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

This is page 6 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 91–108 of 144.

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How to correct the nasal tip and bridge in a sharp upturned nose — Before-and-after comparison
Before-and-after comparison

How to correct the nasal tip and bridge in a sharp upturned nose

This is a case of previous surgery resulting in a deviated nasal bridge, an upturned nasal tip, nasolabial angle issues, and nasal obstruction. Using a closed approach with autologous rib cartilage, septal deviation correction, septal extension, and lateral osteotomy were performed.

Preoperative condition

Revision rhinoplasty method to correct both an upturned nose and a crooked nose — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty method to correct both an upturned nose and a crooked nose

This patient had an artificial appearance, an upturned nasal tip, and a crooked nose following previous surgeries with an L-shaped silicone implant and ear cartilage. Through a closed approach, autologous rib cartilage septal extension, silicone implant replacement, and rhinitis surgery were performed together.

Preoperative condition · Postoperative record

Revision rhinoplasty methods for a short and upturned nose — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for a short and upturned nose

A short, upturned nose and nasal obstruction following multiple prior surgeries were corrected using donor rib cartilage septal extension, recycling of existing cartilage, silicone implant replacement, and septal and inferior turbinate surgery.

Preoperative condition · Postoperative record

Revision rhinoplasty methods considering remaining tissue after alar reduction — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods considering remaining tissue after alar reduction

Pinched alae, nostril stenosis, and contracture deformity caused by excessive alar reduction were corrected using autologous rib cartilage septal reconstruction and composite skin-dermis grafting.

Preoperative condition

Surgical planning for rhinoplasty addressing both a protruding mouth and the nasolabial angle — Before-and-after comparison
Before-and-after comparison

Surgical planning for rhinoplasty addressing both a protruding mouth and the nasolabial angle

This is a case where a retracted columella, a bulbous and upturned tip, and a small dorsal hump made a protruding mouth look prominent. Septal extension and lateral osteotomy were planned, and changes in the nasal tip and nasolabial angle were documented following closed rhinoplasty.

Preoperative condition · Postoperative record

How to simultaneously correct an upturned nose, dorsal hump, and crooked nose — Before-and-after comparison
Before-and-after comparison

How to simultaneously correct an upturned nose, dorsal hump, and crooked nose

For a complex presentation combining an upturned nose, dorsal hump, and crooked nose, closed septal extension grafting using donor rib cartilage and septal cartilage, lateral osteotomy, nasolabial angle correction, and tip modification were performed.

Preoperative condition

Revision rhinoplasty for a contracted nose and nasal tip skin depression — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty for a contracted nose and nasal tip skin depression

For severe nasal tip skin depression and contracture deformity that developed after infection treatment, remaining Gore-Tex in the glabella was removed, followed by autologous rib cartilage septal reconstruction and dermis-cartilage reinforcement.

Preoperative condition

How to remove mesh and reconstruct a contracted nose — Before-and-after comparison
Before-and-after comparison

How to remove mesh and reconstruct a contracted nose

In a patient presenting with post-inflammatory nasal contracture and nasal obstruction, unexpected mesh and residual donor rib cartilage found in the nasal tip were removed. The entire septum and both lower lateral cartilages were then reconstructed using autologous rib cartilage.

Preoperative condition · Postoperative record

Revision rhinoplasty approach for an upturned nose caused by contracture — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty approach for an upturned nose caused by contracture

To address a contracted and upturned nose with nostril asymmetry resulting from inflammation and implant removal, stem cell therapy was performed first, followed by autologous rib cartilage septal extension, alar rim grafting, and silicone nasal bridge augmentation.

Preoperative condition · Postoperative record

Correction methods considering the shape of contracted and upturned noses — Before-and-after comparison
Before-and-after comparison

Correction methods considering the shape of contracted and upturned noses

In a male patient who developed contracture deformity, an upturned nose, and nasal obstruction after repeated surgeries, septal reconstruction and extension using autologous rib cartilage along with nostril lowering were performed via a closed approach.

Preoperative condition

Correction method for a small, upturned nose considering the nasolabial angle and nasal function — Before-and-after comparison
Before-and-after comparison

Correction method for a small, upturned nose considering the nasolabial angle and nasal function

To correct nasal obstruction along with an upturned nose, short nose, and low glabella, septoplasty, submucosal resection of the inferior turbinate, autologous rib cartilage septal extension, and lateral osteotomy were performed using a closed approach.

Preoperative condition · Postoperative record

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

How to reconstruct a nose upturned from contracture using autologous rib cartilage

Following multiple nasal surgeries and inflammation that led to contracture, an upturned nasal tip, and nostril asymmetry, autologous rib cartilage was used to extend and reconstruct the septum, creating the dorsal hump line requested by the patient.

Preoperative condition

Supportive structures and correction methods for a bulbous and upturned nose — Before-and-after comparison
Before-and-after comparison

Supportive structures and correction methods for a bulbous and upturned nose

To correct an upturned tip, a bulbous tip, and a low glabella while avoiding the use of rib cartilage, a septal extension graft using septal cartilage and nasal bridge augmentation with a silicone implant were performed via a closed approach.

Preoperative condition

Characteristics and correction methods for an upturned, curved nose — Before-and-after comparison
Before-and-after comparison

Characteristics and correction methods for an upturned, curved nose

A revision rhinoplasty case in a male patient presenting with an upturned nasal tip, excessive nostril show, and nasal obstruction, treated via a closed approach using autologous rib cartilage septal extension, implant exchange, and septoplasty.

Preoperative condition · Postoperative record

How to plan bulbous nose correction together with lowering the columella — Before-and-after comparison
Before-and-after comparison

How to plan bulbous nose correction together with lowering the columella

To correct snoring, a retracted columella, a crooked nose, and a bulbous nose, residual bridge filler was removed, and septal extension with autologous rib cartilage, lowering the columella, and septoplasty and inferior turbinate surgery were performed through a closed approach.

Preoperative condition

Correcting a crooked nose and nostril asymmetry while considering breathing — Before-and-after comparison
Before-and-after comparison

Correcting a crooked nose and nostril asymmetry while considering breathing

Following prior filler and rhinoplasty, the patient experienced a persistent crooked nose, nostril asymmetry, and breathing difficulty; we performed filler removal, septal reconstruction and extension using autologous rib cartilage, and inferior turbinate resection.

Preoperative condition · Postoperative record

Surgical plan for revision rhinoplasty with septal perforation — Before-and-after comparison
Before-and-after comparison

Surgical plan for revision rhinoplasty with septal perforation

In a patient with a history of past surgeries, septal perforation, and saddle nose deformity, septal reconstruction and extension using autologous rib cartilage, alar lowering, and direct closure were performed via a closed approach.

Preoperative condition · Postoperative record

How to plan filler removal and correction for a small, upturned nose — Before-and-after comparison
Before-and-after comparison

How to plan filler removal and correction for a small, upturned nose

To correct nostril show and a short, upturned nasal tip after filler injection, the undissolved filler was surgically removed, followed by closed septal extension with autologous rib cartilage and lowering of the columella.

Preoperative condition · Postoperative record

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