This is page 6 of revision rhinoplasty: evaluating prior surgeries and current concerns together. Explore surgical records and before-and-after photos 91–108 of 201.
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A case where an upturned nose and a retracted columella caused by cartilage loss from previous surgeries were naturally restored using autologous rib cartilage for lower lateral cartilage reconstruction and septal extension.
Preoperative condition
To correct a traumatic nasal bone fracture and a deviated nasal tip, closed reduction and autologous rib cartilage septal extension were performed without an implant, with plans to adjust the nasal bridge height after an observation period.
Preoperative condition
A case where a bulbous nasal tip, drooping arrow nose, and weakened septum—occurring after alar reduction and implant surgery 12 years prior—were corrected through septal reconstruction with autologous rib cartilage, nasal shortening, and septoplasty.
Preoperative condition
A case where purulent foreign material injected into the nasal bridge during an illegal procedure was removed, contracted skin was released, and an upturned nasal tip and bridge line were reconstructed using autologous rib cartilage and a silicone implant.
Preoperative condition
A case where a previously replaced L-shaped silicone implant was removed, the nasal tip was reconstructed with autologous rib cartilage, and the nasal bridge was replaced with an I-shaped implant to correct an upturned nose and a tilted columella.
Preoperative condition
This is a revision rhinoplasty case in which a septum damaged from prior double jaw surgery and a chronic foreign body reaction in the nasal bridge were identified, followed by irrigation, capsule removal, and septal reconstruction using autologous rib cartilage.
Preoperative condition
To improve a wide nose and drooping tip in a patient with a history of cleft lip and palate surgery, autologous rib cartilage septal reconstruction, nasal tip elevation, nasal sill reduction, and inferior turbinate surgery were performed.
Preoperative condition
Depression and widening of the nasal bridge, along with a crooked nose and bulbous tip that developed after implant removal, were refined through structural nasal reconstruction using autologous rib cartilage, nasal bridge augmentation with a silicone implant, tip refinement, and correction of the nasolabial angle.
Previous surgeries and procedures
To improve a bulbous nasal tip, residual hump sensation, and asymmetry without silicone implants, autologous rib cartilage was used to elevate the nasal bridge and dorsal line, combined with cartilage repositioning, cartilage binding, and nasolabial angle correction.
Preoperative condition
To resolve show-through of an L-shaped silicone implant and cartilage beneath thinned skin, we removed the previous silicone implant, reinforced the skin with dermis, adjusted the tip height, reconstructed the nasal tip with autologous rib cartilage, and replaced the implant with a new one.
Preoperative condition
We removed the premaxillary ("cat") implant and irregularly placed ear cartilage from previous surgeries, then refined the crooked nose and radix line using a dermal graft, lateral osteotomy, and autologous rib cartilage septal extension.
Previous surgeries and procedures
For nasal deformity, dorsal pain, and nasal obstruction caused by an old implant, septoplasty and autologous rib cartilage septal reconstruction were performed to improve the columella and nostrils.
Previous surgeries and procedures
A case correcting nostril asymmetry, columellar deviation, and an upturned nose following a previous surgery using lateral osteotomy and autologous rib cartilage septal extension, alongside functional improvement.
Previous surgeries and procedures
In an urgent condition where the silicone implant was on the verge of extruding just beneath the nasal tip skin, the implant was removed, and nasal tip reconstruction with autologous rib cartilage and dermal graft reinforcement was performed.
Preoperative condition
To address a crooked nose, a drooping tip, and residual nasal filler, we removed the previous filler and performed lateral osteotomy and nasal tip correction using autologous rib cartilage.
Preoperative condition
To resolve thinned nasal tip skin and cartilage show-through caused by repeated surgeries, retroauricular autologous dermis grafting, lateral osteotomy, and columellar elevation were performed.
Preoperative condition
To restore septal support weakened by prior surgery and address a bulbous, flared nasal tip, we performed septal reconstruction and septal extension using autologous rib cartilage.
Preoperative condition
To resolve contracture, septal perforation, and cartilage loss that occurred after Gore-Tex surgery performed long ago, the septum was reconstructed using autologous rib cartilage and the perforation was closed.
Preoperative condition
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