Concerns about an upturned nasal tip are often documented alongside a short nose, excessive nostril show, and the shape of the columella. This collection includes cases of a patient whose nose became short and upturned after two previous surgeries, as well as a patient with confirmed contracture deformity and cartilage damage. Even when they appear similar on the outside, their surgical histories were not the same.
When comparing cases, rather than only looking at how much the nasal tip was lowered, examine the condition of the remaining cartilage before surgery and the actual procedures performed. In one case, a partial reconstruction of the damaged lower lateral cartilage and septum was performed before proceeding with septal extension. This case illustrates the distinction between the visual changes seen in photographs and the structural framework addressed to achieve them.
View before-and-after cases ↓Comprehensive rhinoplasty guide
A case where an L-shaped implant placed about 10 years ago caused skin thinning and an upturned nasal tip. The L-shaped silicone implant was removed, and nasal tip reconstruction with autologous rib cartilage, septal correction, and dermal tissue reinforcement were performed.
Preoperative condition · Postoperative record
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 · Postoperative record
A primary rhinoplasty case involving a small, low nose and an upturned tip causing excessive nostril show. Using a closed approach, septal reconstruction with autologous rib cartilage, nasolabial angle correction, artificial dermis skin reinforcement, and a silicone implant were performed.
Preoperative condition · Postoperative record
This is a case where mesh left in the septum after previous surgeries resulted in an upturned nose and excessive nostril show. All foreign material was removed, followed by septal reconstruction using autologous rib cartilage, replacement of the silicone implant, and reinforcement of the skin with acellular dermal matrix.
Preoperative condition · Postoperative record
A case where damage from previous surgeries led to collapse of the anterior septum and nostril asymmetry. The septum was reconstructed using autologous rib cartilage, followed by nasal tip rhinoplasty with donor rib cartilage and implant replacement.
Preoperative condition · Postoperative record
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 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
Septal cartilage damaged from previous surgeries was reconstructed using autologous rib cartilage, and the lower lateral cartilages were restored. Lateral osteotomy and rhinitis surgery were performed concurrently to correct the crooked nose and nostril asymmetry.
Preoperative condition · Postoperative record
An upturned and deviated nose, accompanied by hesitation toward autologous rib cartilage due to past pneumothorax, was improved without implants using donor rib cartilage, recycled previous rib cartilage, nasal bone rasping, and nasolabial angle correction.
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
A bulbous, upturned nasal tip, the appearance of a protruding mouth, and nasal obstruction were addressed by removing columellar filler, reinforcing the nasal tip with autologous rib cartilage, placing a customized silicone implant, adjusting the nasolabial angle, and correcting a deviated septum.
Preoperative condition · Postoperative record
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
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 · Postoperative record
To resolve a damaged septum, an upturned nasal tip, and rhinitis-related nasal obstruction after multiple surgeries, autologous rib cartilage septal reconstruction and inferior turbinate reduction were performed.
Preoperative condition · Postoperative record
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 · Postoperative record
Silicone implant deviation, excessive nostril show, and a high radix were corrected by removing the previous implant, reconstructing the nasal tip with autologous rib cartilage, placing a customized implant, and adjusting the nasolabial angle.
Preoperative condition
In a nose that became upturned and crooked due to contracture following implant surgery, fibrotic tissue was removed, the nasal tip was reconstructed with autologous rib cartilage, the columella was lowered, and the silicone implant was replaced.
Preoperative condition · Postoperative record
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This collection brings together cases where an upturned appearance was noted, but not all articles describe the same underlying cause. One article focuses on a nose that became short and upturned after repeated surgeries, while another explicitly identifies mild contracture deformity and actual cartilage damage. It is important to distinguish between the visual description of an upturned appearance and the clinical diagnosis of contracture.
Yes. In one case addressing contracture deformity, damage to the right lower lateral cartilage and the anterior septum was identified, leading to partial reconstruction with autologous rib cartilage and subsequent lowering of the nasal tip using septal extension. Rather than simply comparing before-and-after angles, you can verify in the original record whether reconstruction was performed first and which type of cartilage was used.
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