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Revision rhinoplasty: evaluating prior surgeries alongside current concerns

This is page 2 of revision rhinoplasty: evaluating prior surgeries and current concerns together. Explore surgical records and before-and-after photos 19–36 of 201.

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Why the nasal bridge becomes uneven after rhinoplasty, and how septal reconstruction using rib cartilage is performed — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge becomes uneven after rhinoplasty, and how septal reconstruction using rib cartilage is performed

An uneven nasal bridge, damaged septal cartilage, and nasal obstruction were corrected by removing the existing silicone implant and filler, followed by autologous rib cartilage reconstruction, re-insertion of a customized silicone implant, and septoplasty with inferior turbinoplasty.

Preoperative condition

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.

Preoperative condition

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.

Performed or used in this surgery

Why bulbous tip returns after tip surgery with ear cartilage and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why bulbous tip returns after tip surgery with ear cartilage and reconstruction methods

Persistent bulbous tip and upturned nasal tip after surgery with ear cartilage were addressed with autologous rib cartilage septal extension, partial scar tissue excision, cartilage repositioning, and a silicone implant.

Preoperative condition

Why a nose appears long, drooping, and crooked: septal reconstruction and osteotomy — Before-and-after comparison
Before-and-after comparison

Why a nose appears long, drooping, and crooked: septal reconstruction and osteotomy

A long nose, drooping nasal tip, crooked nasal bridge, and nasal obstruction remaining after prior functional surgery were corrected using autologous rib cartilage tip plasty, partial septal reconstruction, and lateral osteotomy.

Preoperative condition

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 a high radix makes the nose look artificial: septal reconstruction and radix correction methods — Before-and-after comparison
Before-and-after comparison

Why a high radix makes the nose look artificial: septal reconstruction and radix correction methods

A deviated septum and an excessively high radix resulting from a previous surgery were precisely corrected using donor rib cartilage septal reconstruction, silicone implant replacement, osteotomy, and inferior turbinate reduction.

Performed or used in this surgery

Why the columella retracts and the alar rim looks pinched after rhinoplasty, and how autologous rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why the columella retracts and the alar rim looks pinched after rhinoplasty, and how autologous rib cartilage reconstruction is performed

In a patient presenting with columellar retraction and a pinched right alar rim following rhinoplasty with silicone and donor rib cartilage, the existing materials were removed and reconstruction of the septum and alar cartilage was performed using autologous rib cartilage.

Previous surgeries and procedures

Why nasal bone deviation and dorsal humps remain after rhinoplasty: lateral osteotomy and autologous rib cartilage correction methods — Before-and-after comparison
Before-and-after comparison

Why nasal bone deviation and dorsal humps remain after rhinoplasty: lateral osteotomy and autologous rib cartilage correction methods

To correct the residual deviated nasal bone, dorsal hump, and nasal obstruction remaining after a previous silicone rhinoplasty, the existing implant was removed and lateral osteotomy, autologous rib cartilage tip plasty, and septoplasty were performed.

Preoperative condition

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 the nose looks long due to a drooping tip after rhinoplasty, and nasal tip reconstruction with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why the nose looks long due to a drooping tip after rhinoplasty, and nasal tip reconstruction with autologous rib cartilage

A case addressing a drooping, elongated nasal tip after silicone rhinoplasty and nasal filler procedures. The existing implant and residual filler were removed, the support structure was reinforced using autologous rib cartilage, and the nasolabial angle was corrected.

Preoperative condition

Why the nostrils look severely uneven on both sides: cartilage reconstruction and skin graft correction — Before-and-after comparison
Before-and-after comparison

Why the nostrils look severely uneven on both sides: cartilage reconstruction and skin graft correction

Congenital asymmetry, along with a residual crooked nose and nostril asymmetry from a previous rhinoplasty, was stabilized using lower lateral cartilage reconstruction, internal nostril skin grafting (free composite graft), and septal reconstruction.

Previous surgeries and procedures

Why nasal obstruction worsens after rhinoplasty: How septal reconstruction and osteotomy reversal are performed — Before-and-after comparison
Before-and-after comparison

Why nasal obstruction worsens after rhinoplasty: How septal reconstruction and osteotomy reversal are performed

Nostril asymmetry, over-osteotomy, and a collapsed septum resulting from prior alar reduction were corrected using a skin graft, osteotomy reversal, septal reinforcement with autologous rib cartilage, and rhinitis surgery.

Previous surgeries and procedures

Why the nasal bridge looks wide and uneven, and how osteotomy and rib cartilage tip surgery are performed — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge looks wide and uneven, and how osteotomy and rib cartilage tip surgery are performed

Foreign material was removed from the nasal bridge, and lateral osteotomy, a custom-carved silicone implant, and donor rib cartilage were used to eliminate the dorsal step-off, creating a slim, straight bridge line.

Preoperative condition

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

Why does the nose look crooked when the osteotomy site is over-resected? Nasal bone restoration and nasal tip reconstruction — Before-and-after comparison
Before-and-after comparison

Why does the nose look crooked when the osteotomy site is over-resected? Nasal bone restoration and nasal tip reconstruction

For a patient who developed an over-resected area and a crooked nose following a past osteotomy, we performed left nasal bone restoration, autologous rib cartilage septal extension, a customized silicone implant, and nasolabial angle correction.

Preoperative condition

Why the septum deviates severely and becomes damaged, and how rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why the septum deviates severely and becomes damaged, and how rib cartilage reconstruction is performed

A severely deviated and damaged septum following previous surgery with a silicone implant and donor rib cartilage was reinforced and reconstructed using autologous rib cartilage, completing the nasal line through septal extension and nasolabial angle correction.

Preoperative condition

Contracted nose: How contracted tissue removal and autologous rib cartilage reconstruction are performed — Before-and-after comparison
Before-and-after comparison

Contracted nose: How contracted tissue removal and autologous rib cartilage reconstruction are performed

In a nose that became upturned and crooked due to contracture following implant surgery, fibrotic tissue was removed, the nasal tip was reconstructed with autologous rib cartilage, the columella was lowered, and the silicone implant was replaced.

Performed or used in this surgery

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