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

This is page 4 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 55–72 of 144.

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Why a wide nasal bridge and upturned nasal tip develop, and how rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why a wide nasal bridge and upturned nasal tip develop, and how rib cartilage reconstruction is performed

For a wide nasal bridge and an upturned nasal tip resulting from repeated surgeries and nasal bridge thread-lifting procedures, foreign material was removed, lateral osteotomy was performed, and septal reconstruction was carried out by recycling existing autologous rib cartilage and supplementing with donor rib cartilage.

Preoperative condition · Postoperative record

Why the nose turns up, the columella retracts, and the tip looks pinched: how composite correction is performed — Before-and-after comparison
Before-and-after comparison

Why the nose turns up, the columella retracts, and the tip looks pinched: how composite correction is performed

For an upturned nose, retracted columella, pinched tip, and nostril asymmetry following repeated surgeries, columellar reconstruction, pinched tip correction, septoplasty, and submucosal resection of the inferior turbinate were performed.

Preoperative condition

Why bulbous nose, short nose, and retracted columella appear together and how to build tip definition — Before-and-after comparison
Before-and-after comparison

Why bulbous nose, short nose, and retracted columella appear together and how to build tip definition

To correct a severe bulbous nose, short nose, and retracted columella, we performed anterior repositioning of the septal cartilage, septal extension using autologous rib cartilage, partial removal of soft tissue, and repositioning of the lower lateral cartilages.

Preoperative condition

Why old silicone implants cause deformity and pain, and how rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why old silicone implants cause deformity and pain, and how rib cartilage reconstruction is performed

For nasal deformity, dorsal pain, and nasal obstruction caused by an old implant, septoplasty and autologous rib cartilage septal reconstruction were performed to improve the columella and nostrils.

Preoperative condition

Why nostril asymmetry and an upturned nose occur together, and how rib cartilage reconstruction works — Before-and-after comparison
Before-and-after comparison

Why nostril asymmetry and an upturned nose occur together, and how rib cartilage reconstruction works

A case correcting nostril asymmetry, columellar deviation, and an upturned nose following a previous surgery using lateral osteotomy and autologous rib cartilage septal extension, alongside functional improvement.

Preoperative condition · Postoperative record

When a silicone implant is about to push through the nasal tip skin: why it happens and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

When a silicone implant is about to push through the nasal tip skin: why it happens and how to reconstruct it

In an urgent condition where the silicone implant was on the verge of extruding just beneath the nasal tip skin, the implant was removed, and nasal tip reconstruction with autologous rib cartilage and dermal graft reinforcement was performed.

Preoperative condition · Postoperative record

How to address a widened nose and nasal obstruction left by multiple filler injections — Before-and-after comparison
Before-and-after comparison

How to address a widened nose and nasal obstruction left by multiple filler injections

A case where a widened nasal bridge, upturned nasal tip, and deviated septum resulting from repeated filler procedures were improved together through filler removal, donor rib cartilage septal extension, and septoplasty.

Preoperative condition

Why Silitex implants show through and how to reconstruct after removal — Before-and-after comparison
Before-and-after comparison

Why Silitex implants show through and how to reconstruct after removal

Upturned nostrils and implant show-through following Silitex insertion were improved by completely removing the implant, elevating the nasal tip with autologous rib cartilage, replacing the bridge implant with silicone, and performing facial fat grafting.

Preoperative condition

Why nostrils become visible and nasal bridge volume is lost after multiple surgeries — Before-and-after comparison
Before-and-after comparison

Why nostrils become visible and nasal bridge volume is lost after multiple surgeries

A case of nasal reconstruction using recycled autologous rib cartilage combined with donor rib cartilage and skin grafts to correct an upturned nasal deformity and asymmetry caused by repeated surgeries.

Preoperative condition

Nostril stenosis narrowing the nostrils after previous surgery: causes and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Nostril stenosis narrowing the nostrils after previous surgery: causes and reconstruction methods

A case of nostril stenosis and an upturned nose following previous surgeries, reconstructed using autologous rib cartilage instead of a silicone implant, along with skin grafting and lower lateral cartilage reconstruction.

Preoperative condition

Why contracture and nasal obstruction develop together after multiple rhinoplasties, and how reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why contracture and nasal obstruction develop together after multiple rhinoplasties, and how reconstruction is performed

A case involving a patient who experienced septal cartilage damage, an upturned nasal tip, and severe nasal obstruction after 8 surgeries over 15 years, where the septum was reconstructed using autologous rib cartilage and reinforced with dermis.

Preoperative condition

Why a thick columella and upturned nasal tip develop, and how autologous rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why a thick columella and upturned nasal tip develop, and how autologous rib cartilage reconstruction is performed

A case of an upturned nose with septal damage and contracture deformity from repeated surgeries, where the septum and lower lateral cartilages were reconstructed using autologous rib cartilage along with columellar width correction.

Preoperative condition · Postoperative record

Aged nasal implants and nasal pain: key points to evaluate in revision rhinoplasty — Before-and-after comparison
Before-and-after comparison

Aged nasal implants and nasal pain: key points to evaluate in revision rhinoplasty

A case in an older patient with a 50-year history of repeated surgeries, nasal pain, and a crooked nose deformity, where the previous cartilage causing the pain was removed and the nose was reconstructed using donor rib cartilage.

Preoperative condition · Postoperative record

Structure and correction methods for a short and upturned nose — Before-and-after comparison
Before-and-after comparison

Structure and correction methods for a short and upturned nose

This case involved a small, upturned nasal tip, excessive nostril show, and rhinitis. Using partially calcified autologous rib cartilage, we performed septal extension, submucosal resection of the inferior turbinates, and nasolabial angle correction.

Preoperative condition · Postoperative record

Nasal correction considering philtrum length and alar asymmetry — Before-and-after comparison
Before-and-after comparison

Nasal correction considering philtrum length and alar asymmetry

For an elongated-looking philtrum and asymmetrical alae, filler was removed, followed by septal extension using autologous rib cartilage, nasal sill reduction, and septal and rhinitis surgery.

Preoperative condition · Postoperative record

Correction approach considering height and proportions for a small nose — Before-and-after comparison
Before-and-after comparison

Correction approach considering height and proportions for a small nose

For a small, upturned nose with a wide tip, foreign material from nasal bridge filler was removed, followed by lateral osteotomy, silicone implant placement, lowering the columella, and nasolabial angle correction.

Preoperative condition

Nasal structure of an artificial-looking nose after surgery and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Nasal structure of an artificial-looking nose after surgery and reconstruction methods

For a high radix, upturned tip, and nasal obstruction caused by septal deviation, donor rib cartilage extension, tip cartilage repositioning, and inferior turbinate resection were performed.

Preoperative condition

Examining the causes of a contracted nose and methods for reconstruction — Before-and-after comparison
Before-and-after comparison

Examining the causes of a contracted nose and methods for reconstruction

For a contracted nose and septal damage following repeated surgeries and implant removal, we reconstructed the septum using autologous rib cartilage while correcting the upturned tip and rhinitis.

Preoperative condition

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