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Revision rhinoplasty: evaluating prior surgeries alongside current concerns

This is page 5 of revision rhinoplasty: evaluating prior surgeries and current concerns together. Explore surgical records and before-and-after photos 73–90 of 201.

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Why the nasal tip shows through after dermal graft surgery and how to reconstruct it with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why the nasal tip shows through after dermal graft surgery and how to reconstruct it with autologous rib cartilage

A case where donor dermis previously placed on the nasal dorsum caused tip show-through and made the midface appear elongated; all donor dermis was completely removed, autologous rib cartilage reconstruction was performed, and stem cell therapy was combined.

Performed or used in this surgery

An uneven nasal bridge after a dermal graft: causes and implant-free reconstruction — Before-and-after comparison
Before-and-after comparison

An uneven nasal bridge after a dermal graft: causes and implant-free reconstruction

A case where a previously placed dermal graft had caused an uneven nasal bridge, alongside an unresolved bulbous nose and nostril asymmetry, which were corrected by completely removing the existing dermis and performing a comprehensive reconstruction using autologous rib cartilage.

Preoperative condition

Slight lack of height and subtle asymmetry remaining after rhinoplasty: Why they occur and how they are refined — Before-and-after comparison
Before-and-after comparison

Slight lack of height and subtle asymmetry remaining after rhinoplasty: Why they occur and how they are refined

After a stable primary surgery, reinforcement using autologous rib cartilage, septal reconstruction, and nasolabial angle correction were performed to add height and correct subtle bilateral asymmetry.

Previous surgeries and procedures

Changes that occur when supporting the nasal tip with ear cartilage alone and reconstruction methods using rib cartilage — Before-and-after comparison
Before-and-after comparison

Changes that occur when supporting the nasal tip with ear cartilage alone and reconstruction methods using rib cartilage

To resolve persistent nasal obstruction, a crooked nose, and a retracted columella following a prior surgery, complete reconstruction using autologous rib cartilage and septoplasty were performed.

Preoperative condition

Changes that occur when inflammation persists after rhinoplasty and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Changes that occur when inflammation persists after rhinoplasty and reconstruction methods

To resolve chronic inflammation, an upturned nose, and redness of the nasal bridge that persisted after previous surgeries, artificial materials were removed, and structural reconstruction using autologous rib cartilage was performed along with nasal valve surgery.

Performed or used in this surgery

Why a crooked nose and a drooping tip occur together: How septal reconstruction and rhinitis surgery are performed — Before-and-after comparison
Before-and-after comparison

Why a crooked nose and a drooping tip occur together: How septal reconstruction and rhinitis surgery are performed

Following previous rhinoplasty, poor septal support led to a crooked nose, a drooping tip, and excessive nostril show. These concerns were addressed through septal reconstruction, lateral osteotomy, and tip support correction.

Preoperative condition

Why foreign material from illicit injections remains after removal and how to correct an upturned nasal tip — Before-and-after comparison
Before-and-after comparison

Why foreign material from illicit injections remains after removal and how to correct an upturned nasal tip

Due to residual foreign material from past illicit injections, an upturned nose and excessive nostril show persisted; the remaining foreign material was completely removed, and tip rhinoplasty using autologous rib cartilage was performed alongside radix adjustment.

Previous surgeries and procedures

Why the nasal bridge looks artificial and the nose becomes upturned, and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge looks artificial and the nose becomes upturned, and how to reconstruct it

After surgery with a silicone implant and donor rib cartilage, a chalk-like nasal bridge and excessive nostril show occurred. A natural line was reconstructed through septal extension using autologous rib cartilage and alar rim lowering.

Preoperative condition

How the nose changes when donor rib cartilage is resorbed, and how autologous rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

How the nose changes when donor rib cartilage is resorbed, and how autologous rib cartilage reconstruction is performed

For a patient whose nasal tip had shrunk, whose alae appeared pinched, and whose nasal bridge developed scarring due to donor rib cartilage resorption, we performed alar reconstruction with autologous rib cartilage, septal extension, and cartilage and dermal graft reinforcement.

