This is page 10 of revision rhinoplasty: evaluating prior surgeries and current concerns together. Explore surgical records and before-and-after photos 163–180 of 201.
View before-and-after cases ↓Comprehensive rhinoplasty guide
Nasal obstruction, a pinched look, and an upturned nose that developed after ear cartilage suturing and filler injection were corrected with foreign material removal, autologous rib cartilage septal extension, and cartilage repositioning.
Preoperative condition
After total removal of implants due to inflammation left a severely upturned contracted nose, the septum and lower lateral cartilage were reconstructed using autologous rib cartilage and the skin was stretched via a closed approach.
Preoperative condition
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.
Performed or used in this surgery
With an unnatural implant outline and a crooked nose, the existing implant was removed and replaced with a wider implant, while autologous rib cartilage was used to lower the columella alongside osteotomy.
Preoperative condition
The existing silicone implant extending to the nasal tip was removed, the thinned tip skin was reinforced, and the profile was improved into a masculine straight line through autologous rib cartilage reconstruction and dorsal silicone replacement.
Preoperative condition
In this case, a 3D CT scan confirmed that the existing silicone implant was shifted to the left side of the nasal bone. We planned osteotomies, septal extension, and cartilage repositioning, verified the implant position during surgery, and documented the postoperative changes in the nasal bridge and columella.
Preoperative condition
A case where the columella tilted to the left and nostril asymmetry worsened after a previous surgery. The columella was shifted to the right to reduce shape differences, and residual asymmetry remained due to congenital nostril size differences.
Preoperative condition
This is a case of nasal bone deformity, a dorsal hump, and right-sided nasal obstruction following closed reduction for a nasal bone fracture. After confirming depression of the right nasal bone on CT, osteotomy and septal reconstruction were planned, and the changes in nasal shape after surgery were documented.
Preoperative condition
This is a case where the lower edge of the silicone implant along the nasal bridge became visible as the nasal tip drooped. We planned an implant exchange and autologous rib cartilage reinforcement, documenting post-operative changes in the nasal tip, nasolabial angle, and nasal bridge line.
Preoperative condition
This is a case of a contracted nose following total removal of materials due to acute inflammation after a previous surgery. After stem cell injection therapy, the damaged septum and lower lateral cartilage were reconstructed using autologous rib cartilage, and adhesiolysis was planned to address nasal obstruction.
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.
Performed or used in this surgery
This is a case of silicone implant show-through and a bulbous nasal tip from a surgery performed long ago. Calcification of the capsule around the removed implant was confirmed. Here, I introduce the surgical plan using septal cartilage and donor rib cartilage for tip reshaping, along with changes to the nasal bridge and tip immediately after surgery.
Preoperative condition
This is a case of a patient who visited the clinic to improve a high radix and the shape of the nasal tip and columella. We planned to adjust both the radix and nasal tip, and documented the changes in the columellar line and nostril asymmetry after surgery.
Preoperative condition
A case where a septum weakened by previous surgery was reinforced with donor rib cartilage, and nostril lowering was performed using an ear cartilage graft and lower lateral cartilage repositioning. The existing autologous gluteal dermis was reused at the nasal tip, and functional surgery for nasal obstruction was performed simultaneously.
Preoperative condition
In a nose where the implant was overly conspicuous and the radix was excessively high, the silicone implant was removed to transition to a no-implant approach, creating natural contouring along the nasal tip and columella.
Preoperative condition
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.
Performed or used in this surgery
Loss of the septum and retraction of the columella caused by inflammation and contracture were restored with three-dimensional definition through total autologous rib cartilage reconstruction and lowering the columella.
Preoperative condition
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