This is page 11 of revision rhinoplasty: evaluating prior surgeries and current concerns together. Explore surgical records and before-and-after photos 181–198 of 201.
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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.
Preoperative condition
This is a case of a patient who visited our clinic with a long, drooping tip after a history of nasal filler, rhinoplasty, and two-jaw surgery. Foreign material removal was documented, and septal reconstruction using autologous rib cartilage along with thinning of the nasal tip skin was planned.
Preoperative condition
In a patient presenting with contracture, an upturned nose, and loss of lower lateral cartilages due to inflammation after previous surgery, we performed septal and alar cartilage reconstruction using autologous rib cartilage combined with stem cell therapy and alar rim lowering.
Preoperative condition
A case where deviation recurred following previous septal surgery, leaving nasal obstruction and a tilted columella. We planned septal reconstruction using autologous rib cartilage and documented changes in the nasal tip, columella, and nostril asymmetry after surgery.
Preoperative condition
A long, drooping arrow-shaped nose and dorsal hump were refined through osteotomy and implant replacement, while septal extension using autologous rib cartilage and nasal sill reduction improved the nasolabial angle and nostril asymmetry.
Preoperative condition
The excessively high Gore-Tex implant was removed from the glabella, the radix was lowered to the pupil line, and the septum and retracted columella were corrected using autologous rib cartilage.
Preoperative condition
This is a case of a patient concerned about a nose that still looked long due to a residual dorsal hump and a drooping tip even after a previous surgery. The nasal bone and upper lateral cartilage were refined, the nasal tip and columella were corrected, and a thin silicone implant was placed to cover irregularities.
Preoperative condition
This is a case where excessive septal cartilage harvest led to a deviated septum, nasal obstruction, and an upturned, crooked tip, which were corrected by reconstructing the septum with autologous rib cartilage, removing scar tissue, and repositioning the lower lateral cartilages.
Performed or used in this surgery
This is a case where postoperative inflammation led to a depressed and upturned nasal tip along with severe nostril asymmetry. I introduce the reconstruction plan using autologous rib cartilage according to the extent of cartilage damage, along with comparison photos taken immediately after surgery.
Preoperative condition
This is a case of a bulbous nose with thick skin, scar tissue in the nasal tip, and an implant deviated to the right. Removal of scar tissue, reconstruction and repositioning of the lower lateral (alar) cartilage, and nasal tip plasty using autologous rib cartilage were performed, with lateral osteotomy planned.
Preoperative condition
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.
Preoperative condition
This is a case where a silicone implant shifted almost to the point of extruding through the columella due to a chronic foreign body reaction. The silicone implant, granulation tissue, and glabella filler were removed, and the depleted septum from previous surgery was reconstructed using autologous rib cartilage.
Preoperative condition
This is a case of addressing nostril asymmetry and a crooked nasal bridge following past alar reduction. Repositioning of the columella and lower lateral cartilages was performed, alongside planned lateral osteotomy, the use of autologous rib cartilage, and functional nasal surgery for nasal obstruction.
Preoperative condition
This is a case where the nose appeared long and deviated after a previous surgery, accompanied by cartilage show-through and nostril asymmetry. After confirming septal deviation, septoplasty was performed to correct the deviated septum and improve the asymmetry.
Preoperative condition
A case involving nostril asymmetry and excessive nostril show after previous implant removal due to inflammation. Depending on the cartilage condition, autologous rib cartilage reconstruction, lateral osteotomy, and nostril rim extension were planned, documented with photos taken immediately after surgery.
Preoperative condition
6 dissolvable threads inserted into the nasal bridge were removed, and autologous rib cartilage was used to reconstruct the upturned nasal tip and damaged right lower lateral cartilage, correcting the asymmetry.
Preoperative condition
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
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