Preoperative condition

Why septal cartilage damage causes a drooping tip and a retracted columella — Before-and-after comparison
Before-and-after comparison

Why septal cartilage damage causes a drooping tip and a retracted columella

For a drooping tip and retracted columella caused by septal cartilage damage following previous surgery with autologous rib cartilage and a silicone implant, the septum was reconstructed using autologous rib cartilage, the columella was restored, and the nasolabial angle was corrected.

Previous surgeries and procedures

Why nasal tip cartilage shows through the skin and turns upward: reinforcement and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why nasal tip cartilage shows through the skin and turns upward: reinforcement and reconstruction methods

For a patient presenting with visible nasal tip cartilage and an upturned nose following previous surgery with a silicone implant and ear cartilage, we performed silicone implant removal, septal extension using autologous rib cartilage, fat grafting, and skin reinforcement with donor dermis.

Preoperative condition

Why post-nasal drip and a drooping tip occur together, and how septal extension and functional surgery address them — Before-and-after comparison
Before-and-after comparison

Why post-nasal drip and a drooping tip occur together, and how septal extension and functional surgery address them

Post-nasal drip, a drooping tip, and a narrow columella were comprehensively improved through septal and inferior turbinate surgery, autologous cartilage septal extension, and alar reduction.

Preoperative condition

Why rib cartilage calcification must be evaluated in advance and correction methods for crooked and short noses — Before-and-after comparison
Before-and-after comparison

Why rib cartilage calcification must be evaluated in advance and correction methods for crooked and short noses

After evaluating calcification in the autologous rib cartilage, the 8th rib cartilage was harvested to correct a crooked nose, short nose, and nostril show, while an inferior turbinate reduction was performed concurrently to improve breathing function.

Preoperative condition

Why nostril asymmetry and a drooping tip develop: reconstruction combining different cartilages — Before-and-after comparison
Before-and-after comparison

Why nostril asymmetry and a drooping tip develop: reconstruction combining different cartilages

To correct congenital nostril asymmetry and a drooping nasal tip, residual filler and foreign material were removed, and septal extension was performed using both donor rib cartilage and septal cartilage.

Preoperative condition

Why the nose looks crooked and the columella tilts to one side, and how to correct it — Before-and-after comparison
Before-and-after comparison

Why the nose looks crooked and the columella tilts to one side, and how to correct it

A mobile silicone implant, a tilted columella, and a crooked nasal bridge were corrected through the removal of the existing implant and foreign material, lateral osteotomy, and septal reinforcement using autologous rib cartilage.

Preoperative condition

Why a dorsal hump can reappear and nostrils become visible after hump reduction — Before-and-after comparison
Before-and-after comparison

Why a dorsal hump can reappear and nostrils become visible after hump reduction

Correction of a residual dorsal hump and excessive nostril show 17 years after hump surgery using residual filler removal, lateral osteotomy, and autologous rib cartilage septal extension.

Previous surgeries and procedures

Why the columella droops severely into an arrow nose, and rib cartilage reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why the columella droops severely into an arrow nose, and rib cartilage reconstruction methods

For a patient presenting with a severely drooping columella, an arrow nose, and nostril asymmetry after previous surgeries, autologous rib cartilage septal extension and lower lateral cartilage repositioning were performed to improve tip drooping and asymmetry.

Preoperative condition

Why nostril asymmetry and an upturned tip remain after alar reduction and how to correct them — Before-and-after comparison
Before-and-after comparison

Why nostril asymmetry and an upturned tip remain after alar reduction and how to correct them

A revision rhinoplasty case where nostril asymmetry, an upturned nasal tip, and an implant step-off visible after alar reduction were corrected through structural reconstruction with autologous rib cartilage, silicone implant replacement, and nasolabial angle correction.

Preoperative condition

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