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

This is page 6 of cases on drooping tip and arrow nose: looking beyond height to structural support. Review surgical records and before-and-after photos for cases 91–108 of 166.

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Removal of mesh inside the nose and autologous rib cartilage reconstruction — Before-and-after comparison
Before-and-after comparison

Removal of mesh inside the nose and autologous rib cartilage reconstruction

This was a case involving a blunt nasal tip, a high starting point at the glabella, and mesh foreign material following a previous surgery. Four pieces of mesh were removed, and septal reconstruction and extension were performed using autologous rib cartilage.

Preoperative condition

How to remove filler and threads injected into the nose and reconstruct the structure — Before-and-after comparison
Before-and-after comparison

How to remove filler and threads injected into the nose and reconstruct the structure

A case presenting with bluntness, a crooked nose, and asymmetry after thread and filler procedures. Through a closed approach, the foreign materials were removed, and septal extension with autologous rib cartilage was performed alongside silicone implant insertion and a chin implant procedure.

Preoperative condition

Crooked nose correction considering facial asymmetry — Before-and-after comparison
Before-and-after comparison

Crooked nose correction considering facial asymmetry

A case presenting facial asymmetry alongside a dorsal hump, a crooked nose, and a drooping columella. Using a closed approach, nasal tip correction with autologous rib cartilage, dorsal hump reduction, lateral osteotomy, and silicone implant placement were performed.

Preoperative condition · Postoperative record

Columellar retraction and contracted nose: Anatomy and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Columellar retraction and contracted nose: Anatomy and reconstruction methods

A case of severe columellar retraction and septal cartilage damage following inflammation and implant removal, corrected with autologous rib cartilage septal reconstruction, deviated septum correction, and composite grafting.

Preoperative condition

Nasal structure and correction methods for a bulbous, widened nose — Before-and-after comparison
Before-and-after comparison

Nasal structure and correction methods for a bulbous, widened nose

A case involving bridge pain, implant mobility, and a bulbous tip from a silicone implant placed 20 years ago. The previous implant and granulation tissue were removed, followed by septal extension using autologous rib cartilage and placement of a new implant.

Preoperative condition · Postoperative record

How to correct a wide nose and bulbous tip together — Before-and-after comparison
Before-and-after comparison

How to correct a wide nose and bulbous tip together

This is a case of a bulbous nose, dorsal hump, crooked nose, and rhinitis symptoms. Through a closed approach, septal extension using donor rib cartilage and septal cartilage, osteotomy, silicone implant placement, bulbous tip correction, and rhinitis surgery were performed concurrently.

Preoperative condition · Postoperative record

Rhinoplasty method considering the nasal bridge starting point and facial proportions — Before-and-after comparison
Before-and-after comparison

Rhinoplasty method considering the nasal bridge starting point and facial proportions

Prominent brow bones, a low glabella, and a drooping nasal tip were corrected following filler removal by inserting a glabellar silicone implant, autologous rib cartilage septal extension, and rhinitis surgery.

Preoperative condition

Revision rhinoplasty methods for a short and upturned nose — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for a short and upturned nose

A short, upturned nose and nasal obstruction following multiple prior surgeries were corrected using donor rib cartilage septal extension, recycling of existing cartilage, silicone implant replacement, and septal and inferior turbinate surgery.

Preoperative condition · Postoperative record

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

Correction approach considering a wide nose and midface proportions — Before-and-after comparison
Before-and-after comparison

Correction approach considering a wide nose and midface proportions

A high radix, visible thin implant show-through, and a drooping tip were corrected using autologous rib cartilage for septal reconstruction and extension, silicone implant replacement, and alar rim grafts.

Preoperative condition · Postoperative record

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

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

How to remove mesh and reconstruct a contracted nose — Before-and-after comparison
Before-and-after comparison

How to remove mesh and reconstruct a contracted nose

In a patient presenting with post-inflammatory nasal contracture and nasal obstruction, unexpected mesh and residual donor rib cartilage found in the nasal tip were removed. The entire septum and both lower lateral cartilages were then reconstructed using autologous rib cartilage.

Preoperative condition

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 methods considering the shape of contracted and upturned noses — Before-and-after comparison
Before-and-after comparison

Correction methods considering the shape of contracted and upturned noses

In a male patient who developed contracture deformity, an upturned nose, and nasal obstruction after repeated surgeries, septal reconstruction and extension using autologous rib cartilage along with nostril lowering were performed via a closed approach.

Preoperative condition

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

Closed rhinoplasty correction of a long nose and dorsal hump — Before-and-after comparison
Before-and-after comparison

Closed rhinoplasty correction of a long nose and dorsal hump

For a drooping arrow nose, dorsal hump, deviated septum, and hypertrophic rhinitis, lateral osteotomy, autologous septal extension graft, and inferior turbinate resection were performed using a closed approach.

Preoperative condition · Postoperative record

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

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