The simple fact that a patient has undergone multiple nasal surgeries is not enough to describe their current condition. In one case, the first surgery used septal and ear cartilage, while the second surgery used autologous rib cartilage; subsequent records note tip drooping, deviation, and nasal obstruction caused by mucosal adhesions.
Records of repeated surgeries reveal clearer differences when reviewed in chronological order. Another case notes that different sections of the septum had been harvested during prior surgeries, leaving almost no cartilage remaining. In addition to the number of surgeries, observe which areas were addressed with specific procedures and whether the focus this time was on reshaping or reconstruction.
View before-and-after cases ↓Comprehensive rhinoplasty guide
This is a case of septal cartilage deficit, nasal bone asymmetry, and nasal obstruction remaining after two surgeries. Through a closed approach, autologous rib cartilage was used for septal reconstruction, along with nasolabial angle correction, nasal bone asymmetry correction, and radix adjustment.
Previous surgeries and procedures
This is a case of septal damage, a deviated nasal bridge, a bulbous nose, and nasal obstruction following double jaw surgery and two prior rhinoplasties. Autologous rib cartilage septal reconstruction, cartilage repositioning, lateral osteotomy, and functional nasal surgery were performed.
Previous surgeries and procedures
Following prior surgeries, a bulbous and drooping long nose with an excessively high radix and nasal obstruction was corrected using a closed approach. Scar tissue debridement, osteotomy, nasolabial angle correction, and septoplasty were performed concurrently.
Previous surgeries and procedures
This is a case where mesh left in the septum after previous surgeries resulted in an upturned nose and excessive nostril show. All foreign material was removed, followed by septal reconstruction using autologous rib cartilage, replacement of the silicone implant, and reinforcement of the skin with acellular dermal matrix.
Preoperative condition
A case where damage from previous surgeries led to collapse of the anterior septum and nostril asymmetry. The septum was reconstructed using autologous rib cartilage, followed by nasal tip rhinoplasty with donor rib cartilage and implant replacement.
Previous surgeries and procedures
A case correcting an upturned nasal tip caused by loss of the septum from repeated revision surgeries. Autologous rib cartilage septal reconstruction, nasal mucosal advancement flap, silicone implant adjustment, and rhinitis surgery were performed concurrently.
Previous surgeries and procedures
A case of staged nasal reconstruction for a nose damaged by recurrent implant inflammation. After foreign body removal, a 2-year resting period, and stem cell therapy, the structure was rebuilt using donor rib cartilage and an implant was inserted.
Previous surgeries and procedures
A case where post-surgical trauma caused a septal tear, resulting in a crooked nose and nostril asymmetry. Septal reconstruction was performed using autologous rib cartilage, along with realigning the columellar central axis and replacing the implant.
Previous surgeries and procedures
A case where repeated surgeries and inflammation led to depressed nasal tip skin and implant show-through. The damaged skin was revised, dermal and cartilage grafts were placed, the septum was reinforced with autologous rib cartilage, and the implant was replaced.
Previous surgeries and procedures
A revision rhinoplasty case where the septum was depleted due to excessive cartilage use in prior surgeries. The septum was reconstructed using autologous rib cartilage, a cartilage fragment on the bridge was removed, and silicone implant replacement was combined with osteotomy.
Previous surgeries and procedures
A high, deviated silicone implant was replaced to lower the radix, and septal extension was performed using donor rib cartilage. Partial soft tissue resection, cartilage tie, and rhinitis surgery addressed the bulbous tip and nasal obstruction.
Previous surgeries and procedures
Septal cartilage damaged from previous surgeries was reconstructed using autologous rib cartilage, and the lower lateral cartilages were restored. Lateral osteotomy and rhinitis surgery were performed concurrently to correct the crooked nose and nostril asymmetry.
Previous surgeries and procedures
Lost lower lateral cartilage was reconstructed using autologous rib cartilage, and asymmetric, pinched nostrils were corrected. By lowering the radix, the appearance of a long nose was reduced, and surgery for rhinitis and nasal valve stenosis was performed concurrently.
Previous surgeries and procedures
Implant show-through at the nasal tip and thinned skin were reinforced with donor dermis, and foreign substances were removed. The nasal tip was reconstructed using autologous rib cartilage, along with dragon nose correction and lateral osteotomy.
Previous surgeries and procedures
Contracture and septal defect resulting from repeated surgeries were reconstructed using autologous rib cartilage. For the retracted columella, retroauricular free skin flap grafting and perichondrium grafting were performed to restore its shape.
Previous surgeries and procedures
To correct septal cartilage loss from 3 prior surgeries, a short nose appearance, and a bulbous tip, the septum was reconstructed using autologous rib cartilage and the radix was lowered.
Previous surgeries and procedures
Following three prior procedures, a deviated nose caused by septal damage and a missing right lower lateral cartilage was restored through autologous rib cartilage structural reconstruction, silicone implant replacement, nasolabial angle correction, and rhinitis surgery.
Previous surgeries and procedures
An upturned and deviated nose, accompanied by hesitation toward autologous rib cartilage due to past pneumothorax, was improved without implants using donor rib cartilage, recycled previous rib cartilage, nasal bone rasping, and nasolabial angle correction.
Previous surgeries and procedures
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Rather than focusing solely on the number of surgeries, compare the materials used in each procedure alongside the changes that followed. One patient who underwent revision with autologous rib cartilage after an initial surgery with septal and ear cartilage presented not only with nasal tip deformity, but also with right mucosal adhesions and severe nasal obstruction. In this way, the ongoing issues serve as the basis for comparison rather than the names or counts of prior procedures.
In these records, the condition of the remaining cartilage is directly linked to the surgical plan. In one case, previous clinics had harvested from both the posterior and anterior septum, leaving almost none intact; the septum and lower lateral cartilage were reconstructed using autologous rib cartilage. However, findings from this case cannot be generalized to every patient undergoing repeated revision surgery.
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