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

This is page 5 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 73–90 of 144.

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Reconstruction methods for an upturned nose and damaged support structures — Before-and-after comparison
Before-and-after comparison

Reconstruction methods for an upturned nose and damaged support structures

An upturned nose accompanied by loss of the septum and damage to the lower lateral cartilages from excessive cartilage harvesting was restored through septal reconstruction with autologous rib cartilage and alar cartilage reconstruction using the previous ear cartilage.

Preoperative condition

How to correct a short nose and nasal obstruction together — Before-and-after comparison
Before-and-after comparison

How to correct a short nose and nasal obstruction together

A short, upturned nose accompanied by nasal obstruction and a decreased sense of smell was corrected using a combination of septal extension with autologous rib cartilage, septoplasty for a deviated septum, lateral osteotomy, and submucosal resection of the inferior turbinates.

Preoperative condition

Upturned nose and nasal obstruction: how to reconstruct structural support with rib cartilage — Before-and-after comparison
Before-and-after comparison

Upturned nose and nasal obstruction: how to reconstruct structural support with rib cartilage

For an upturned nose and severe nasal obstruction caused by septal cartilage loss following silicone implant removal, we performed total septal reconstruction using rib cartilage, nostril lowering, and internal nasal valve reconstruction.

Preoperative condition · Postoperative record

How to correct a contracted nose and inflammation caused by residual foreign material — Before-and-after comparison
Before-and-after comparison

How to correct a contracted nose and inflammation caused by residual foreign material

Contracture and septal defect developed due to residual mesh and a foreign body reaction from previous surgeries. We removed the remaining foreign material, reconstructed the septum using autologous rib cartilage, and performed a skin graft to the columella.

Preoperative condition · Postoperative record

How to plan lowering the columella and nasolabial angle correction together — Before-and-after comparison
Before-and-after comparison

How to plan lowering the columella and nasolabial angle correction together

A case correcting an upturned nasal tip, retracted columella, and nostril show using autologous rib cartilage nasal reconstruction, columellar lowering, nasolabial angle correction, septal surgery, and inferior turbinate surgery.

Preoperative condition

Revision rhinoplasty methods for asymmetry after dorsal hump reduction — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for asymmetry after dorsal hump reduction

A case correcting keystone damage, saddle nose deformity, and nostril asymmetry caused by excessive dorsal hump removal, using lateral osteotomy and autologous rib cartilage septal reconstruction.

Preoperative condition

How to reconstruct a pinched and upturned nose using autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

How to reconstruct a pinched and upturned nose using autologous rib cartilage

A case where an upturned nose, pinched alae, and a crooked nose resulting from multiple previous rhinoplasties were corrected with lateral osteotomy, septal reconstruction using autologous rib cartilage, and dermal grafting.

Preoperative condition · Postoperative record

How to reconstruct an old contracted nose using autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

How to reconstruct an old contracted nose using autologous rib cartilage

For a contracted nose deformity that developed long after silicone implant surgery, the implant capsule was removed and autologous rib cartilage was used to comprehensively reconstruct the septum, lower lateral cartilages, and nasal bridge.

Preoperative condition

Supportive structures in a contracted nose and revision rhinoplasty using autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Supportive structures in a contracted nose and revision rhinoplasty using autologous rib cartilage

For a contracted nose and a sharply upturned nasal tip that developed after multiple surgeries, septal reconstruction with autologous rib cartilage, removal of inflammatory tissue from the nasal tip, and nostril lowering were performed.

Preoperative condition · Postoperative record

Reconstruction methods to evaluate damaged structures in a contracted nose — Before-and-after comparison
Before-and-after comparison

Reconstruction methods to evaluate damaged structures in a contracted nose

In a case where flap necrosis resulted in recurrent contracture, a retracted columella, and an upturned nasal tip, silicone implant removal was followed by septal reconstruction using autologous rib cartilage and mucosal graft.

Preoperative condition · Postoperative record

Bulbous nose and upturned nose: correction tailored to facial proportions — Before-and-after comparison
Before-and-after comparison

Bulbous nose and upturned nose: correction tailored to facial proportions

A case of a 24-year-old male patient who presented with a bulbous nose, an upturned nasal tip, and left-sided nasal obstruction. Septal extension using autologous rib cartilage, lowering the columella, septoplasty, and submucosal resection of the inferior turbinate were performed.

Preoperative condition · Postoperative record

Autologous rib cartilage implant-free revision rhinoplasty for contracted nose and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Autologous rib cartilage implant-free revision rhinoplasty for contracted nose and nostril asymmetry

A case of implant-free nasal reconstruction using autologous rib cartilage for septal reconstruction and lateral osteotomy in a 22-year-old male patient who suffered from inflammation and contracted nose deformity.

Preoperative condition

How to reconstruct with autologous rib cartilage after silicone implant side effects — Before-and-after comparison
Before-and-after comparison

How to reconstruct with autologous rib cartilage after silicone implant side effects

In a revision rhinoplasty case presenting with tip redness, cartilage resorption from a silicone foreign body reaction, rhinitis, and a deviated septum, silicone implant exchange was performed in conjunction with septal reconstruction using autologous rib cartilage and rhinitis surgery.

Preoperative condition

Revision rhinoplasty methods for a crooked nose and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for a crooked nose and nostril asymmetry

For a patient who developed a depressed nostril sill, an upturned nose, and nostril asymmetry 15 years after primary rhinoplasty, a closed-approach surgical plan was established including septal reconstruction, cartilage adjustment, and implant exchange.

Preoperative condition

Nostril correction methods considering crooked nose, upturned nose, and nasal obstruction — Before-and-after comparison
Before-and-after comparison

Nostril correction methods considering crooked nose, upturned nose, and nasal obstruction

For nasal tip deviation, an upturned tip, and nasal obstruction caused by intranasal mucosal adhesion following previous surgery, we performed septal extension using donor rib cartilage, nostril lowering, and mucosal adhesion release.

Preoperative condition · Postoperative record

How to correct nasal obstruction and nostril asymmetry together — Before-and-after comparison
Before-and-after comparison

How to correct nasal obstruction and nostril asymmetry together

In a revision rhinoplasty case involving intranasal mucosal synechiae, a deviated septum, and nostril asymmetry, we removed the Gore-Tex implant, performed septal reconstruction and extension with autologous rib cartilage, along with alar rim extension and silicone implant replacement.

Preoperative condition

How to correct an upturned nose and overly curved bridge after repeated surgeries — Before-and-after comparison
Before-and-after comparison

How to correct an upturned nose and overly curved bridge after repeated surgeries

In a nose with septal damage, an upturned nose, and a high radix after 5 surgeries, the filler and silicone implant were removed, followed by septal reconstruction and extension using autologous rib cartilage and placement of a new silicone implant.

Preoperative condition · Postoperative record

Revision rhinoplasty planning considering nasal tip skin condition and necrosis risk — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty planning considering nasal tip skin condition and necrosis risk

This is a case of septal damage, an upturned nose, and nasal tip skin depression after multiple previous surgeries. Using a closed approach to preserve blood supply, we performed septal reconstruction with autologous rib cartilage along with cartilage and dermal grafts.

Preoperative condition · Postoperative record

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