In articles addressing a short nose, not only the position of the nasal tip is discussed, but also skin elasticity and the condition of the cartilage. The original records document cases where skin contraction just above the nasal tip shortened the tip, as well as cases that appeared short and upturned after repeated surgeries.
When reading these cases, it is advisable not to summarize the surgery simply as lengthening the nose. For one patient, the goals included both reconstructing the damaged cartilage and addressing the shortened skin. Another record describes the surgical difficulties encountered in a nose with limited skin laxity, so please review these limitations alongside the photos taken immediately after surgery.
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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
A case correcting an upturned nasal tip caused by loss of the septum from repeated revision surgeries. Autologous rib cartilage septal reconstruction, nasal mucosal advancement flap, silicone implant adjustment, and rhinitis surgery were performed concurrently.
Preoperative condition · Postoperative record
A case of staged nasal reconstruction for a nose damaged by recurrent implant inflammation. After foreign body removal, a 2-year resting period, and stem cell therapy, the structure was rebuilt using donor rib cartilage and an implant was inserted.
Preoperative condition · Postoperative record
A case of correcting a short, upturned nasal tip and a pinched nostril caused by congenital septal cartilage weakness. Autologous rib cartilage was used to reconstruct the septum and lower lateral cartilage, combined with lowering the nostril rim and lateral osteotomy.
Preoperative condition · Postoperative record
We extended the septum with autologous rib cartilage and corrected the nasolabial angle to improve an upturned nasal tip and a long philtrum. Lateral osteotomy, a custom silicone implant, and rhinitis surgery were performed concurrently.
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
To correct septal cartilage loss from 3 prior surgeries, a short nose appearance, and a bulbous tip, the septum was reconstructed using autologous rib cartilage and the radix was lowered.
Preoperative condition · Postoperative record
Through a closed approach, a nose that became low, upturned, and showed excessive nostril exposure after silicone implant removal was refined using autologous rib cartilage tip extension, nasal bridge height restoration, and correction of the nasolabial angle to 90 degrees.
Preoperative condition
To improve a small, drooping nose along with nasal obstruction from a deviated septum and rhinitis, autologous rib cartilage was used to firmly elevate the nasal tip, adjust the nasolabial angle, and correct the septum and inferior turbinates at the same time.
Preoperative condition · Postoperative record
A case of a short, upturned, small nose with no prior rhinoplasty. Considering the skin tension, septal extension was performed using autologous rib cartilage, combined with functional surgery for the septum and turbinates.
Preoperative condition · Postoperative record
A case of skin thinning, cartilage show-through, and an upturned nose following contracted nose surgery. The skin was reinforced with dermis and autologous rib perichondrium, along with septal extension.
Preoperative condition
A short, upturned, crooked nose following an L-shaped silicone implant was lowered using septal extension with autologous rib cartilage, and the airway was improved through nasal valve reconstruction and septal correction.
Preoperative condition · Postoperative record
We removed an L-shaped silicone implant that was at imminent risk of perforating the left columellar mucosa, then reconstructed the contracted nose using autologous rib cartilage for septal extension and autologous dermis for tip reinforcement.
Preoperative condition
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.
Preoperative condition · Postoperative record
To correct nostril asymmetry, a short nose, and nasal obstruction that developed after previous implant-free rhinoplasty and alar rim lowering, autologous rib cartilage septal reconstruction and functional nasal surgery were performed.
Preoperative condition · Postoperative record
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.
Preoperative condition
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
A primary rhinoplasty case for a patient with a small, wide nasal tip, drooping, a minor dorsal hump, and chronic nasal obstruction, treated through gradual expansion accounting for skin elasticity, autologous rib cartilage reconstruction, and septal correction.
Preoperative condition
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One original record explains that the nasal tip shortened due to contraction of the skin just above the tip, noting that reconstructing the damaged cartilage and stretching the skin were the primary goals of the surgery. Another record notes that surgery is challenging when a nose has limited skin. In such cases, changes in length cannot be separated from the skin's condition.
Yes. There is a record of a nose appearing short and upturned after a primary surgery using a silicone implant and donor rib cartilage, followed by revision rhinoplasty to remove the silicone implant and use donor rib cartilage again. Reviewing not only the materials used, but also the sequence of surgeries and the exact point at which the patient felt the nose had shortened, allows for a more detailed comparison of related cases.
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