Records addressing a pointed nasal tip focus less on the definition of the tip itself and more on the gap between its appearance and the impression the patient desired. One revision rhinoplasty case addressed both bridge deviation and a pointed nasal tip, while another article describes adjusting a sharp tip to a rounder contour for a softer look.
A primary rhinoplasty patient also presented with a pointed, upturned nasal tip alongside a drooping columella. In this collection, you can separately examine the tip contour, the direction the tip points, and its transition into the columella and nasal bridge. Review both the preoperative condition and the patient's goals so that cases desiring tip definition are not confused with cases seeking to soften a pointed tip.
View before-and-after cases ↓Comprehensive rhinoplasty guide
A case where a silicone implant became palpable, the nasal tip skin thinned, and asymmetry developed after a previous rhinoplasty. The implant was removed, the nasal tip and septum were reconstructed using sliced autologous rib cartilage, and artificial dermis was used for reinforcement.
Preoperative condition
A case where a short, upturned nasal tip and a drooping columella in an unoperated nose were corrected through septal extension. A strut was built using donor rib cartilage and septal cartilage, accompanied by columellar elevation and silicone implant placement.
Preoperative condition
Contracture and septal defect resulting from repeated surgeries were reconstructed using autologous rib cartilage. For the retracted columella, retroauricular free skin flap grafting and perichondrium grafting were performed to restore its shape.
Previous surgeries and procedures
Following previous surgeries and double-jaw surgery, an upturned nasal tip and nostril asymmetry were precisely corrected using donor rib cartilage septal reconstruction, lower lateral cartilage restoration, and a composite dermis-fat graft to the soft triangle.
Preoperative condition · Postoperative record
For a nose showing cartilage show-through through thinned skin, a widened nasal bridge, and nasal obstruction 7 years after surgery, autologous dermis reinforcement, autologous rib cartilage tip plasty, lateral osteotomy, and septoplasty were performed.
Postoperative record
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
For a patient who experienced partial absorption of donor dermis on the nasal bridge and septal damage after multiple revision surgeries, the donor dermis was removed, the septum was reconstructed with autologous rib cartilage, and the skin was reinforced with retroauricular dermis.
Preoperative condition
For a patient presenting with visible nasal tip cartilage and an upturned nose following previous surgery with a silicone implant and ear cartilage, we performed silicone implant removal, septal extension using autologous rib cartilage, fat grafting, and skin reinforcement with donor dermis.
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
A case in an older patient with a 50-year history of repeated surgeries, nasal pain, and a crooked nose deformity, where the previous cartilage causing the pain was removed and the nose was reconstructed using donor rib cartilage.
Preoperative condition
A long nose, wide nasal bridge, mucus pooling, and nasal obstruction resulting from multiple prior surgeries were corrected using lateral osteotomy, autologous rib cartilage grafting, and septoplasty.
Preoperative condition
To address a sharp nasal tip and cartilage show-through following previous surgeries, the existing ear cartilage was removed, and donor rib cartilage alongside acellular dermal graft was used to reinforce the cartilage framework and overlying skin.
Preoperative condition
For a contracted nose and a sharply upturned nasal tip that developed after multiple surgeries, septal reconstruction with autologous rib cartilage, removal of inflammatory tissue from the nasal tip, and nostril lowering were performed.
Preoperative condition · Postoperative record
A nasal tip that had become long and sharp from multiple surgeries, along with nostril asymmetry, was corrected using glabella bone rasping, autologous rib cartilage extension, and composite skin graft nostril lowering.
Preoperative condition
For nasal tip deviation, an upturned tip, and nasal obstruction caused by intranasal mucosal adhesion following previous surgery, we performed septal extension using donor rib cartilage, nostril lowering, and mucosal adhesion release.
Preoperative condition
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
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
To resolve a long nose, drooping tip, and nostril asymmetry that developed after prior surgery using a silicone implant, ear cartilage, and Medpor, the Medpor was removed and autologous rib cartilage septal extension along with nasal tip reconstruction were performed.
Preoperative condition
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This list does not treat projection and contour as the same detail. One primary rhinoplasty record documents a pointed, upturned nasal tip along with a drooping columella. Another post describes softening a pointed nasal tip. Please examine the descriptions of the tip's sharp appearance separately from those of its direction and projection.
Yes, there are. One revision rhinoplasty record describes softening a pointed nasal tip while addressing an absorbed bridge graft, a high radix, and deviation. Another article notes the patient's goal of rounding out a sharp nasal tip. You can distinguish changes in overall height from changes in tip contour as you read.
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