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Before-and-after cases of rhinoplasty and revision rhinoplasty

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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.

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.

How to correct a wide nose and bulbous tip together — Before-and-after comparison
Before-and-after comparison

How to correct a wide nose and bulbous tip together

This is a case of a bulbous nose, dorsal hump, crooked nose, and rhinitis symptoms. Through a closed approach, septal extension using donor rib cartilage and septal cartilage, osteotomy, silicone implant placement, bulbous tip correction, and rhinitis surgery were performed concurrently.

Rhinoplasty method considering the nasal bridge starting point and facial proportions — Before-and-after comparison
Before-and-after comparison

Rhinoplasty method considering the nasal bridge starting point and facial proportions

Prominent brow bones, a low glabella, and a drooping nasal tip were corrected following filler removal by inserting a glabellar silicone implant, autologous rib cartilage septal extension, and rhinitis surgery.

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.

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.

Correction approach considering a wide nose and midface proportions — Before-and-after comparison
Before-and-after comparison

Correction approach considering a wide nose and midface proportions

A high radix, visible thin implant show-through, and a drooping tip were corrected using autologous rib cartilage for septal reconstruction and extension, silicone implant replacement, and alar rim grafts.

Closed correction of a short nose and facial proportions — Before-and-after comparison
Before-and-after comparison

Closed correction of a short nose and facial proportions

A low, sunken glabella and a short, blunt nasal tip were improved into a straight bridge line through closed autologous rib cartilage septal extension and silicone glabella implant placement.

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.

How to reconstruct the nose after silicone implant exposure and inflammation — Before-and-after comparison
Before-and-after comparison

How to reconstruct the nose after silicone implant exposure and inflammation

In a case presenting with silicone implant exposure accompanied by inflammatory granulation tissue, the existing implant and capsule were removed, and autologous rib cartilage was used to perform septal extension and reconstruct the lower lateral cartilage.

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.

Supportive structures of a low nose and autologous rib cartilage correction methods — Before-and-after comparison
Before-and-after comparison

Supportive structures of a low nose and autologous rib cartilage correction methods

A low, flat, and uneven nose was refined through closed autologous rib cartilage septal extension, tip and bridge augmentation, deviated septum correction, and lateral osteotomy.

Structure and reconstruction methods for a contracted nose after MRSA infection — Before-and-after comparison
Before-and-after comparison

Structure and reconstruction methods for a contracted nose after MRSA infection

A contracted nose with cartilage damage caused by MRSA infection was reconstructed using a closed approach with autologous rib cartilage septal reconstruction and extension, osteotomy, and lower lateral cartilage correction.

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.

Methods for correcting nasal deformities associated with cleft lip and palate — Before-and-after comparison
Before-and-after comparison

Methods for correcting nasal deformities associated with cleft lip and palate

A case in which asymmetry, a right maxillary bone defect, and nostril floor depression resulting from cleft lip and palate were corrected by reconstructing the septum and lower lateral cartilage and augmenting the nasal floor bone using autologous rib cartilage.

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.

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.

Closed correction method for a crooked nose, bulbous tip, and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Closed correction method for a crooked nose, bulbous tip, and nostril asymmetry

For a patient who presented after two prior surgeries with a crooked nose, nostril asymmetry, and a bulbous tip, we performed septal reconstruction and extension using autologous rib cartilage, lateral osteotomy, silicone implant exchange, and a dermal graft to the nasal tip.

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