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

This is page 5 of cases on drooping tip and arrow nose: looking beyond height to structural support. Review surgical records and before-and-after photos for cases 73–90 of 166.

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Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Before-and-after comparison
Before-and-after comparison

Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected

A case involving a history of nose thread lifting, a dorsal hump, a long nose, and rhinitis symptoms, corrected with osteotomy, hump rasping, septoplasty, and inferior turbinate resection.

Preoperative condition

Revision rhinoplasty approach addressing both a drooping tip and nasal obstruction — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty approach addressing both a drooping tip and nasal obstruction

For a drooping tip, dorsal depression, and nasal obstruction that developed after multiple surgeries, septal extension using donor rib cartilage, dermal grafting for the depressed area, and septoplasty were performed.

Preoperative condition

Planning implant-free rhinoplasty using autologous rib cartilage in patients with allergic tendencies — Before-and-after comparison
Before-and-after comparison

Planning implant-free rhinoplasty using autologous rib cartilage in patients with allergic tendencies

This is a revision rhinoplasty case where autologous rib cartilage was chosen instead of a silicone implant due to the patient's allergic constitution and concerns about inflammation. Drooping tip and a crooked nose were corrected through septal extension, bridge augmentation, and cartilage repositioning.

Preoperative condition

Correction approach considering both a large nose and facial proportions — Before-and-after comparison
Before-and-after comparison

Correction approach considering both a large nose and facial proportions

For a large nose with a dorsal hump and a drooping tip, harmony was achieved through lateral osteotomy, nasal tip correction using autologous rib cartilage, nasal sill reduction, and autologous facial fat grafting.

Preoperative condition · Postoperative record

Remaining structures and reconstruction methods after alar reduction — Before-and-after comparison
Before-and-after comparison

Remaining structures and reconstruction methods after alar reduction

Nostril asymmetry, a bulbous nasal tip, and nasal obstruction caused by excessive alar reduction were improved by combining autologous rib cartilage septal extension, alar reconstruction, and rhinitis surgery.

Preoperative condition

How to correct a short nose and nasal obstruction together — Before-and-after comparison
Before-and-after comparison

How to correct a short nose and nasal obstruction together

A short, upturned nose accompanied by nasal obstruction and a decreased sense of smell was corrected using a combination of septal extension with autologous rib cartilage, septoplasty for a deviated septum, lateral osteotomy, and submucosal resection of the inferior turbinates.

Preoperative condition

How to replace absorbed donor rib cartilage with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

How to replace absorbed donor rib cartilage with autologous rib cartilage

For a patient whose nose became crooked and drooped due to partial resorption of previously placed donor rib cartilage, we removed the absorbed cartilage and performed septal reconstruction and deviated septum correction using autologous rib cartilage.

Preoperative condition

How the septum is reconstructed in revision rhinoplasty — Before-and-after comparison
Before-and-after comparison

How the septum is reconstructed in revision rhinoplasty

In a patient presenting with septal damage, a crooked nose, and breathing difficulties following two-jaw surgery and filler procedures, residual filler was removed, autologous rib cartilage septal reconstruction was performed, and rhinitis surgery was carried out.

Postoperative record

Correction methods for bulbous and crooked noses through structural analysis — Before-and-after comparison
Before-and-after comparison

Correction methods for bulbous and crooked noses through structural analysis

Correction of a crooked nose and bulbous tip following fracture reduction and multiple prior rhinoplasties using autologous rib cartilage septal extension, lateral osteotomy, nasal sill reduction, and nasolabial angle correction.

Postoperative record

Revision rhinoplasty for a long nose and a wide, flat nasal bridge — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty for a long nose and a wide, flat nasal bridge

A long nose, wide nasal bridge, mucus pooling, and nasal obstruction resulting from multiple prior surgeries were corrected using lateral osteotomy, autologous rib cartilage grafting, and septoplasty.

Preoperative condition · Postoperative record

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

How to reconstruct a pinched and upturned nose using autologous rib cartilage

A case where an upturned nose, pinched alae, and a crooked nose resulting from multiple previous rhinoplasties were corrected with lateral osteotomy, septal reconstruction using autologous rib cartilage, and dermal grafting.

Preoperative condition · Postoperative record

Anatomy and correction methods for a crooked nose and dorsum depression — Before-and-after comparison
Before-and-after comparison

Anatomy and correction methods for a crooked nose and dorsum depression

Dorsum depression and nasal obstruction following previous dorsal hump reduction were corrected with inferior turbinate reduction, lateral osteotomy, autologous rib cartilage extension, and implant placement.

Preoperative condition

Supportive structures and correction methods for a short and low nose — Before-and-after comparison
Before-and-after comparison

Supportive structures and correction methods for a short and low nose

A case of a 26-year-old male patient with a low, short nose, a dorsal hump, and nasal obstruction, treated with partial septal reconstruction, septal extension using autologous rib cartilage, and silicone implant placement.

Preoperative condition · Postoperative record

Correction methods for a long nose and dorsal hump considering facial proportions — Before-and-after comparison
Before-and-after comparison

Correction methods for a long nose and dorsal hump considering facial proportions

A case of a 22-year-old female patient with a long nose, a dorsal hump, and rhinitis symptoms, who underwent septal extension, hump reduction, lateral osteotomy, and silicone implant insertion.

Preoperative condition

How to plan foreign material removal and nasal reconstruction — Before-and-after comparison
Before-and-after comparison

How to plan foreign material removal and nasal reconstruction

We resolved the asymmetry and nasal deviation caused by foreign materials such as threads and filler, rebuilding a well-aligned contour using donor rib cartilage septal extension and silicone implant replacement.

Preoperative condition · Postoperative record

Anatomy and correction methods for a drooping tip and dorsal hump — Before-and-after comparison
Before-and-after comparison

Anatomy and correction methods for a drooping tip and dorsal hump

For a patient experiencing a dorsal hump, drooping nasal tip, and nasal obstruction, we performed implant-free rhinoplasty using autologous rib cartilage along with dorsal hump reduction, lateral osteotomy, septoplasty, and turbinoplasty.

Preoperative condition · Postoperative record

The structure and correction methods for a bifid (cleft) nasal tip — Before-and-after comparison
Before-and-after comparison

The structure and correction methods for a bifid (cleft) nasal tip

For a patient with a bulbous, bifid nasal tip due to thin skin and prominent cartilage, we performed septal extension, partial removal of subcutaneous tissue, dermal graft reinforcement with ear cartilage grafting, and lateral osteotomy through a closed approach.

Preoperative condition · Postoperative record

How to correct nasal obstruction and nostril asymmetry together — Before-and-after comparison
Before-and-after comparison

How to correct nasal obstruction and nostril asymmetry together

In a revision rhinoplasty case involving intranasal mucosal synechiae, a deviated septum, and nostril asymmetry, we removed the Gore-Tex implant, performed septal reconstruction and extension with autologous rib cartilage, along with alar rim extension and silicone implant replacement.

Preoperative condition · Postoperative record

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