This is page 4 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 55–72 of 78.
View before-and-after cases ↓Comprehensive rhinoplasty guide
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
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
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
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
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
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
A case of a patient who presented with a crooked nasal bridge, dorsal hump, and high radix after previous surgery using mesh and threads. Through a closed approach, the foreign materials were removed, and lateral osteotomy along with autologous rib cartilage reconstruction of the nasal tip and bridge was performed.
Preoperative condition · Postoperative record
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
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
Through a closed approach, a drooping tip, bulbous nose, and dorsal hump were refined into smooth lines using autologous rib cartilage tip plasty and silicone implant placement.
Preoperative condition
This is a case of a dorsal hump with a large skeletal framework and a high radix, accompanied by nasal deviation and a drooping tip. Considering facial proportions, the surgery was completed without implants, and changes in the dorsal hump, columella, and tip shape were documented.
Preoperative condition · Postoperative record
For a drooping, bulbous nose caused by glabella filler and bony asymmetry, the filler was removed, and refinement was achieved through lateral osteotomy, septal extension, and a thin silicone implant.
Preoperative condition
This is a case of silicone implant show-through and a bulbous nasal tip from a surgery performed long ago. Calcification of the capsule around the removed implant was confirmed. Here, I introduce the surgical plan using septal cartilage and donor rib cartilage for tip reshaping, along with changes to the nasal bridge and tip immediately after surgery.
Preoperative condition
This is a case of implant-free rhinoplasty addressing a mild dorsal hump, a long, drooping tip, and an apparently crooked nasal bridge. Donor rib cartilage was partially filled along the nasal bridge, and the postoperative changes in the nasal tip, nasolabial angle, and nasal bridge line were documented.
Preoperative condition · Postoperative record
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
This is a case of correcting a bulbous and drooping long nose caused by thick, broad tip skin. A portion of the subcutaneous tissue beneath the nasal tip skin was removed, and the nasal tip height, the starting point at the glabella, and the drooping columella shape were adjusted.
Preoperative condition
This case addresses nasal obstruction along with a long, drooping arrow-shaped nose and a crooked nasal bridge. Surgery on the septum and inferior turbinate, along with osteotomy and cartilage reinforcement, was planned, and changes in bridge curvature and tip drooping were documented after surgery.
Preoperative condition
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
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