Customized Rhinoplasty for Cartilage Visibility: Pointed Nose Tip Correction

Hello, I’m Dr. Cha-Young Kang, Director of Nose Lab Clinic.

Today, I’d like to share a case of customized rhinoplasty for cartilage visibility, specifically addressing a pointed nose tip and tip transparency concerns. This case demonstrates how a fully tailored approach can integrate patient preferences to achieve the most satisfying outcomes.

1. Patient Background and Requirements

Surgical History:

• 2020: Ear cartilage and tip surgery + philtrum reduction

• 2022: Ear cartilage and tip surgery + silicone implant + alar base reduction + philtrum reduction

• 2023: Implant removal + donor rib cartilage + septal cartilage and extension

Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos.

Patient’s Specific Requests:

• Softening of the pointed nose tip

• Resolution of cartilage visibility at the tip

• Maintenance or slight increase in tip height (with a rounded shape)

• Retain current dorsal height and shape

• Retain the slightly upturned nostril appearance

Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

Video Showing Protruding Nasal Tip Cartilage, Sunken Nasal Bridge, and Crooked Nose

2. Surgical Plan for Customized Rhinoplasty for Cartilage Visibility

• Tip Reinforcement: Augmentation with donor rib cartilage

• Skin Strengthening: Placement of artificial dermis at the tip to prevent cartilage show-through

• Correction of Nasolabial Angle: Adjust for enhanced natural balance

3. Surgical Execution

Tip Reconstruction:

• Removal of previous ear cartilage grafts

• Broad coverage of the nose tip with donor rib cartilage for a softened contour

• Placement of artificial dermis for additional skin thickness and prevention of cartilage show-through

Cartilage Reconstruction:

• Rebuilding absent alar cartilage for structural support

• Augmentation of a minor dorsal depression with donor rib cartilage

Post-Surgery Video Reflecting 100% of the Patient’s Requirements

4. Surgical Outcome

Post-surgery videos and photographs show results that fulfilled 100% of the patient’s requests:

• Softer nasal tip contour

• No cartilage visibility

• Maintained dorsal height and shape

• Slightly elevated, rounded tip preserved

Before (Left) / Immediately After (Right)

Before (Left) / Immediately After (Right)

Before (Left) Frontal Photo, Before (Right) Nasal Tip Cartilage Protrusion (Arrow)

Immediately After (Left) Diagram of Donated Rib Cartilage Graft, Immediately After (Right)

Before (Left) / Immediately After (Right)

5. Key Aspects of the Customized Plan

• Preservation of Dorsal Shape for a familiar profile

• Upturned Tip Appearance maintained as requested

• Use of Donor Rib Cartilage instead of autologous tissue, respecting patient’s preference

• Slight Tip Height Increase for refined definition

6. Conclusion

Immediately After Surgery: Frontal, Side, and Oblique Side Photos

Immediately After Surgery: Nostril Photos

At Nose Lab Clinic, we are dedicated to offering customized rhinoplasty for cartilage visibility, respecting each patient’s unique vision while ensuring safety and precision.This case showcases how tailored surgical planning leads to natural, personalized, and stable outcomes.

Thank you for reading.

This is Dr. Cha-Young Kang at Nose Lab Clinic.

Nose Lab performs all surgeries using a closed (endonasal) approach.

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