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

This is page 7 of cases on drooping tip and arrow nose: looking beyond height to structural support. Review surgical records and before-and-after photos for cases 109–126 of 166.

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Surgical methods for a bulbous nose and wide nasal tip — Before-and-after comparison
Before-and-after comparison

Surgical methods for a bulbous nose and wide nasal tip

A case report of a male patient complaining of a blunt, wide nasal tip, a drooping appearance, and nasal obstruction, treated via a closed approach with subcutaneous tissue excision, septal extension, and septoplasty.

Preoperative condition · Postoperative record

Closed correction method for a crooked nose and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Closed correction method for a crooked nose and nostril asymmetry

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

Rhinoplasty approach examining the structure of a bulbous nasal tip — Before-and-after comparison
Before-and-after comparison

Rhinoplasty approach examining the structure of a bulbous nasal tip

In a patient presenting with a bulbous, drooping tip and symptoms of a deviated septum after previous rhinoplasty, septal reconstruction with autologous rib cartilage, lateral osteotomy, and turbinoplasty were performed via a closed approach.

Preoperative condition

A corrective approach addressing both nasal obstruction and a bulbous nose — Before-and-after comparison
Before-and-after comparison

A corrective approach addressing both nasal obstruction and a bulbous nose

To improve nasal obstruction caused by rhinitis and a deviated septum, along with a drooping bulbous nose, septoplasty, inferior turbinate reduction, autologous rib cartilage septal extension, and silicone bridge augmentation were performed using a closed approach.

Preoperative condition · Postoperative record

How to remove injected foreign substances and reconstruct the nose — Before-and-after comparison
Before-and-after comparison

How to remove injected foreign substances and reconstruct the nose

For a nose deformed by illegal filler injections 10 years ago, foreign substances were removed using the closed inner-open technique, and the septum and alar cartilage were reconstructed using autologous rib cartilage.

Preoperative condition

Nasal structures and reconstruction methods for a contracted nose after repeated surgeries — Before-and-after comparison
Before-and-after comparison

Nasal structures and reconstruction methods for a contracted nose after repeated surgeries

Following a history of 6 surgeries with cartilage resorption, contracture, and columellar retraction, the structure was corrected through total septal reconstruction using fresh autologous rib cartilage.

Preoperative condition · Postoperative record

The anatomy of post-traumatic nasal obstruction and its correction methods — Before-and-after comparison
Before-and-after comparison

The anatomy of post-traumatic nasal obstruction and its correction methods

In a patient presenting with septal fracture, nasal obstruction, and tip deviation resulting from trauma, septal correction and extension using donor rib cartilage, dorsal reinforcement with dermis, and osteotomy were performed via an implant-free, closed approach.

Preoperative condition · Postoperative record

How to simultaneously correct a dorsal hump and nasal tip shape — Before-and-after comparison
Before-and-after comparison

How to simultaneously correct a dorsal hump and nasal tip shape

A bumpy nasal bridge, bulbous nose, and dorsal hump caused by residual filler from past injections were smoothly corrected using closed filler removal and septal extension with donor rib cartilage.

Preoperative condition · Postoperative record

Surgical approach for an upturned and crooked nose — Before-and-after comparison
Before-and-after comparison

Surgical approach for an upturned and crooked nose

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 · Postoperative record

Reconstruction method for an upturned and crooked nose after repeated surgeries — Before-and-after comparison
Before-and-after comparison

Reconstruction method for an upturned and crooked nose after repeated surgeries

Following multiple rhinoplasties, the patient presented with an upturned nasal tip, septal damage, protruding columellar cartilage, and nasal obstruction. Tip reconstruction using autologous rib cartilage, septoplasty, and submucosal resection of the inferior turbinate were performed through a closed approach.

Preoperative condition

Correcting asymmetry and function in a small, upturned nose with thin skin — Before-and-after comparison
Before-and-after comparison

Correcting asymmetry and function in a small, upturned nose with thin skin

This is a revision case involving thin skin, an upturned nose, and nostril asymmetry following a prior surgery. The septum was reconstructed using autologous rib cartilage, combined with artificial dermis reinforcement, alar rim elongation, and septoplasty.

Preoperative condition

Rhinoplasty methods for improving dorsal hump and nasal obstruction — Before-and-after comparison
Before-and-after comparison

Rhinoplasty methods for improving dorsal hump and nasal obstruction

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

How to correct a long nose and wide nose — Before-and-after comparison
Before-and-after comparison

How to correct a long nose and wide nose

This is a case where a long, wide nose and drooping tip were naturally improved. Lateral osteotomy was performed using a closed approach, and septal extension and lower lateral cartilage suturing were carried out using donor rib cartilage and septal cartilage.

Preoperative condition · Postoperative record

Revision rhinoplasty for nostril asymmetry and a flared nose — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty for nostril asymmetry and a flared nose

Following a history of double-jaw surgery and rhinoplasty, the anterior nasal spine had been resected, resulting in nostril asymmetry and nasal obstruction. The septum and lower lateral cartilages were reconstructed using autologous rib cartilage, along with silicone implant exchange and nasal sill reduction.

Preoperative condition · Postoperative record

How to correct a crooked nose and a bulbous, drooping nasal tip — Before-and-after comparison
Before-and-after comparison

How to correct a crooked nose and a bulbous, drooping nasal tip

A crooked nose with a drooping, bulbous tip and a high radix following multiple surgeries was corrected using autologous rib cartilage septal reconstruction and extension, radix lowering, and rhinitis surgery.

Preoperative condition · Postoperative record

Surgical approach for nasal obstruction, a drooping tip, and lowering the columella — Before-and-after comparison
Before-and-after comparison

Surgical approach for nasal obstruction, a drooping tip, and lowering the columella

Right-sided nasal obstruction, a drooping nasal tip, and a retracted columella following two previous surgeries were addressed using autologous rib cartilage septal extension, implant replacement, and mucosal adhesiolysis.

Preoperative condition · Postoperative record

Revision rhinoplasty approach for a long nose and high radix after repeated surgeries — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty approach for a long nose and high radix after repeated surgeries

A long nose, high radix, and columellar depression that developed after multiple prior surgeries were corrected by removing previous foreign material, reconstructing the septum with donor rib cartilage, and carving a silicone implant.

Preoperative condition · Postoperative record

Revision rhinoplasty methods for alar and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for alar and nostril asymmetry

Alar and nostril asymmetry and tip drooping after three prior surgeries were corrected via a closed approach using autologous rib cartilage septal reconstruction, septal extension, and septoplasty.

Preoperative condition · Postoperative record

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