This is page 3 of revision rhinoplasty: evaluating prior surgeries and current concerns together. Explore surgical records and before-and-after photos 37–54 of 201.
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After double-jaw surgery weakened the septum, the nose became lower and wider; we reinforced it through septal reconstruction with autologous rib cartilage and completed a smooth profile using a customized silicone implant.
Previous surgeries and procedures
To reinforce nasal tip support weakened after a previous silicone and ear cartilage surgery, the silicone implant was customized and replaced, and a stable nasal line was established using septal extension with autologous rib cartilage.
Performed or used in this surgery
To improve the nasal bridge and glabella height in balance with prominent brow bones, the existing implant was removed, and a 3D custom implant, autologous rib cartilage tip support, and nasolabial angle correction were performed.
Preoperative condition
In a nose where the anterior septum was severely damaged by Medpor, foreign materials were removed, and septal reconstruction using autologous rib cartilage, silicone implant replacement, nasal sill reduction, and functional nasal surgery were performed.
Previous surgeries and procedures
Following prior surgery with a silicone implant and ear cartilage, the patient presented with a long, drooping columella and a crooked nose. The ear cartilage was replaced with autologous rib cartilage, the nasolabial angle was adjusted, and septal correction was performed.
Preoperative condition
An upturned nose and pinched nostril caused by multiple prior surgeries were corrected after removing artificial dermis, performing implant-free bridge augmentation with donor rib cartilage and septal cartilage, and using a skin-cartilage composite graft on the right nostril.
Preoperative condition
For a nose showing cartilage show-through through thinned skin, a widened nasal bridge, and nasal obstruction 7 years after surgery, autologous dermis reinforcement, autologous rib cartilage tip plasty, lateral osteotomy, and septoplasty were performed.
Previous surgeries and procedures
An upturned nasal tip, a short columella, and an unnatural silicone bridge line from previous rhinoplasty were improved using autologous rib cartilage septal extension, custom-carved silicone implant replacement, and nasolabial angle correction.
Preoperative condition
In a case where a 15×10 mm septal perforation and cartilage damage occurred after previous surgery, the perforation was closed with a skin graft and structural support was restored by reconstructing the septum with autologous rib cartilage.
Previous surgeries and procedures
For Artecoll semi-permanent filler on the nasal bridge, a damaged septum, an upturned nasal tip, and nostril asymmetry, foreign material was completely removed, followed by septal reconstruction using autologous rib cartilage and alar rim lowering.
Preoperative condition
For capsular contracture, septal damage, and asymmetric nasal bones following previous surgery, the implant and capsule were removed, and septal reconstruction, lateral osteotomy, and nasal bridge augmentation with autologous rib cartilage were performed.
Preoperative condition
For a high radix, upturned nasal tip, and columellar and nostril asymmetry from a previous surgery, the implant was replaced, tip derotation was performed using autologous rib cartilage, and lower lateral cartilage correction was carried out.
Performed or used in this surgery
For a drooping, bulbous nasal tip, asymmetric nasal bridge, deviated septum, and rhinitis symptoms, we performed nasal tip correction using autologous rib cartilage, nasolabial angle adjustment, silicone implant replacement, septoplasty, and inferior turbinate reduction.
Preoperative condition
Cartilage protruding through the nasal mucosa was removed and the area restored with perichondrium, damaged lower lateral cartilage and a drooping tip were reconstructed using autologous rib cartilage, and the implant was replaced with customized silicone.
Preoperative condition
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.
Performed or used in this surgery
In a case where residual artificial dermis from a previous procedure formed a dorsal hump and weakened the septal support, the artificial dermis was dissected and removed, lateral osteotomy and dorsal hump reduction were performed, the nasal tip was reconstructed using autologous rib cartilage, and the silicone implant was replaced.
Preoperative condition
A case involving an implant from 17 years ago, residual filler, and a long, drooping nasal tip. Calcified autologous rib cartilage was harvested to correct the nasolabial angle and lower the radix starting point.
Previous surgeries and procedures
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
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