nasal shape concerns together — Before-and-after comparison
Before-and-after comparison

Planning rhinoplasty to address multiple nasal shape concerns together

To resolve a long nose, drooping tip, and nostril asymmetry that developed after prior surgery using a silicone implant, ear cartilage, and Medpor, the Medpor was removed and autologous rib cartilage septal extension along with nasal tip reconstruction were performed.

Preoperative condition · Postoperative record

How to plan bulbous nose correction together with lowering the columella — Before-and-after comparison
Before-and-after comparison

How to plan bulbous nose correction together with lowering the columella

To correct snoring, a retracted columella, a crooked nose, and a bulbous nose, residual bridge filler was removed, and septal extension with autologous rib cartilage, lowering the columella, and septoplasty and inferior turbinate surgery were performed through a closed approach.

Preoperative condition

How to correct the tip and bridge in a long, arrow-shaped nose — Before-and-after comparison
Before-and-after comparison

How to correct the tip and bridge in a long, arrow-shaped nose

To correct a long drooping arrow-shaped nose, dorsal hump, and nostril asymmetry, septal extension with septal and donor rib cartilage, lateral osteotomy, and hump trimming were performed via a closed approach.

Preoperative condition · Postoperative record

Surgical methods for a bulbous nose and wide nasal tip — Before-and-after comparison
Before-and-after comparison

Surgical methods for a bulbous nose and wide nasal tip

A case report of a male patient complaining of a blunt, wide nasal tip, a drooping appearance, and nasal obstruction, treated via a closed approach with subcutaneous tissue excision, septal extension, and septoplasty.

Preoperative condition · Postoperative record

Rhinoplasty approach examining the structure of a bulbous nasal tip — Before-and-after comparison
Before-and-after comparison

Rhinoplasty approach examining the structure of a bulbous nasal tip

In a patient presenting with a bulbous, drooping tip and symptoms of a deviated septum after previous rhinoplasty, septal reconstruction with autologous rib cartilage, lateral osteotomy, and turbinoplasty were performed via a closed approach.

Preoperative condition · Postoperative record

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