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Before-and-after cases of rhinoplasty and revision rhinoplasty

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Why the nasal tip looks spread out and how to address the nasal sill and nasolabial angle together — Before-and-after comparison
Before-and-after comparison

Why the nasal tip looks spread out and how to address the nasal sill and nasolabial angle together

For a wide nasal tip and nasal sill, residual filler, and a deviated septum, we removed the filler and performed donor rib cartilage tip correction, nasal sill reduction, nasolabial angle correction, septoplasty, and rhinitis surgery.

Contracture causing the nose to harden and shorten after previous surgery: why it occurs and how it is reconstructed — Before-and-after comparison
Before-and-after comparison

Contracture causing the nose to harden and shorten after previous surgery: why it occurs and how it is reconstructed

For capsular contracture, septal damage, and asymmetric nasal bones following previous surgery, the implant and capsule were removed, and septal reconstruction, lateral osteotomy, and nasal bridge augmentation with autologous rib cartilage were performed.

Why nostrils narrow and breathing becomes difficult after philtrum reduction, and how to correct it — Before-and-after comparison
Before-and-after comparison

Why nostrils narrow and breathing becomes difficult after philtrum reduction, and how to correct it

For leftward nasal asymmetry, deviation, and breathing discomfort caused by narrowed nostrils following philtrum reduction, lateral osteotomy, nasolabial angle correction, and nostril skin grafting were performed.

Reasons for a high radix and upturned nasal tip and correction methods — Before-and-after comparison
Before-and-after comparison

Reasons for a high radix and upturned nasal tip and correction methods

For a high radix, upturned nasal tip, and columellar and nostril asymmetry from a previous surgery, the implant was replaced, tip derotation was performed using autologous rib cartilage, and lower lateral cartilage correction was carried out.

Bulbous, drooping nasal tip and an obtuse nasolabial angle: causes and correction methods — Before-and-after comparison
Before-and-after comparison

Bulbous, drooping nasal tip and an obtuse nasolabial angle: causes and correction methods

For a drooping, bulbous nasal tip, asymmetric nasal bridge, deviated septum, and rhinitis symptoms, we performed nasal tip correction using autologous rib cartilage, nasolabial angle adjustment, silicone implant replacement, septoplasty, and inferior turbinate reduction.

Why cartilage extrudes through the nasal mucosa and methods for restoration and reconstruction — Before-and-after comparison
Before-and-after comparison

Why cartilage extrudes through the nasal mucosa and methods for restoration and reconstruction

Cartilage protruding through the nasal mucosa was removed and the area restored with perichondrium, damaged lower lateral cartilage and a drooping tip were reconstructed using autologous rib cartilage, and the implant was replaced with customized silicone.

Why a wide tip often comes with nasal obstruction, and how foreign material removal and reconstruction are performed — Before-and-after comparison
Before-and-after comparison

Why a wide tip often comes with nasal obstruction, and how foreign material removal and reconstruction are performed

For nasal obstruction caused by nasal bridge filler, a bulbous nose, a deviated septum, and inferior turbinate hypertrophy, foreign material was removed, followed by nasal tip correction using autologous rib cartilage, septoplasty, and turbinoplasty.

When tip skin is lacking after alar and philtrum reduction, how to determine the elevation limit — Before-and-after comparison
Before-and-after comparison

When tip skin is lacking after alar and philtrum reduction, how to determine the elevation limit

In a patient with limited skin elasticity and mucosal adhesion following multiple nasal surgeries along with alar and philtrum reductions, we performed septal reconstruction with autologous rib cartilage, nasolabial angle correction, columellar extension, and nasal synechia adhesiolysis.

