This is page 9 of cases of multiple revision rhinoplasties: changes after repeated surgeries. Explore surgical records and before-and-after photos 145–162 of 162.
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Right-sided nasal obstruction, a drooping nasal tip, and a retracted columella following two previous surgeries were addressed using autologous rib cartilage septal extension, implant replacement, and mucosal adhesiolysis.
Previous surgeries and procedures
A long nose, high radix, and columellar depression that developed after multiple prior surgeries were corrected by removing previous foreign material, reconstructing the septum with donor rib cartilage, and carving a silicone implant.
Previous surgeries and procedures
Alar and nostril asymmetry and tip drooping after three prior surgeries were corrected via a closed approach using autologous rib cartilage septal reconstruction, septal extension, and septoplasty.
Previous surgeries and procedures
In a nose where most of the septum and alar cartilages were lost after two previous surgeries, we reconstructed the overall framework using autologous rib cartilage, removed contracture tissue, and corrected the nasolabial angle.
Previous surgeries and procedures
In a patient presenting with an excessively high radix, a drooping tip, and nasal obstruction, a closed approach was used to lower the starting point, reconstruct the nasal tip using autologous rib cartilage, and perform septoplasty.
Previous surgeries and procedures
This is a case where mucosal adhesion, septal deviation, and tip deformity were identified following previous surgeries. We planned support reinforcement using autologous rib cartilage along with functional surgery, and recorded the postoperative changes in columellar and nostril asymmetry.
Preoperative condition
This is a case of recurrent inflammation leading to partial skin necrosis, a depressed scar, and contracture deformity of the nasal tip. After stem cell therapy, revision surgery was performed with a surgical plan including septal reconstruction, lowering the nostril rims, and dermal grafting.
Previous surgeries and procedures
In a severe contracted nose that developed after a history of 27 surgeries and fat graft procedures, the protruding silicone implant and degenerated tissue were removed, and the septum and structural support were reconstructed using autologous rib cartilage.
Previous surgeries and procedures
This is a case of early revision rhinoplasty performed just 14 days after surgery, as deviation persisted despite a prior surgery and an attempted correction. The plan involved removing the implant and cartilage and using autologous rib cartilage, documenting changes in the radix, nasal dorsum, and nasal tip after surgery.
Previous surgeries and procedures
This is a case where the nasal tip began drooping and deviating to the left after surgery with donor rib cartilage, raising suspicion of partial resorption. Nasal reconstruction and septal extension using autologous rib cartilage were planned, and immediate postoperative changes in the nasal tip and nasolabial angle, as well as the limitations of asymmetry correction, were documented.
Previous surgeries and procedures
This is a case where the silicone implant had been removed after repeated surgeries led to tip redness and contracture deformity. Autologous rib cartilage and stem cell therapy were planned, and changes in tip depression, upturning, and nasolabial angle immediately after surgery were documented.
Preoperative condition
Nostril asymmetry, a crooked nose, and nasal bone defects that developed after a previous philtrum reduction and rhinoplasty were reconstructed using lateral osteotomy restoration, autologous rib cartilage, and a rotation flap.
Previous surgeries and procedures
This is a case of a second surgery addressing a drooping tip and columellar scarring after reconstructing a contracted nose with autologous rib cartilage. We planned nasal tip reinforcement and a skin graft, and recorded changes in the position of the columella and the skin graft site after surgery.
Previous surgeries and procedures
A case of a patient who visited our clinic with a bulbous, drooping tip and nostril asymmetry. During surgery, severe damage to the septum and lower lateral cartilages was identified, leading to reconstruction with autologous rib cartilage, while alar rim lowering and lateral osteotomy were included in the surgical plan.
Previous surgeries and procedures
A case presenting with a short, upturned nasal tip and nostril asymmetry following a history of silicone implant inflammation. The damaged lower lateral cartilage and septum were reconstructed using autologous rib cartilage, and replacement of the Gore-Tex implant was included in the surgical plan.
Preoperative condition
This is a revision rhinoplasty case of a patient who presented with an upturned nose and a drooping tip. The damaged lower lateral cartilages and septum were partially reconstructed using autologous rib cartilage, septal extension was performed to lower the nasal tip, and nostril lowering was included in the plan.
Previous surgeries and procedures
To correct a progressively upturning nose, dorsal hump, nostril asymmetry, and nasal obstruction, revision rhinoplasty using autologous rib cartilage was performed alongside functional nasal surgery through a closed approach.
Previous surgeries and procedures
In a 4th revision rhinoplasty, a pinched nose, crooked nose, and drooping tip were corrected using autologous rib cartilage through a closed approach with nostril rim elongation and lowering of the columella.
Previous surgeries and procedures
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