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Excessive nostril show: examining upward rotation and nostril contour

This is page 2 of the case archive for Excessive nostril show: assessing upturn and nostril shape. Explore surgical notes and before-and-after photos for cases 19–36 of 123.

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Why an autologous dermal graft absorbs, leading to a widened bridge and upturned nose, and how to correct it — Before-and-after comparison
Before-and-after comparison

Why an autologous dermal graft absorbs, leading to a widened bridge and upturned nose, and how to correct it

A case of an upturned nose and widened bridge caused by dermal graft absorption. After removing nasal filler placed 2 years ago, a straight bridge line was established through septal extension, alar rim lowering, and correction of the depressed dorsum.

Preoperative condition · Postoperative record

Why the columella droops and nostrils become visible: correcting a crooked nose and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Why the columella droops and nostrils become visible: correcting a crooked nose and nostril asymmetry

A case of a drooping columella, crooked nose, and nostril show following prior filler, Misko, and silicone rhinoplasty. Autologous rib cartilage reconstruction and alar rim grafts were performed after implant removal.

Preoperative condition · Postoperative record

Why the nasal tip turns upward and nostril show increases years after rhinoplasty: Medpor removal and autologous dermis reconstruction — Before-and-after comparison
Before-and-after comparison

Why the nasal tip turns upward and nostril show increases years after rhinoplasty: Medpor removal and autologous dermis reconstruction

To resolve an upturned nose and nostril asymmetry resulting from surgery performed 13 years ago, adhered Medpor was carefully dissected and removed, and the septum was reconstructed using autologous dermis.

Preoperative condition · Postoperative record

Short and upturned nose with insufficient septal cartilage: how to lengthen it with rib cartilage reinforcement — Before-and-after comparison
Before-and-after comparison

Short and upturned nose with insufficient septal cartilage: how to lengthen it with rib cartilage reinforcement

A short, upturned nose caused by septal cartilage deficiency from a previous surgery was corrected with septal reconstruction using autologous rib cartilage, combined with chin filler removal and receding chin correction.

Postoperative record

Why the glabella widens and the nasal tip upturns after repeated filler and thread treatments — Before-and-after comparison
Before-and-after comparison

Why the glabella widens and the nasal tip upturns after repeated filler and thread treatments

Foreign materials that had widened the glabella along with the previous implant were removed, and the upturned nose was corrected through partial septal reconstruction using autologous rib cartilage and nasolabial angle adjustment.

Preoperative condition · Postoperative record

How tip structure and nostril show are addressed in primary rhinoplasty — Before-and-after comparison
Before-and-after comparison

How tip structure and nostril show are addressed in primary rhinoplasty

To achieve a natural nasal contour and reduce nostril show, dorsal augmentation with a silicone implant, tip correction using donor rib cartilage and septal cartilage, and adjustment of the nasolabial angle were performed.

Postoperative record

Why inflammation recurs after rhinoplasty and how to reconstruct using only autologous tissue — Before-and-after comparison
Before-and-after comparison

Why inflammation recurs after rhinoplasty and how to reconstruct using only autologous tissue

Persistent tip inflammation, deviation, and nasal symptoms following repeated surgeries were resolved by removing previous foreign materials and performing septal reconstruction with autologous rib cartilage alongside functional nasal surgery.

Postoperative record

Why the radix starts too high and the nose looks crooked, and how to correct it with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why the radix starts too high and the nose looks crooked, and how to correct it with autologous rib cartilage

Following a previous implant surgery, issues with a high radix, crooked dorsum, and upturned tip were corrected using autologous rib cartilage septal extension, lateral osteotomy, and nasolabial angle correction.

Preoperative condition · Postoperative record

Why nasal asymmetry remains after cleft lip and palate, and reconstruction using rib and ear cartilage — Before-and-after comparison
Before-and-after comparison

Why nasal asymmetry remains after cleft lip and palate, and reconstruction using rib and ear cartilage

For cleft lip- and palate-related asymmetry and alar deformities, septal reconstruction and dorsal augmentation were performed using autologous rib cartilage, along with alar reconstruction using ear cartilage and lateral osteotomy.

