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Upturned nose and elevated tip: assessing shortening together with structural support

This is page 2 of the case archive for Upturned nose and tip: evaluating shortening and support structures together. Explore surgical notes and before-and-after photos for cases 19–36 of 144.

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Why an upturned nose and unilaterally pinched nostril occur, and how implant-free reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why an upturned nose and unilaterally pinched nostril occur, and how implant-free reconstruction is performed

An upturned nose and pinched nostril caused by multiple prior surgeries were corrected after removing artificial dermis, performing implant-free bridge augmentation with donor rib cartilage and septal cartilage, and using a skin-cartilage composite graft on the right nostril.

Preoperative condition · Postoperative record

Why the nasal tip appears upturned and the columella looks short after rhinoplasty: methods for lowering the columella and correcting the bridge line — Before-and-after comparison
Before-and-after comparison

Why the nasal tip appears upturned and the columella looks short after rhinoplasty: methods for lowering the columella and correcting the bridge line

An upturned nasal tip, a short columella, and an unnatural silicone bridge line from previous rhinoplasty were improved using autologous rib cartilage septal extension, custom-carved silicone implant replacement, and nasolabial angle correction.

Preoperative condition · Postoperative record

Changes caused by semi-permanent bridge filler and septal reconstruction after removal — Before-and-after comparison
Before-and-after comparison

Changes caused by semi-permanent bridge filler and septal reconstruction after removal

For Artecoll semi-permanent filler on the nasal bridge, a damaged septum, an upturned nasal tip, and nostril asymmetry, foreign material was completely removed, followed by septal reconstruction using autologous rib cartilage and alar rim lowering.

Preoperative condition · Postoperative record

Reasons for a high radix and upturned nasal tip and correction methods — Before-and-after comparison
Before-and-after comparison

Reasons for a high radix and upturned nasal tip and correction methods

For a high radix, upturned nasal tip, and columellar and nostril asymmetry from a previous surgery, the implant was replaced, tip derotation was performed using autologous rib cartilage, and lower lateral cartilage correction was carried out.

Preoperative condition · Postoperative record

A small, short, and upturned nose: why it should not be raised excessively — Before-and-after comparison
Before-and-after comparison

A small, short, and upturned nose: why it should not be raised excessively

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

Why nasal tip skin thins and cartilage shows through, and how skin reinforcement is done — Before-and-after comparison
Before-and-after comparison

Why nasal tip skin thins and cartilage shows through, and how skin reinforcement is done

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 · Postoperative record

Why an autologous dermal graft absorbs, leading to a widened bridge and upturned nose, and how to correct it — Before-and-after comparison
Before-and-after comparison

Why an autologous dermal graft absorbs, leading to a widened bridge and upturned nose, and how to correct it

A case of an upturned nose and widened bridge caused by dermal graft absorption. After removing nasal filler placed 2 years ago, a straight bridge line was established through septal extension, alar rim lowering, and correction of the depressed dorsum.

Preoperative condition · Postoperative record

Why short, upturned noses and crooked noses occur together, and how to correct them with septal extension — Before-and-after comparison
Before-and-after comparison

Why short, upturned noses and crooked noses occur together, and how to correct them with septal extension

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

Why an L-shaped silicone implant can nearly perforate the columellar mucosa: removal and reconstruction with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why an L-shaped silicone implant can nearly perforate the columellar mucosa: removal and reconstruction with autologous rib cartilage

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

Why the nasal tip turns upward and nostril show increases years after rhinoplasty: Medpor removal and autologous dermis reconstruction — Before-and-after comparison
Before-and-after comparison

Why the nasal tip turns upward and nostril show increases years after rhinoplasty: Medpor removal and autologous dermis reconstruction

To resolve an upturned nose and nostril asymmetry resulting from surgery performed 13 years ago, adhered Medpor was carefully dissected and removed, and the septum was reconstructed using autologous dermis.

Preoperative condition · Postoperative record

Short and upturned nose with insufficient septal cartilage: how to lengthen it with rib cartilage reinforcement — Before-and-after comparison
Before-and-after comparison

Short and upturned nose with insufficient septal cartilage: how to lengthen it with rib cartilage reinforcement

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

Depression along the nasal bridge and an upturned feel after repeated implant insertions and removals — Before-and-after comparison
Before-and-after comparison

Depression along the nasal bridge and an upturned feel after repeated implant insertions and removals

Correcting nostril asymmetry, an upturned nasal tip, and an overly high radix caused by repeated surgeries using autologous rib cartilage septal extension and height adjustment.

Postoperative record

Why the glabella widens and the nasal tip upturns after repeated filler and thread treatments — Before-and-after comparison
Before-and-after comparison

Why the glabella widens and the nasal tip upturns after repeated filler and thread treatments

Foreign materials that had widened the glabella along with the previous implant were removed, and the upturned nose was corrected through partial septal reconstruction using autologous rib cartilage and nasolabial angle adjustment.

Preoperative condition · Postoperative record

Why the radix starts too high and the nose looks crooked, and how to correct it with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why the radix starts too high and the nose looks crooked, and how to correct it with autologous rib cartilage

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 · Postoperative record

Why infection recurs after rhinoplasty: treatment of inflammation and staged reconstruction — Before-and-after comparison
Before-and-after comparison

Why infection recurs after rhinoplasty: treatment of inflammation and staged reconstruction

In a patient presenting with mucosal perforation and contracture deformity caused by implant infection, inflamed tissue was debrided and irrigated, followed by staged septal reconstruction.

Preoperative condition

How to perform reconstruction when multiple revision surgeries leave no nasal cartilage behind — Before-and-after comparison
Before-and-after comparison

How to perform reconstruction when multiple revision surgeries leave no nasal cartilage behind

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 · Postoperative record

Why saddle nose and nasal valve stenosis occur after repeated revision rhinoplasty, and how total reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why saddle nose and nasal valve stenosis occur after repeated revision rhinoplasty, and how total reconstruction is performed

This is a case where the nasal bones, septum, and keystone area were damaged after repeated surgeries, causing nasal obstruction due to nasal valve stenosis. Autologous rib cartilage was used to reconstruct the nasal support structure and nasal valve, while correcting bridge depression and asymmetry.

Previous surgeries and procedures

Why a nose with excessive septal cartilage harvest becomes upturned and blocked, and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

Why a nose with excessive septal cartilage harvest becomes upturned and blocked, and how to reconstruct it

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 · Postoperative record

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