Concerns about a nose appearing too high often involve descriptions of overall impression rather than numerical height. One case record reflects a consultation context where the nose did not look unattractive, but gave a strongly operated, excessively high impression. Another post notes a high radix between the eyebrows, a long nose, and deviation toward the right.
Records also include patients with naturally high bridges, so this topic is not limited solely to noses made high by implants. That particular case describes a procedure performed without an implant, working from a naturally high bridge. Compare these cases by separating prior surgical history, which part of the bridge was described as high, and the extent of change the patient desired.
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For an overly high "Pinocchio-like" deviated nose with septal damage, the silicone implant was removed, and autologous rib cartilage reconstruction, radix adjustment, and nasal sill reduction were performed.
Preoperative condition · Postoperative record
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
For a wide nasal bridge and an upturned nasal tip resulting from repeated surgeries and nasal bridge thread-lifting procedures, foreign material was removed, lateral osteotomy was performed, and septal reconstruction was carried out by recycling existing autologous rib cartilage and supplementing with donor rib cartilage.
Preoperative condition
A case in which septal extension using donor rib cartilage, lateral osteotomy, and inferior turbinate rhinitis surgery were performed for a dorsal hump, crooked nose, and nasal obstruction that worsened after trauma.
Preoperative condition
For a contracted nose and a sharply upturned nasal tip that developed after multiple surgeries, septal reconstruction with autologous rib cartilage, removal of inflammatory tissue from the nasal tip, and nostril lowering were performed.
Preoperative condition
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
In a nose where the implant was overly conspicuous and the radix was excessively high, the silicone implant was removed to transition to a no-implant approach, creating natural contouring along the nasal tip and columella.
Preoperative condition
Nostril asymmetry, a crooked nose, and nasal bone defects that developed after a previous philtrum reduction and rhinoplasty were reconstructed using lateral osteotomy restoration, autologous rib cartilage, and a rotation flap.
Preoperative condition
The excessively high Gore-Tex implant was removed from the glabella, the radix was lowered to the pupil line, and the septum and retracted columella were corrected using autologous rib cartilage.
Preoperative condition
This is a case of a patient concerned about a nose that still looked long due to a residual dorsal hump and a drooping tip even after a previous surgery. The nasal bone and upper lateral cartilage were refined, the nasal tip and columella were corrected, and a thin silicone implant was placed to cover irregularities.
Preoperative condition
A congenitally large, high dorsal hump and drooping tip were corrected and smoothly connected without implants through precise nasal bone rasping and cartilage grafting.
Preoperative condition
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No. One case record describes planning minimal change without using an implant for a patient with a naturally high bridge. In contrast, another post covers a consultation regarding a high radix and an unnatural bridge after prior surgery. Distinguishing between natural height and height following previous surgery helps prevent misunderstanding the objective of each case.
The case records connect natural results to the impression perceived by the patient. One record addresses an operated look that felt excessively high, while another covers a high radix between the eyebrows alongside deviation and a long nose. Therefore, rather than interpreting natural results as a specific procedure, it is more accurate to review the targeted areas and the surgical steps actually performed.
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