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

This is page 3 of multiple revision rhinoplasty cases: changes with each surgery. Browse surgical records and before-and-after photos for cases 37–54 of 162.

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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.

Previous surgeries and procedures

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.

Preoperative condition

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.

Previous surgeries and procedures

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.

Previous surgeries and procedures

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.

Previous surgeries and procedures

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.

Previous surgeries and procedures

Foreign materials from illegal procedures in the nasal bridge: how to perform removal and total septal reconstruction — Before-and-after comparison
Before-and-after comparison

Foreign materials from illegal procedures in the nasal bridge: how to perform removal and total septal reconstruction

We removed foreign materials from illegal injections in the nasal bridge, completely reconstructed the cartilage-depleted septum using autologous rib cartilage, and performed dermal grafting on the thinned skin.

Previous surgeries and procedures

Why the septum collapses after multiple revision rhinoplasties, and how total reconstruction is performed with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why the septum collapses after multiple revision rhinoplasties, and how total reconstruction is performed with autologous rib cartilage

Cartilage penetrating the mucosa and a septal perforation after multiple surgeries were corrected through total reconstruction with autologous rib cartilage and repair of the perforation using ear perichondrium.

Previous surgeries and procedures

Depression along the nasal bridge and an upturned feel after repeated implant insertions and removals — Before-and-after comparison
Before-and-after comparison

Depression along the nasal bridge and an upturned feel after repeated implant insertions and removals

Correcting nostril asymmetry, an upturned nasal tip, and an overly high radix caused by repeated surgeries using autologous rib cartilage septal extension and height adjustment.

Preoperative condition

Why the L-strut thins after multiple nose surgeries and how to structurally reconstruct it — Before-and-after comparison
Before-and-after comparison

Why the L-strut thins after multiple nose surgeries and how to structurally reconstruct it

The septal L-strut, thinned after three previous surgeries, was reinforced with autologous rib cartilage, and the crooked nose was reconstructed through lateral osteotomies and columellar lengthening.

Previous surgeries and procedures

Why inflammation recurs after rhinoplasty and how to reconstruct using only autologous tissue — Before-and-after comparison
Before-and-after comparison

Why inflammation recurs after rhinoplasty and how to reconstruct using only autologous tissue

Persistent tip inflammation, deviation, and nasal symptoms following repeated surgeries were resolved by removing previous foreign materials and performing septal reconstruction with autologous rib cartilage alongside functional nasal surgery.

Previous surgeries and procedures

Why the nose looks wide and the tip droops after double jaw surgery, and how to reconstruct it with rib cartilage — Before-and-after comparison
Before-and-after comparison

Why the nose looks wide and the tip droops after double jaw surgery, and how to reconstruct it with rib cartilage

After double jaw surgery and rhinoplasty, a wide-looking nose and drooping tip were improved by removing the previous materials, reconstructing the septum with autologous rib cartilage, and performing nasal sill reduction.

Preoperative condition

Why nostrils look different when tilting the head up and cause nasal obstruction: septal reconstruction — Before-and-after comparison
Before-and-after comparison

Why nostrils look different when tilting the head up and cause nasal obstruction: septal reconstruction

To correct nostril asymmetry, a short nose, and nasal obstruction that developed after previous implant-free rhinoplasty and alar rim lowering, autologous rib cartilage septal reconstruction and functional nasal surgery were performed.

Preoperative condition

Scar tissue and nostril asymmetry after nasal fracture and repeated revision surgeries: reconstructive approaches — Before-and-after comparison
Before-and-after comparison

Scar tissue and nostril asymmetry after nasal fracture and repeated revision surgeries: reconstructive approaches

Following trauma and revision surgery, the patient presented with concerns over silicone implant complications, nostril asymmetry, and scar adhesions. After removing the implant, autologous rib cartilage reconstruction and septoplasty were performed.

Previous surgeries and procedures

Why infection recurs after rhinoplasty: treatment of inflammation and staged reconstruction — Before-and-after comparison
Before-and-after comparison

Why infection recurs after rhinoplasty: treatment of inflammation and staged reconstruction

In a patient presenting with mucosal perforation and contracture deformity caused by implant infection, inflamed tissue was debrided and irrigated, followed by staged septal reconstruction.

Previous surgeries and procedures

Why clicking sounds and shape changes occur in the nasal tip after trauma, and reconstruction with rib cartilage — Before-and-after comparison
Before-and-after comparison

Why clicking sounds and shape changes occur in the nasal tip after trauma, and reconstruction with rib cartilage

For a patient who experienced nasal tip deformity and asymmetry of the nasal bone and nostrils following everyday trauma, autologous rib cartilage reconstruction and lateral osteotomy were performed to establish a stable structure.

Previous surgeries and procedures

How to perform reconstruction when multiple revision surgeries leave no nasal cartilage behind — Before-and-after comparison
Before-and-after comparison

How to perform reconstruction when multiple revision surgeries leave no nasal cartilage behind

This is a case where the septum was damaged and both lower lateral cartilages were removed following multiple rhinoplasties. The support structure was reconstructed using autologous rib cartilage, concurrently correcting the upturned nose, deviated columella, and nasolabial angle.

Previous surgeries and procedures

Why an overly high nose looks unnatural and deviates, and how it can be reconstructed — Before-and-after comparison
Before-and-after comparison

Why an overly high nose looks unnatural and deviates, and how it can be reconstructed

For an overly high "Pinocchio-like" deviated nose with septal damage, the silicone implant was removed, and autologous rib cartilage reconstruction, radix adjustment, and nasal sill reduction were performed.

Preoperative condition

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