Postoperative record

Why infection recurs after rhinoplasty: treatment of inflammation and staged reconstruction — Before-and-after comparison
Before-and-after comparison

Why infection recurs after rhinoplasty: treatment of inflammation and staged reconstruction

In a patient presenting with mucosal perforation and contracture deformity caused by implant infection, inflamed tissue was debrided and irrigated, followed by staged septal reconstruction.

Previous surgeries and procedures

How to perform reconstruction when multiple revision surgeries leave no nasal cartilage behind — Before-and-after comparison
Before-and-after comparison

How to perform reconstruction when multiple revision surgeries leave no nasal cartilage behind

This is a case where the septum was damaged and both lower lateral cartilages were removed following multiple rhinoplasties. The support structure was reconstructed using autologous rib cartilage, concurrently correcting the upturned nose, deviated columella, and nasolabial angle.

Postoperative record

Why a nose with excessive septal cartilage harvest becomes upturned and blocked, and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

Why a nose with excessive septal cartilage harvest becomes upturned and blocked, and how to reconstruct it

A case where a septum weakened and deviated to the left from a previous surgery was reconstructed with autologous rib cartilage. Addressing both nasal obstruction and an upturned nose, the nasal tip was elongated, and the depressed nasal dorsum and nasolabial angle were corrected.

Preoperative condition · Postoperative record

Bulbous nasal tip unresolved by previous surgeries: causes and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Bulbous nasal tip unresolved by previous surgeries: causes and reconstruction methods

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 · Postoperative record

Causes of nasal tip show-through and correction methods to lower the tip defining point — Before-and-after comparison
Before-and-after comparison

Causes of nasal tip show-through and correction methods to lower the tip defining point

To correct persistent nasal tip show-through and an upturned nose that remained even after an ear dermis graft, past filler residue was completely removed, the tip defining point was naturally lowered, and nasal tip plasty using autologous rib cartilage was performed.

Preoperative condition · Postoperative record

Why a crooked nose and a drooping tip occur together: How septal reconstruction and rhinitis surgery are performed — Before-and-after comparison
Before-and-after comparison

Why a crooked nose and a drooping tip occur together: How septal reconstruction and rhinitis surgery are performed

Following previous rhinoplasty, poor septal support led to a crooked nose, a drooping tip, and excessive nostril show. These concerns were addressed through septal reconstruction, lateral osteotomy, and tip support correction.

Preoperative condition · Postoperative record

Why foreign material from illicit injections remains after removal and how to correct an upturned nasal tip — Before-and-after comparison
Before-and-after comparison

Why foreign material from illicit injections remains after removal and how to correct an upturned nasal tip

Due to residual foreign material from past illicit injections, an upturned nose and excessive nostril show persisted; the remaining foreign material was completely removed, and tip rhinoplasty using autologous rib cartilage was performed alongside radix adjustment.

Preoperative condition · Postoperative record

Why the nasal bridge looks artificial and the nose becomes upturned, and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge looks artificial and the nose becomes upturned, and how to reconstruct it

After surgery with a silicone implant and donor rib cartilage, a chalk-like nasal bridge and excessive nostril show occurred. A natural line was reconstructed through septal extension using autologous rib cartilage and alar rim lowering.

Preoperative condition · Postoperative record

How the nose changes when donor rib cartilage is resorbed, and how autologous rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

How the nose changes when donor rib cartilage is resorbed, and how autologous rib cartilage reconstruction is performed

For a patient whose nasal tip had shrunk, whose alae appeared pinched, and whose nasal bridge developed scarring due to donor rib cartilage resorption, we performed alar reconstruction with autologous rib cartilage, septal extension, and cartilage and dermal graft reinforcement.

Preoperative condition

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