Records noting a drooping nasal tip do not always refer merely to the profile appearance. This collection includes a patient whose columella was retracted and barely visible, as well as a patient whose nasal tip drooped and deviated to the left following a prior surgery. Clinical findings differed across front, profile, and nostril views.
Especially in revision rhinoplasty cases, distinguish between previously harvested cartilage and the currently remaining support structure. One article describes correcting a long, drooping tip by reconstructing the septum with autologous rib cartilage after checking the state of previously harvested septal cartilage. The key to this case lies not only in achieving the desired height, but also in which structures were rebuilt.
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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.
Preoperative condition
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.
Previous surgeries and procedures
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.
Preoperative condition · Postoperative record
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.
Preoperative condition · Postoperative record
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.
Postoperative record
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.
Preoperative condition · Postoperative record
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.
Preoperative condition · Postoperative record
A protruding dorsal hump, drooping long nose, crooked nose, and nasal obstruction were addressed together using autologous rib cartilage tip support, lateral osteotomy, septoplasty for a deviated septum, and inferior turbinate surgery.
Preoperative condition · Postoperative record
A long nose, drooping nasal tip, crooked nasal bridge, and nasal obstruction remaining after prior functional surgery were corrected using autologous rib cartilage tip plasty, partial septal reconstruction, and lateral osteotomy.
Preoperative condition
A dorsal hump and drooping tip were smoothly refined through a closed approach using autologous rib cartilage tip plasty, hump reduction, lateral osteotomy, and nasolabial angle correction.
Preoperative condition · Postoperative record
A drooping nasal tip and crooked dorsal hump caused by small lower lateral cartilages were refined through autologous rib cartilage support reinforcement, lateral osteotomy, a silicone implant, and nasolabial angle correction.
Preoperative condition · Postoperative record
For a patient who wanted primary rhinoplasty without artificial implants, lateral osteotomy was performed to straighten the deviated nasal bones, and donor rib cartilage and septal cartilage were used to reinforce the bridge and reshape the nasal tip.
Preoperative condition · Postoperative record
To resolve a persistent drooping tip and dorsal hump deformity after filler and PDO thread lifting, foreign material was removed, followed by nasal tip reconstruction using autologous rib cartilage, a silicone implant on the nasal bridge, and septoplasty.
Preoperative condition · Postoperative record
Nasal obstruction, a dorsal hump, and maxillary protrusion caused by a septum severely deviated to the left were addressed simultaneously through septal reconstruction using autologous rib cartilage, lateral osteotomy, and nasolabial angle correction.
Preoperative condition · Postoperative record
A case addressing a drooping, elongated nasal tip after silicone rhinoplasty and nasal filler procedures. The existing implant and residual filler were removed, the support structure was reinforced using autologous rib cartilage, and the nasolabial angle was corrected.
Preoperative condition · Postoperative record
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.
Preoperative condition · Postoperative record
In a nose where the anterior septum was severely damaged by Medpor, foreign materials were removed, and septal reconstruction using autologous rib cartilage, silicone implant replacement, nasal sill reduction, and functional nasal surgery were performed.
Preoperative condition · Postoperative record
A crooked nose, influenced by facial asymmetry, a history of orbital fracture, and facial contouring surgery, was corrected to align with the central facial axis, along with clearing existing filler and refining a drooping tip and the nasolabial angle.
Preoperative condition · Postoperative record
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Yes. One original post observed a drooping tip and barely visible columella from the profile view, while the basal view showed a retracted columella alongside a depressed scar from a previous open rhinoplasty. Because these notes document the same patient from multiple angles, reviewing the view from below the nostrils and columella together is more informative than relying on a single profile photograph.
In that revision rhinoplasty post, it was noted that even the bony portion of the septum had been harvested in a prior surgery and used as extension material. It then explains that septal reconstruction using autologous rib cartilage was performed concurrently. This record addresses the patient's drooping tip in connection with the underlying support structure; it does not mean that every arrow nose requires identical reconstruction.
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