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Closed rhinoplasty and revision rhinoplasty cases

This is page 2 of closed rhinoplasty and revision rhinoplasty cases. Browse surgical records and before-and-after photos for cases 19–36 of 91.

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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.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this 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.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this surgery

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