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High glabella and high radix: concerns distinct from overall nasal height

This is page 6 of cases on high radix and starting point of the bridge: concerns distinct from overall height. Review surgical records and before-and-after photos for cases 91–99 of 99.

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How to lower the radix and columella together — Before-and-after comparison
Before-and-after comparison

How to lower the radix and columella together

This is a case of a patient who visited the clinic to improve a high radix and the shape of the nasal tip and columella. We planned to adjust both the radix and nasal tip, and documented the changes in the columellar line and nostril asymmetry after surgery.

Preoperative condition

How to plan nostril lowering (alar rim grafting) in an upturned nose — Before-and-after comparison
Before-and-after comparison

How to plan nostril lowering (alar rim grafting) in an upturned nose

A case where a septum weakened by previous surgery was reinforced with donor rib cartilage, and nostril lowering was performed using an ear cartilage graft and lower lateral cartilage repositioning. The existing autologous gluteal dermis was reused at the nasal tip, and functional surgery for nasal obstruction was performed simultaneously.

Preoperative condition

No-implant revision rhinoplasty for an unnatural, operated-looking nose — Before-and-after comparison
Before-and-after comparison

No-implant revision rhinoplasty for an unnatural, operated-looking nose

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 · Postoperative record

Reconstruction methods for a nose contracted after multiple surgeries — Before-and-after comparison
Before-and-after comparison

Reconstruction methods for a nose contracted after multiple surgeries

In a severe contracted nose that developed after a history of 27 surgeries and fat graft procedures, the protruding silicone implant and degenerated tissue were removed, and the septum and structural support were reconstructed using autologous rib cartilage.

Preoperative condition

Key points to check in early revision rhinoplasty at 14 days post-op — Before-and-after comparison
Before-and-after comparison

Key points to check in early revision rhinoplasty at 14 days post-op

This is a case of early revision rhinoplasty performed just 14 days after surgery, as deviation persisted despite a prior surgery and an attempted correction. The plan involved removing the implant and cartilage and using autologous rib cartilage, documenting changes in the radix, nasal dorsum, and nasal tip after surgery.

Preoperative condition

How is a long nose corrected? — Before-and-after comparison
Before-and-after comparison

How is a long nose corrected?

This is a case of a patient who visited our clinic with a long, drooping tip after a history of nasal filler, rhinoplasty, and two-jaw surgery. Foreign material removal was documented, and septal reconstruction using autologous rib cartilage along with thinning of the nasal tip skin was planned.

Preoperative condition

Methods for correcting an arrow-shaped nose and long nose — Before-and-after comparison
Before-and-after comparison

Methods for correcting an arrow-shaped nose and long nose

A long, drooping arrow-shaped nose and dorsal hump were refined through osteotomy and implant replacement, while septal extension using autologous rib cartilage and nasal sill reduction improved the nasolabial angle and nostril asymmetry.

Preoperative condition

How to correct a long nose by lowering the radix — Before-and-after comparison
Before-and-after comparison

How to correct a long nose by lowering the radix

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

Foreign body removal and autologous rib cartilage revision rhinoplasty for chronic foreign body reaction and a long nose — Before-and-after comparison
Before-and-after comparison

Foreign body removal and autologous rib cartilage revision rhinoplasty for chronic foreign body reaction and a long nose

This is a case where a silicone implant shifted almost to the point of extruding through the columella due to a chronic foreign body reaction. The silicone implant, granulation tissue, and glabella filler were removed, and the depleted septum from previous surgery was reconstructed using autologous rib cartilage.

Preoperative condition

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