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Drooping tip and hooked nose: looking beyond height to underlying structural support

This is page 3 of cases on drooping tip and arrow nose: looking beyond height to structural support. Review surgical records and before-and-after photos for cases 37–54 of 166.

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Why an arrow nose appears only when smiling and how to correct tip cartilage — Before-and-after comparison
Before-and-after comparison

Why an arrow nose appears only when smiling and how to correct tip cartilage

To improve a dorsal hump, crooked nose, and drooping arrow nose when smiling, autologous rib cartilage was used to reposition the nasal tip, combined with lateral osteotomy, septoplasty, and rhinitis surgery.

Preoperative condition · Postoperative record

How the nose changes when donor rib cartilage is resorbed, and how autologous rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

How the nose changes when donor rib cartilage is resorbed, and how autologous rib cartilage reconstruction is performed

For a patient whose nasal tip had shrunk, whose alae appeared pinched, and whose nasal bridge developed scarring due to donor rib cartilage resorption, we performed alar reconstruction with autologous rib cartilage, septal extension, and cartilage and dermal graft reinforcement.

Preoperative condition · Postoperative record

How to refine only the nasal tip and transition area without an implant — Before-and-after comparison
Before-and-after comparison

How to refine only the nasal tip and transition area without an implant

To maintain the existing bridge line and address a crooked nose and dorsal hump without major changes, we performed implant-free rhinoplasty using autologous cartilage, lateral osteotomy, and rhinitis surgery.

Preoperative condition · Postoperative record

Why septal cartilage damage causes a drooping tip and a retracted columella — Before-and-after comparison
Before-and-after comparison

Why septal cartilage damage causes a drooping tip and a retracted columella

For a drooping tip and retracted columella caused by septal cartilage damage following previous surgery with autologous rib cartilage and a silicone implant, the septum was reconstructed using autologous rib cartilage, the columella was restored, and the nasolabial angle was corrected.

Preoperative condition · Postoperative record

Why bulbous noses are difficult to correct and the reconstruction method after foreign material removal — Before-and-after comparison
Before-and-after comparison

Why bulbous noses are difficult to correct and the reconstruction method after foreign material removal

For a bulbous nose and drooping tip blunted by past nasal filler and thread-lifting procedures, the foreign material was removed, and the nasal line was refined using septal cartilage, donor rib cartilage, and a silicone implant.

Preoperative condition · Postoperative record

Why post-nasal drip and a drooping tip occur together, and how septal extension and functional surgery address them — Before-and-after comparison
Before-and-after comparison

Why post-nasal drip and a drooping tip occur together, and how septal extension and functional surgery address them

Post-nasal drip, a drooping tip, and a narrow columella were comprehensively improved through septal and inferior turbinate surgery, autologous cartilage septal extension, and alar reduction.

Preoperative condition · Postoperative record

Why rib cartilage calcification must be evaluated in advance and correction methods for crooked and short noses — Before-and-after comparison
Before-and-after comparison

Why rib cartilage calcification must be evaluated in advance and correction methods for crooked and short noses

After evaluating calcification in the autologous rib cartilage, the 8th rib cartilage was harvested to correct a crooked nose, short nose, and nostril show, while an inferior turbinate reduction was performed concurrently to improve breathing function.

Preoperative condition · Postoperative record

Why nostril asymmetry and a drooping tip develop: reconstruction combining different cartilages — Before-and-after comparison
Before-and-after comparison

Why nostril asymmetry and a drooping tip develop: reconstruction combining different cartilages

To correct congenital nostril asymmetry and a drooping nasal tip, residual filler and foreign material were removed, and septal extension was performed using both donor rib cartilage and septal cartilage.

Preoperative condition · Postoperative record

Why a dorsal hump can reappear and nostrils become visible after hump reduction — Before-and-after comparison
Before-and-after comparison

Why a dorsal hump can reappear and nostrils become visible after hump reduction

Correction of a residual dorsal hump and excessive nostril show 17 years after hump surgery using residual filler removal, lateral osteotomy, and autologous rib cartilage septal extension.

