This is page 2 of case reports on hanging columella, distinguishing it from nasal tip direction. View surgical records and before-and-after photos for cases 19 to 27 of 27.
View before-and-after cases ↓Comprehensive rhinoplasty guide
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
In a patient with a persistent crooked nose, nostril asymmetry, a wide nasal dorsum, and nasal obstruction after a prior rhinoplasty, autologous rib cartilage septal reconstruction, osteotomies, and inferior turbinate resection were performed without an implant.
Preoperative condition · Postoperative record
This is a case of correcting a crooked nasal bridge and an upturned nose after two prior surgeries. Using a closed approach, the existing silicone implant and foreign material were removed, the nasal bridge and nasal tip were reconstructed with autologous rib cartilage, and nostril lowering was performed simultaneously.
Preoperative condition
A case of correcting a long dorsal hump, crooked nose, and nasal obstruction without an implant. Through a closed approach, the bone was refined, lateral osteotomy was performed, and septoplasty along with bridge augmentation using diced cartilage was carried out.
Preoperative condition · Postoperative record
This is a case of a dorsal hump with a large skeletal framework and a high radix, accompanied by nasal deviation and a drooping tip. Considering facial proportions, the surgery was completed without implants, and changes in the dorsal hump, columella, and tip shape were documented.
Preoperative condition · Postoperative record
This is a case of correcting a bulbous and drooping long nose caused by thick, broad tip skin. A portion of the subcutaneous tissue beneath the nasal tip skin was removed, and the nasal tip height, the starting point at the glabella, and the drooping columella shape were adjusted.
Preoperative condition · Postoperative record
A case where deviation recurred following previous septal surgery, leaving nasal obstruction and a tilted columella. We planned septal reconstruction using autologous rib cartilage and documented changes in the nasal tip, columella, and nostril asymmetry after surgery.
Preoperative condition
A long, drooping arrow-shaped nose and dorsal hump were refined through osteotomy and implant replacement, while septal extension using autologous rib cartilage and nasal sill reduction improved the nasolabial angle and nostril asymmetry.
Preoperative condition
This is a case of a patient concerned about a nose that still looked long due to a residual dorsal hump and a drooping tip even after a previous surgery. The nasal bone and upper lateral cartilage were refined, the nasal tip and columella were corrected, and a thin silicone implant was placed to cover irregularities.
Preoperative condition
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