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Cases of multiple revision rhinoplasties: changes behind the number of surgeries

This is page 2 of multiple revision rhinoplasty cases: changes with each surgery. Browse surgical records and before-and-after photos for cases 19–36 of 162.

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Why a nose can look short and upturned after repeated surgeries, and how rib cartilage tip extension works — Before-and-after comparison
Before-and-after comparison

Why a nose can look short and upturned after repeated surgeries, and how rib cartilage tip extension works

Through a closed approach, a nose that became low, upturned, and showed excessive nostril exposure after silicone implant removal was refined using autologous rib cartilage tip extension, nasal bridge height restoration, and correction of the nasolabial angle to 90 degrees.

Preoperative condition

Why nostril asymmetry worsens with repeated revisions, and how to correct the columella — Before-and-after comparison
Before-and-after comparison

Why nostril asymmetry worsens with repeated revisions, and how to correct the columella

After 6 previous surgeries, a drooping and tilted columella, crooked nose, and nostril asymmetry were stabilized through a closed approach using autologous rib cartilage reinforcement, lateral osteotomy, and columellar alignment correction.

Previous surgeries and procedures

Why a nose operated on multiple times continues to appear upturned, and how septal reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why a nose operated on multiple times continues to appear upturned, and how septal reconstruction is performed

Following previous surgeries and double-jaw surgery, an upturned nasal tip and nostril asymmetry were precisely corrected using donor rib cartilage septal reconstruction, lower lateral cartilage restoration, and a composite dermis-fat graft to the soft triangle.

Previous surgeries and procedures

Why nasal tip skin thins after multiple surgeries: autologous dermis reinforcement and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why nasal tip skin thins after multiple surgeries: autologous dermis reinforcement and reconstruction methods

We removed previous foreign materials and implants, reconstructed the nasal tip using autologous rib cartilage, reinforced the thinned skin with autologous dermis, recarved a silicone implant, and performed fat grafting between the eyebrows.

Previous surgeries and procedures

Why the nasal tip turns upward and nasal obstruction occurs after multiple rhinoplasties: Autologous rib cartilage reconstruction — Before-and-after comparison
Before-and-after comparison

Why the nasal tip turns upward and nasal obstruction occurs after multiple rhinoplasties: Autologous rib cartilage reconstruction

To resolve a damaged septum, an upturned nasal tip, and rhinitis-related nasal obstruction after multiple surgeries, autologous rib cartilage septal reconstruction and inferior turbinate reduction were performed.

Previous surgeries and procedures

Why the nasal tip turns upward when the septum is lost, and how to reconstruct the septum with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why the nasal tip turns upward when the septum is lost, and how to reconstruct the septum with autologous rib cartilage

Septal support lost in previous surgeries was reconstructed with autologous rib cartilage, and pinched alae and depressed nasal bridge areas were reinforced to correct an upturned nasal tip and nostril show.

Previous surgeries and procedures

Why nasal obstruction persists despite multiple surgeries: Correcting nasal valve stenosis and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Why nasal obstruction persists despite multiple surgeries: Correcting nasal valve stenosis and nostril asymmetry

A case of persistent nostril asymmetry and nasal valve stenosis after multiple surgeries, addressed by removing existing implants, performing septoplasty and turbinoplasty, and reconstructing the structure with rib cartilage and a skin graft.

Preoperative condition

Why nasal obstruction persists after multiple surgeries: How to reconstruct the septum and nasal valve — Before-and-after comparison
Before-and-after comparison

Why nasal obstruction persists after multiple surgeries: How to reconstruct the septum and nasal valve

For a patient whose septum had collapsed after repeated surgeries, causing internal nasal valve stenosis and inferior turbinate adhesions, we performed septal reconstruction with autologous rib cartilage, osteotomy reversal, and adhesiolysis.

Previous surgeries and procedures

Why silicone implants deviate and make the nose look long: implant replacement and rib cartilage reconstruction — Before-and-after comparison
Before-and-after comparison

Why silicone implants deviate and make the nose look long: implant replacement and rib cartilage reconstruction

Silicone implant deviation, excessive nostril show, and a high radix were corrected by removing the previous implant, reconstructing the nasal tip with autologous rib cartilage, placing a customized implant, and adjusting the nasolabial angle.

Previous surgeries and procedures

Why internal nasal structures collapse after multiple rhinoplasties and total reconstruction with rib cartilage — Before-and-after comparison
Before-and-after comparison

Why internal nasal structures collapse after multiple rhinoplasties and total reconstruction with rib cartilage

Following four prior rhinoplasties, septal and lower lateral cartilage defects and nasal bone erosion were addressed by treating a chronic foreign body reaction, performing total reconstruction with autologous rib cartilage, and placing a nostril skin graft.

Previous surgeries and procedures

Why nasal obstruction worsens when the septum collapses to one side — Before-and-after comparison
Before-and-after comparison

Why nasal obstruction worsens when the septum collapses to one side

For a male patient presenting with a collapsed septum, severe nasal obstruction, and a drooping tip, autologous rib cartilage septal reconstruction, septal extension, and rhinitis surgery were performed.

Preoperative condition

Noses with an arrow nose and bulbous tip: why we start with septal reconstruction — Before-and-after comparison
Before-and-after comparison

Noses with an arrow nose and bulbous tip: why we start with septal reconstruction

A clinical case in which a septum damaged from two previous surgeries and chronic nasal obstruction were restored using autologous rib cartilage reconstruction, septoplasty, rhinitis surgery, and bulbous tip correction.

Previous surgeries and procedures

Why the nose flattens and widens after double-jaw surgery, and septal reconstruction — Before-and-after comparison
Before-and-after comparison

Why the nose flattens and widens after double-jaw surgery, and septal reconstruction

After double-jaw surgery weakened the septum, the nose became lower and wider; we reinforced it through septal reconstruction with autologous rib cartilage and completed a smooth profile using a customized silicone implant.

Previous surgeries and procedures

Why an upturned nose and unilaterally pinched nostril occur, and how implant-free reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why an upturned nose and unilaterally pinched nostril occur, and how implant-free reconstruction is performed

An upturned nose and pinched nostril caused by multiple prior surgeries were corrected after removing artificial dermis, performing implant-free bridge augmentation with donor rib cartilage and septal cartilage, and using a skin-cartilage composite graft on the right nostril.

Preoperative condition

Why a septum collapsing to one side causes a crooked nose and blocked breathing, and how to reconstruct it with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why a septum collapsing to one side causes a crooked nose and blocked breathing, and how to reconstruct it with autologous rib cartilage

After two prior surgeries, a septum collapsed to the right, a depressed alar wing, and a mucosal defect were corrected through autologous rib cartilage septal reconstruction, perichondrium grafting, and re-carving of the silicone implant.

Previous surgeries and procedures

Why nasal obstruction and a crooked nose can persist even after multiple surgeries — Before-and-after comparison
Before-and-after comparison

Why nasal obstruction and a crooked nose can persist even after multiple surgeries

In a case of ongoing nasal obstruction with a weakened, deviated septum following multiple surgeries, structural integrity and nasal breathing were improved through septal reconstruction using autologous rib cartilage, lateral osteotomy, septoplasty, and turbinoplasty.

Previous surgeries and procedures

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.

Previous surgeries and procedures

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.

Previous surgeries and procedures

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