Preoperative condition

Why the columella retracts and the nasal tip becomes bulbous years after rhinoplasty, and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

Why the columella retracts and the nasal tip becomes bulbous years after rhinoplasty, and how to reconstruct it

Columellar retraction and bulbous tip deformity after previous dorsal hump reduction and osteotomy were corrected through septal extension with autologous rib cartilage, columellar cartilage grafting, and lateral osteotomies.

Preoperative condition · Postoperative record

Why nostrils narrow after illegal injections by unlicensed practitioners, and methods for removal and reconstruction — Before-and-after comparison
Before-and-after comparison

Why nostrils narrow after illegal injections by unlicensed practitioners, and methods for removal and reconstruction

In a patient who developed nostril stenosis and a drooping tip from illegal injections administered by an unlicensed practitioner 20 years ago, we removed the foreign material and reconstructed the septum and lower lateral cartilage using autologous rib cartilage to improve the nasal shape.

Preoperative condition

Why the nose looks bulbous and spread out, and how to correct the nasolabial angle and columella — Before-and-after comparison
Before-and-after comparison

Why the nose looks bulbous and spread out, and how to correct the nasolabial angle and columella

A wide, blunt nasal bridge, drooping nasal tip, and retracted columella were corrected into a slim, three-dimensional profile using septal extension with autologous rib cartilage, nasolabial angle correction, and nostril sill reduction.

Preoperative condition · Postoperative record

Why the columella droops severely into an arrow nose, and rib cartilage reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why the columella droops severely into an arrow nose, and rib cartilage reconstruction methods

For a patient presenting with a severely drooping columella, an arrow nose, and nostril asymmetry after previous surgeries, autologous rib cartilage septal extension and lower lateral cartilage repositioning were performed to improve tip drooping and asymmetry.

Preoperative condition · Postoperative record

Nasal bone fractures: When cosmetic surgery can be combined and how to stage the procedure — Before-and-after comparison
Before-and-after comparison

Nasal bone fractures: When cosmetic surgery can be combined and how to stage the procedure

To correct a traumatic nasal bone fracture and a deviated nasal tip, closed reduction and autologous rib cartilage septal extension were performed without an implant, with plans to adjust the nasal bridge height after an observation period.

Preoperative condition

Why contracture and a crooked nose occur after repeated revision rhinoplasty, and how they are corrected — Before-and-after comparison
Before-and-after comparison

Why contracture and a crooked nose occur after repeated revision rhinoplasty, and how they are corrected

A case of improving an upturned tip, crooked nose, and nostril asymmetry that developed after four prior nasal surgeries and filler injections, using foreign material removal, septal extension with autologous rib cartilage, and silicone implant supplementation.

Preoperative condition

Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — Before-and-after comparison
Before-and-after comparison

Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it

A case where a crooked nasal bone and drooping bulbous tip remaining after previous dorsal hump correction were straightened through lateral osteotomy, septal extension using autologous rib cartilage, hump rasping, and rhinitis surgery.

Preoperative condition · Postoperative record

Why the nose looks bulbous and long after alar reduction, and how to correct it — Before-and-after comparison
Before-and-after comparison

Why the nose looks bulbous and long after alar reduction, and how to correct it

A case where a bulbous nasal tip, drooping arrow nose, and weakened septum—occurring after alar reduction and implant surgery 12 years prior—were corrected through septal reconstruction with autologous rib cartilage, nasal shortening, and septoplasty.

Preoperative condition

How to reconstruct a nose with weakened septal cartilage without implants — Before-and-after comparison
Before-and-after comparison

How to reconstruct a nose with weakened septal cartilage without implants

A case where a septum weakened by excessive harvest was reinforced with autologous rib cartilage, and the nasal structure was reconstructed without artificial implants using lateral osteotomy along with diced cartilage and dermis grafts.

Preoperative condition · Postoperative record

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