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

This is page 3 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 37–54 of 144.

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Changes that occur when inflammation persists after rhinoplasty and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Changes that occur when inflammation persists after rhinoplasty and reconstruction methods

To resolve chronic inflammation, an upturned nose, and redness of the nasal bridge that persisted after previous surgeries, artificial materials were removed, and structural reconstruction using autologous rib cartilage was performed along with nasal valve surgery.

Preoperative condition · Postoperative record

Causes of nasal tip show-through and correction methods to lower the tip defining point — Before-and-after comparison
Before-and-after comparison

Causes of nasal tip show-through and correction methods to lower the tip defining point

To correct persistent nasal tip show-through and an upturned nose that remained even after an ear dermis graft, past filler residue was completely removed, the tip defining point was naturally lowered, and nasal tip plasty using autologous rib cartilage was performed.

Preoperative condition · Postoperative record

Why foreign material from illicit injections remains after removal and how to correct an upturned nasal tip — Before-and-after comparison
Before-and-after comparison

Why foreign material from illicit injections remains after removal and how to correct an upturned nasal tip

Due to residual foreign material from past illicit injections, an upturned nose and excessive nostril show persisted; the remaining foreign material was completely removed, and tip rhinoplasty using autologous rib cartilage was performed alongside radix adjustment.

Preoperative condition · Postoperative record

Why the nasal bridge looks artificial and the nose becomes upturned, and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge looks artificial and the nose becomes upturned, and how to reconstruct it

After surgery with a silicone implant and donor rib cartilage, a chalk-like nasal bridge and excessive nostril show occurred. A natural line was reconstructed through septal extension using autologous rib cartilage and alar rim lowering.

Preoperative condition · Postoperative record

How the nose changes when donor rib cartilage is resorbed, and how autologous rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

How the nose changes when donor rib cartilage is resorbed, and how autologous rib cartilage reconstruction is performed

For a patient whose nasal tip had shrunk, whose alae appeared pinched, and whose nasal bridge developed scarring due to donor rib cartilage resorption, we performed alar reconstruction with autologous rib cartilage, septal extension, and cartilage and dermal graft reinforcement.

Preoperative condition · Postoperative record

Why nasal tip cartilage shows through the skin and turns upward: reinforcement and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why nasal tip cartilage shows through the skin and turns upward: reinforcement and reconstruction methods

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

Why rib cartilage calcification must be evaluated in advance and correction methods for crooked and short noses — Before-and-after comparison
Before-and-after comparison

Why rib cartilage calcification must be evaluated in advance and correction methods for crooked and short noses

After evaluating calcification in the autologous rib cartilage, the 8th rib cartilage was harvested to correct a crooked nose, short nose, and nostril show, while an inferior turbinate reduction was performed concurrently to improve breathing function.

Preoperative condition · Postoperative record

Why nostril asymmetry and an upturned tip remain after alar reduction and how to correct them — Before-and-after comparison
Before-and-after comparison

Why nostril asymmetry and an upturned tip remain after alar reduction and how to correct them

A revision rhinoplasty case where nostril asymmetry, an upturned nasal tip, and an implant step-off visible after alar reduction were corrected through structural reconstruction with autologous rib cartilage, silicone implant replacement, and nasolabial angle correction.

Preoperative condition · Postoperative record

Why a nose becomes short and upturned with a retracted columella, and how autologous rib cartilage reconstruction works — Before-and-after comparison
Before-and-after comparison

Why a nose becomes short and upturned with a retracted columella, and how autologous rib cartilage reconstruction works

A case where an upturned nose and a retracted columella caused by cartilage loss from previous surgeries were naturally restored using autologous rib cartilage for lower lateral cartilage reconstruction and septal extension.

