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Before-and-after cases of rhinoplasty and revision rhinoplasty

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How to plan foreign material removal and nasal reconstruction — Before-and-after comparison
Before-and-after comparison

How to plan foreign material removal and nasal reconstruction

We resolved the asymmetry and nasal deviation caused by foreign materials such as threads and filler, rebuilding a well-aligned contour using donor rib cartilage septal extension and silicone implant replacement.

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.

Anatomy and correction methods for a drooping tip and dorsal hump — Before-and-after comparison
Before-and-after comparison

Anatomy and correction methods for a drooping tip and dorsal hump

For a patient experiencing a dorsal hump, drooping nasal tip, and nasal obstruction, we performed implant-free rhinoplasty using autologous rib cartilage along with dorsal hump reduction, lateral osteotomy, septoplasty, and turbinoplasty.

How to correct a crooked nose and nostril asymmetry together — Before-and-after comparison
Before-and-after comparison

How to correct a crooked nose and nostril asymmetry together

This is a case of a crooked nose, nostril asymmetry, and depressive dimpling from scar adhesions following repeated surgeries and alar reduction. Nasal reconstruction using autologous rib cartilage and implant replacement were planned, and changes achieved through columellar repositioning and lower lateral cartilage rearrangement were documented.

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.

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.

Correction methods addressing a small nose and nostril asymmetry together — Before-and-after comparison
Before-and-after comparison

Correction methods addressing a small nose and nostril asymmetry together

For a primary rhinoplasty patient presenting with a small nose, nostril asymmetry, and a retracted columella, we performed septal extension using septal cartilage and donor rib cartilage, dorsal hump reduction, dermal graft reinforcement, and silicone implant placement.

The structure and correction methods for a bifid (cleft) nasal tip — Before-and-after comparison
Before-and-after comparison

The structure and correction methods for a bifid (cleft) nasal tip

For a patient with a bulbous, bifid nasal tip due to thin skin and prominent cartilage, we performed septal extension, partial removal of subcutaneous tissue, dermal graft reinforcement with ear cartilage grafting, and lateral osteotomy through a closed approach.

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.

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.

Closed correction method for bulbous nose and dragon nose — Before-and-after comparison
Before-and-after comparison

Closed correction method for bulbous nose and dragon nose

In a patient presenting with a bulbous nose, dragon nose, and retracted columella after previous filler injections, filler removal, septal extension using septal cartilage and donor rib cartilage, nostril lowering, and silicone implant insertion were performed via a closed approach.

Rhinoplasty approach considering proportion and height for a small nose — Before-and-after comparison
Before-and-after comparison

Rhinoplasty approach considering proportion and height for a small nose

This is a case of a male patient concerned with a small, short nose, a bulbous tip, and nasal obstruction. After checking the condition of the septal cartilage intraoperatively, autologous rib cartilage was used to shape the nasal tip, while a silicone implant and septal and inferior turbinate surgery were included in the surgical plan.

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.

Removal of mesh inside the nose and autologous rib cartilage reconstruction — Before-and-after comparison
Before-and-after comparison

Removal of mesh inside the nose and autologous rib cartilage reconstruction

This was a case involving a blunt nasal tip, a high starting point at the glabella, and mesh foreign material following a previous surgery. Four pieces of mesh were removed, and septal reconstruction and extension were performed using autologous rib cartilage.

How to remove filler and threads injected into the nose and reconstruct the structure — Before-and-after comparison
Before-and-after comparison

How to remove filler and threads injected into the nose and reconstruct the structure

A case presenting with bluntness, a crooked nose, and asymmetry after thread and filler procedures. Through a closed approach, the foreign materials were removed, and septal extension with autologous rib cartilage was performed alongside silicone implant insertion and a chin implant procedure.

Crooked nose correction considering facial asymmetry — Before-and-after comparison
Before-and-after comparison

Crooked nose correction considering facial asymmetry

A case presenting facial asymmetry alongside a dorsal hump, a crooked nose, and a drooping columella. Using a closed approach, nasal tip correction with autologous rib cartilage, dorsal hump reduction, lateral osteotomy, and silicone implant placement were performed.

Columellar retraction and contracted nose: Anatomy and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Columellar retraction and contracted nose: Anatomy and reconstruction methods

A case of severe columellar retraction and septal cartilage damage following inflammation and implant removal, corrected with autologous rib cartilage septal reconstruction, deviated septum correction, and composite grafting.

Nasal structure and correction methods for a bulbous, widened nose — Before-and-after comparison
Before-and-after comparison

Nasal structure and correction methods for a bulbous, widened nose

A case involving bridge pain, implant mobility, and a bulbous tip from a silicone implant placed 20 years ago. The previous implant and granulation tissue were removed, followed by septal extension using autologous rib cartilage and placement of a new implant.

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