This is page 2 of cases on long nose and a nose that appears long: differences between tip drooping and apparent length. Review surgical records and before-and-after photos for cases 19–36 of 78.
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Cartilage penetrating the mucosa and a septal perforation after multiple surgeries were corrected through total reconstruction with autologous rib cartilage and repair of the perforation using ear perichondrium.
Previous surgeries and procedures · Postoperative record
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
This is a case where the nasal bones, septum, and keystone area were damaged after repeated surgeries, causing nasal obstruction due to nasal valve stenosis. Autologous rib cartilage was used to reconstruct the nasal support structure and nasal valve, while correcting bridge depression and asymmetry.
Previous surgeries and procedures
A case resolving a persistent bulbous tip, excessive nostril show, and residual filler after previous surgeries by removing the filler and reconstructing the septum and alae using autologous rib cartilage.
Preoperative condition
A case of autologous rib cartilage reconstruction combined with septal and inferior turbinate surgery to address a left-deviated nose, long nose, bulbous tip, severe facial asymmetry, and nasal obstruction.
Preoperative condition · Postoperative record
A case where donor dermis previously placed on the nasal dorsum caused tip show-through and made the midface appear elongated; all donor dermis was completely removed, autologous rib cartilage reconstruction was performed, and stem cell therapy was combined.
Preoperative condition
A case where a previously placed dermal graft had caused an uneven nasal bridge, alongside an unresolved bulbous nose and nostril asymmetry, which were corrected by completely removing the existing dermis and performing a comprehensive reconstruction using autologous rib cartilage.
Preoperative condition
To improve a dorsal hump, crooked nose, and drooping arrow nose when smiling, autologous rib cartilage was used to reposition the nasal tip, combined with lateral osteotomy, septoplasty, and rhinitis surgery.
Preoperative condition · Postoperative record
In a patient who developed nostril stenosis and a drooping tip from illegal injections administered by an unlicensed practitioner 20 years ago, we removed the foreign material and reconstructed the septum and lower lateral cartilage using autologous rib cartilage to improve the nasal shape.
Preoperative condition
For a patient presenting with a severely drooping columella, an arrow nose, and nostril asymmetry after previous surgeries, autologous rib cartilage septal extension and lower lateral cartilage repositioning were performed to improve tip drooping and asymmetry.
Preoperative condition · Postoperative record
A case correcting a contracted nose, crooked nose, and pinched nostrils that developed after repeated surgeries, using silicone implant and scar tissue removal, nasal tip reconstruction with autologous rib cartilage, alar reconstruction with ear cartilage, and dermal grafting.
Preoperative condition
A case where a bulbous nasal tip, drooping arrow nose, and weakened septum—occurring after alar reduction and implant surgery 12 years prior—were corrected through septal reconstruction with autologous rib cartilage, nasal shortening, and septoplasty.
Preoperative condition · Postoperative record
To improve a bulbous nasal tip, residual hump sensation, and asymmetry without silicone implants, autologous rib cartilage was used to elevate the nasal bridge and dorsal line, combined with cartilage repositioning, cartilage binding, and nasolabial angle correction.
Preoperative condition · Postoperative record
We removed the premaxillary ("cat") implant and irregularly placed ear cartilage from previous surgeries, then refined the crooked nose and radix line using a dermal graft, lateral osteotomy, and autologous rib cartilage septal extension.
Preoperative condition
A case correcting a crooked nose, asymmetry, and rhinitis symptoms from a deviated septum after nose filler, using filler removal, donor rib cartilage septal extension, and septoplasty.
Preoperative condition
For a severe dorsal hump, drooping tip, and nasal obstruction, septal reconstruction and bridge augmentation with autologous rib cartilage, lateral osteotomy, and submucosal resection of the inferior turbinate were performed.
Preoperative condition · Postoperative record
To resolve thinned nasal tip skin and cartilage show-through caused by repeated surgeries, retroauricular autologous dermis grafting, lateral osteotomy, and columellar elevation were performed.
Preoperative condition
Spread nasal filler, a dorsal hump, a long-looking nasal tip, and sinusitis symptoms were addressed together through filler removal, hump reduction, and septoplasty.
Preoperative condition · Postoperative record
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