A record describing insufficient nasal tip support explains the specific internal condition rather than simply stating that the tip looks low. In one patient, very little septal cartilage remained and there was a severe soft tissue defect inside the columella; I noted that we reconstructed the support structure to maintain the nasal tip shape.
Another case describes returning septal cartilage harvested during a previous surgery back to its original position to secure stability, followed by septal extension using autologous rib cartilage. This collection shows not only the addition of new material, but also how the remaining structure and previous materials were handled. Please read through while distinguishing the height and width of the nasal tip from the details of the support reconstruction.
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This is a case of septal cartilage deficit, nasal bone asymmetry, and nasal obstruction remaining after two surgeries. Through a closed approach, autologous rib cartilage was used for septal reconstruction, along with nasolabial angle correction, nasal bone asymmetry correction, and radix adjustment.
Preoperative condition
This is a case of septal damage, a deviated nasal bridge, a bulbous nose, and nasal obstruction following double jaw surgery and two prior rhinoplasties. Autologous rib cartilage septal reconstruction, cartilage repositioning, lateral osteotomy, and functional nasal surgery were performed.
Postoperative record
This is a revision rhinoplasty case where the patient experienced a drooping tip, a deviated septum, and nasal obstruction after previous surgery. The septum was reconstructed using autologous rib cartilage, and silicone implant replacement along with rhinitis surgery was performed using a closed approach.
Preoperative condition
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
A case where repeated surgeries and inflammation led to depressed nasal tip skin and implant show-through. The damaged skin was revised, dermal and cartilage grafts were placed, the septum was reinforced with autologous rib cartilage, and the implant was replaced.
Preoperative condition
A high, deviated silicone implant was replaced to lower the radix, and septal extension was performed using donor rib cartilage. Partial soft tissue resection, cartilage tie, and rhinitis surgery addressed the bulbous tip and nasal obstruction.
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.
Preoperative condition
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
Persistent bulbous tip and upturned nasal tip after surgery with ear cartilage were addressed with autologous rib cartilage septal extension, partial scar tissue excision, cartilage repositioning, and a silicone implant.
Preoperative condition
A drooping nasal tip and crooked dorsal hump caused by small lower lateral cartilages were refined through autologous rib cartilage support reinforcement, lateral osteotomy, a silicone implant, and nasolabial angle correction.
Preoperative condition
Septal support lost in previous surgeries was reconstructed with autologous rib cartilage, and pinched alae and depressed nasal bridge areas were reinforced to correct an upturned nasal tip and nostril show.
Preoperative condition
In a patient presenting with columellar retraction and a pinched right alar rim following rhinoplasty with silicone and donor rib cartilage, the existing materials were removed and reconstruction of the septum and alar cartilage was performed using autologous rib cartilage.
Preoperative condition
A severely deviated and damaged septum following previous surgery with a silicone implant and donor rib cartilage was reinforced and reconstructed using autologous rib cartilage, completing the nasal line through septal extension and nasolabial angle correction.
Postoperative record
After double-jaw surgery weakened the septum, the nose became lower and wider; we reinforced it through septal reconstruction with autologous rib cartilage and completed a smooth profile using a customized silicone implant.
Preoperative condition · Postoperative record
To reinforce nasal tip support weakened after a previous silicone and ear cartilage surgery, the silicone implant was customized and replaced, and a stable nasal line was established using septal extension with autologous rib cartilage.
Preoperative condition · Postoperative record
In a nose where the anterior septum was severely damaged by Medpor, foreign materials were removed, and septal reconstruction using autologous rib cartilage, silicone implant replacement, nasal sill reduction, and functional nasal surgery were performed.
Preoperative condition
After two prior surgeries, a septum collapsed to the right, a depressed alar wing, and a mucosal defect were corrected through autologous rib cartilage septal reconstruction, perichondrium grafting, and re-carving of the silicone implant.
Preoperative condition
In a case of ongoing nasal obstruction with a weakened, deviated septum following multiple surgeries, structural integrity and nasal breathing were improved through septal reconstruction using autologous rib cartilage, lateral osteotomy, septoplasty, and turbinoplasty.
Preoperative condition
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In these cases, the internal condition identified beforehand is addressed with greater importance than just the height. In one patient, almost no septum remained and there was also a severe soft tissue defect inside the columella; it is noted that both septal reconstruction and reinforcement of the defective area were performed. You can review the photos showing the changed tip height alongside the main text explaining which support structures were restored.
Yes, there are. One case explains that septal cartilage previously used as a septal extension material was returned to its original position to secure the stability of the septum. It then records that extension surgery was performed using autologous rib cartilage. By distinguishing between the repositioning of previous materials and the use of new materials, you can see differences that might be missed when simply comparing cartilage types.
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