Why artificial dermis on the nasal bridge can remain as a dorsal hump and how it is reconstructed after removal — Before-and-after comparison
Before-and-after comparison

Why artificial dermis on the nasal bridge can remain as a dorsal hump and how it is reconstructed after removal

In a case where residual artificial dermis from a previous procedure formed a dorsal hump and weakened the septal support, the artificial dermis was dissected and removed, lateral osteotomy and dorsal hump reduction were performed, the nasal tip was reconstructed using autologous rib cartilage, and the silicone implant was replaced.

A nose with almost no septal cartilage left: why the nasal tip cannot be elevated — Before-and-after comparison
Before-and-after comparison

A nose with almost no septal cartilage left: why the nasal tip cannot be elevated

A case where the septal support was largely lost from previous surgeries, resulting in nostril asymmetry. The central support was reconstructed with autologous rib cartilage, and the nasal tip was elevated with dermis and cartilage grafts.

A small, short, and upturned nose: why it should not be raised excessively — Before-and-after comparison
Before-and-after comparison

A small, short, and upturned nose: why it should not be raised excessively

A case of a short, upturned, small nose with no prior rhinoplasty. Considering the skin tension, septal extension was performed using autologous rib cartilage, combined with functional surgery for the septum and turbinates.

How rib cartilage reconstruction is done when the septum is damaged after multiple surgeries — Before-and-after comparison
Before-and-after comparison

How rib cartilage reconstruction is done when the septum is damaged after multiple surgeries

A case where a septal defect and filler-induced deformity were identified after five prior surgeries. Following filler removal, the septum was reconstructed with autologous rib cartilage, and the nasal tip was reinforced using existing deep temporal fascia.

Why a bulbous, drooping nose makes the midface look long, and reconstruction methods using calcified rib cartilage — Before-and-after comparison
Before-and-after comparison

Why a bulbous, drooping nose makes the midface look long, and reconstruction methods using calcified rib cartilage

A case involving an implant from 17 years ago, residual filler, and a long, drooping nasal tip. Calcified autologous rib cartilage was harvested to correct the nasolabial angle and lower the radix starting point.

How a fractured nasal bone alters the nose after trauma, and how reduction and reconstruction are performed — Before-and-after comparison
Before-and-after comparison

How a fractured nasal bone alters the nose after trauma, and how reduction and reconstruction are performed

A case involving a traumatic nasal bone fracture and damage to the right cartilage. Closed reduction of the nasal bone and donor rib cartilage reconstruction were performed alongside procedures to improve facial balance.

Why nasal tip skin thins and cartilage shows through, and how skin reinforcement is done — Before-and-after comparison
Before-and-after comparison

Why nasal tip skin thins and cartilage shows through, and how skin reinforcement is done

A case of skin thinning, cartilage show-through, and an upturned nose following contracted nose surgery. The skin was reinforced with dermis and autologous rib perichondrium, along with septal extension.

Why the nose looks wide and bulbous, and how to correct it with septal cartilage and ear cartilage — Before-and-after comparison
Before-and-after comparison

Why the nose looks wide and bulbous, and how to correct it with septal cartilage and ear cartilage

A case of a wide, bulbous nasal tip and asymmetry with no prior surgical history. Autologous septal and ear cartilage were used to construct a support strut, and septal and turbinate surgery were performed concurrently.

Why an autologous dermal graft absorbs, leading to a widened bridge and upturned nose, and how to correct it — Before-and-after comparison
Before-and-after comparison

Why an autologous dermal graft absorbs, leading to a widened bridge and upturned nose, and how to correct it

A case of an upturned nose and widened bridge caused by dermal graft absorption. After removing nasal filler placed 2 years ago, a straight bridge line was established through septal extension, alar rim lowering, and correction of the depressed dorsum.

Why the columella droops and nostrils become visible: correcting a crooked nose and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Why the columella droops and nostrils become visible: correcting a crooked nose and nostril asymmetry

A case of a drooping columella, crooked nose, and nostril show following prior filler, Misko, and silicone rhinoplasty. Autologous rib cartilage reconstruction and alar rim grafts were performed after implant removal.

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