Preoperative condition · Postoperative record

Why nostrils show excessively in an upturned nose, and how to correct nasal tip position — Before-and-after comparison
Before-and-after comparison

Why nostrils show excessively in an upturned nose, and how to correct nasal tip position

A clinical case improving excessive nostril show, a wide nasal bridge, and an upturned nose deformity through lower lateral cartilage repositioning, nasal tip repositioning, dorsal hump rasping, and inferior turbinate resection.

Preoperative condition · Postoperative record

How to achieve height and a straight bridge line in a nose with thick, inelastic tip skin — Before-and-after comparison
Before-and-after comparison

How to achieve height and a straight bridge line in a nose with thick, inelastic tip skin

A case where a straight bridge line was created in a bulbous, upturned nose with thick, inelastic skin through septal extension using autologous rib cartilage and nasolabial angle correction.

Preoperative condition

Why the nose becomes upturned and shortened after illegal injection procedures, and how foreign body removal and reconstruction are performed — Before-and-after comparison
Before-and-after comparison

Why the nose becomes upturned and shortened after illegal injection procedures, and how foreign body removal and reconstruction are performed

A case where purulent foreign material injected into the nasal bridge during an illegal procedure was removed, contracted skin was released, and an upturned nasal tip and bridge line were reconstructed using autologous rib cartilage and a silicone implant.

Preoperative condition · Postoperative record

Nasal bridge depression and nostril asymmetry after multiple rhinoplasties: causes and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Nasal bridge depression and nostril asymmetry after multiple rhinoplasties: causes and reconstruction methods

A case where nasal bridge depression caused by skin necrosis and severe septal damage were improved with septal reconstruction using autologous rib cartilage, cartilage and acellular dermal matrix grafts, and submucosal resection of the inferior turbinate.

Preoperative condition

Why nostrils appear triangular in an upturned nose, and how to correct nostril shape — Before-and-after comparison
Before-and-after comparison

Why nostrils appear triangular in an upturned nose, and how to correct nostril shape

To address an upturned nose, excessive nostril show, and a high radix resulting from multiple rhinoplasty procedures over an extended period, nostril-lowering surgery with composite cartilage and skin grafting was performed alongside functional nasal surgery.

Preoperative condition · Postoperative record

Why replacing a cartilage nasal tip with an L-shaped silicone implant causes problems — Before-and-after comparison
Before-and-after comparison

Why replacing a cartilage nasal tip with an L-shaped silicone implant causes problems

A case where a previously replaced L-shaped silicone implant was removed, the nasal tip was reconstructed with autologous rib cartilage, and the nasal bridge was replaced with an I-shaped implant to correct an upturned nose and a tilted columella.

Preoperative condition · Postoperative record

Chronic foreign body reaction causing a blunt, widened nasal bridge: causes and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Chronic foreign body reaction causing a blunt, widened nasal bridge: causes and reconstruction methods

This is a revision rhinoplasty case in which a septum damaged from prior double jaw surgery and a chronic foreign body reaction in the nasal bridge were identified, followed by irrigation, capsule removal, and septal reconstruction using autologous rib cartilage.

Preoperative condition · Postoperative record

Why the alae become pinched and the tip collapses after nasal tip inflammation, and methods for reconstruction — Before-and-after comparison
Before-and-after comparison

Why the alae become pinched and the tip collapses after nasal tip inflammation, and methods for reconstruction

A case of improving right alar pinching and depression caused by repeated surgeries and nasal tip inflammation using autologous rib cartilage septal reconstruction, nostril elongation, and a skin graft.

Postoperative record

Why a bulbous nose, wide nasal base, and drooping tip occur together and how to create a slimmer nasal line — Before-and-after comparison
Before-and-after comparison

Why a bulbous nose, wide nasal base, and drooping tip occur together and how to create a slimmer nasal line

A case in which nasal tip plasty with autologous rib cartilage, lateral osteotomy, nasal floor reduction, and nasolabial angle correction were performed together to correct a blunt bulbous nose, wide nasal base, and crooked nasal bridge.

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