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Excessive nostril show: examining upward rotation and nostril contour

This is page 5 of the case archive for Excessive nostril show: assessing upturn and nostril shape. Explore surgical notes and before-and-after photos for cases 73–90 of 123.

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Revision rhinoplasty planning considering nasal tip skin condition and necrosis risk — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty planning considering nasal tip skin condition and necrosis risk

This is a case of septal damage, an upturned nose, and nasal tip skin depression after multiple previous surgeries. Using a closed approach to preserve blood supply, we performed septal reconstruction with autologous rib cartilage along with cartilage and dermal grafts.

Preoperative condition · Postoperative record

How to correct the nasal tip and bridge in a sharp upturned nose — Before-and-after comparison
Before-and-after comparison

How to correct the nasal tip and bridge in a sharp upturned nose

This is a case of previous surgery resulting in a deviated nasal bridge, an upturned nasal tip, nasolabial angle issues, and nasal obstruction. Using a closed approach with autologous rib cartilage, septal deviation correction, septal extension, and lateral osteotomy were performed.

Preoperative condition · Postoperative record

Revision rhinoplasty method to correct both an upturned nose and a crooked nose — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty method to correct both an upturned nose and a crooked nose

This patient had an artificial appearance, an upturned nasal tip, and a crooked nose following previous surgeries with an L-shaped silicone implant and ear cartilage. Through a closed approach, autologous rib cartilage septal extension, silicone implant replacement, and rhinitis surgery were performed together.

Preoperative condition · Postoperative record

Rhinoplasty method considering the nasal bridge starting point and facial proportions — Before-and-after comparison
Before-and-after comparison

Rhinoplasty method considering the nasal bridge starting point and facial proportions

Prominent brow bones, a low glabella, and a drooping nasal tip were corrected following filler removal by inserting a glabellar silicone implant, autologous rib cartilage septal extension, and rhinitis surgery.

Postoperative record

Revision rhinoplasty methods for a short and upturned nose — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for a short and upturned nose

A short, upturned nose and nasal obstruction following multiple prior surgeries were corrected using donor rib cartilage septal extension, recycling of existing cartilage, silicone implant replacement, and septal and inferior turbinate surgery.

Preoperative condition · Postoperative record

Revision rhinoplasty methods considering remaining tissue after alar reduction — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods considering remaining tissue after alar reduction

Pinched alae, nostril stenosis, and contracture deformity caused by excessive alar reduction were corrected using autologous rib cartilage septal reconstruction and composite skin-dermis grafting.

Preoperative condition · Postoperative record

How to simultaneously correct an upturned nose, dorsal hump, and crooked nose — Before-and-after comparison
Before-and-after comparison

How to simultaneously correct an upturned nose, dorsal hump, and crooked nose

For a complex presentation combining an upturned nose, dorsal hump, and crooked nose, closed septal extension grafting using donor rib cartilage and septal cartilage, lateral osteotomy, nasolabial angle correction, and tip modification were performed.

Preoperative condition · Postoperative record

How to remove mesh and reconstruct a contracted nose — Before-and-after comparison
Before-and-after comparison

How to remove mesh and reconstruct a contracted nose

In a patient presenting with post-inflammatory nasal contracture and nasal obstruction, unexpected mesh and residual donor rib cartilage found in the nasal tip were removed. The entire septum and both lower lateral cartilages were then reconstructed using autologous rib cartilage.

Preoperative condition

Revision rhinoplasty approach for an upturned nose caused by contracture — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty approach for an upturned nose caused by contracture

To address a contracted and upturned nose with nostril asymmetry resulting from inflammation and implant removal, stem cell therapy was performed first, followed by autologous rib cartilage septal extension, alar rim grafting, and silicone nasal bridge augmentation.

Preoperative condition · Postoperative record

Correction methods considering the shape of contracted and upturned noses — Before-and-after comparison
Before-and-after comparison

Correction methods considering the shape of contracted and upturned noses

In a male patient who developed contracture deformity, an upturned nose, and nasal obstruction after repeated surgeries, septal reconstruction and extension using autologous rib cartilage along with nostril lowering were performed via a closed approach.

Preoperative condition · Postoperative record

Correction method for a small, upturned nose considering the nasolabial angle and nasal function — Before-and-after comparison
Before-and-after comparison

Correction method for a small, upturned nose considering the nasolabial angle and nasal function

To correct nasal obstruction along with an upturned nose, short nose, and low glabella, septoplasty, submucosal resection of the inferior turbinate, autologous rib cartilage septal extension, and lateral osteotomy were performed using a closed approach.

Preoperative condition · Postoperative record

How to reconstruct a nose upturned from contracture using autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

How to reconstruct a nose upturned from contracture using autologous rib cartilage

Following multiple nasal surgeries and inflammation that led to contracture, an upturned nasal tip, and nostril asymmetry, autologous rib cartilage was used to extend and reconstruct the septum, creating the dorsal hump line requested by the patient.

Preoperative condition

Supportive structures and correction methods for a bulbous and upturned nose — Before-and-after comparison
Before-and-after comparison

Supportive structures and correction methods for a bulbous and upturned nose

To correct an upturned tip, a bulbous tip, and a low glabella while avoiding the use of rib cartilage, a septal extension graft using septal cartilage and nasal bridge augmentation with a silicone implant were performed via a closed approach.

Preoperative condition · Postoperative record

Characteristics and correction methods for an upturned, curved nose — Before-and-after comparison
Before-and-after comparison

Characteristics and correction methods for an upturned, curved nose

A revision rhinoplasty case in a male patient presenting with an upturned nasal tip, excessive nostril show, and nasal obstruction, treated via a closed approach using autologous rib cartilage septal extension, implant exchange, and septoplasty.

Preoperative condition · Postoperative record

How to correct nasal length and the nasal tip together in a long nose — Before-and-after comparison
Before-and-after comparison

How to correct nasal length and the nasal tip together in a long nose

A case of a nose that appeared long with nostril asymmetry after two prior nasal surgeries, corrected using a closed approach with silicone implant replacement, autologous rib cartilage septal extension, and adjustment of the radix.

Preoperative condition · Postoperative record

Closed correction method for a crooked nose and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Closed correction method for a crooked nose and nostril asymmetry

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

Correcting a crooked nose and nostril asymmetry while considering breathing — Before-and-after comparison
Before-and-after comparison

Correcting a crooked nose and nostril asymmetry while considering breathing

Following prior filler and rhinoplasty, the patient experienced a persistent crooked nose, nostril asymmetry, and breathing difficulty; we performed filler removal, septal reconstruction and extension using autologous rib cartilage, and inferior turbinate resection.

Preoperative condition · Postoperative record

How to plan filler removal and correction for a small, upturned nose — Before-and-after comparison
Before-and-after comparison

How to plan filler removal and correction for a small, upturned nose

To correct nostril show and a short, upturned nasal tip after filler injection, the undissolved filler was surgically removed, followed by closed septal extension with autologous rib cartilage and lowering of the columella.

Preoperative condition · Postoperative record

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