This is page 8 of revision rhinoplasty: evaluating prior surgeries and current concerns together. Explore surgical records and before-and-after photos 127–144 of 201.
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Correction of a crooked nose and bulbous tip following fracture reduction and multiple prior rhinoplasties using autologous rib cartilage septal extension, lateral osteotomy, nasal sill reduction, and nasolabial angle correction.
Previous surgeries and procedures
A case correcting an upturned nasal tip, retracted columella, and nostril show using autologous rib cartilage nasal reconstruction, columellar lowering, nasolabial angle correction, septal surgery, and inferior turbinate surgery.
Preoperative condition
A long nose, wide nasal bridge, mucus pooling, and nasal obstruction resulting from multiple prior surgeries were corrected using lateral osteotomy, autologous rib cartilage grafting, and septoplasty.
Preoperative condition
A case correcting keystone damage, saddle nose deformity, and nostril asymmetry caused by excessive dorsal hump removal, using lateral osteotomy and autologous rib cartilage septal reconstruction.
Preoperative condition
For a contracted nose deformity that developed long after silicone implant surgery, the implant capsule was removed and autologous rib cartilage was used to comprehensively reconstruct the septum, lower lateral cartilages, and nasal bridge.
Performed or used in this surgery
A nasal tip that had become long and sharp from multiple surgeries, along with nostril asymmetry, was corrected using glabella bone rasping, autologous rib cartilage extension, and composite skin graft nostril lowering.
Preoperative condition
Dorsum depression and nasal obstruction following previous dorsal hump reduction were corrected with inferior turbinate reduction, lateral osteotomy, autologous rib cartilage extension, and implant placement.
Preoperative condition
In a case where flap necrosis resulted in recurrent contracture, a retracted columella, and an upturned nasal tip, silicone implant removal was followed by septal reconstruction using autologous rib cartilage and mucosal graft.
Preoperative condition
We resolved the asymmetry and nasal deviation caused by foreign materials such as threads and filler, rebuilding a well-aligned contour using donor rib cartilage septal extension and silicone implant replacement.
Preoperative condition
In a revision rhinoplasty case presenting with tip redness, cartilage resorption from a silicone foreign body reaction, rhinitis, and a deviated septum, silicone implant exchange was performed in conjunction with septal reconstruction using autologous rib cartilage and rhinitis surgery.
Preoperative condition
For a patient who developed a depressed nostril sill, an upturned nose, and nostril asymmetry 15 years after primary rhinoplasty, a closed-approach surgical plan was established including septal reconstruction, cartilage adjustment, and implant exchange.
Preoperative condition
For nasal tip deviation, an upturned tip, and nasal obstruction caused by intranasal mucosal adhesion following previous surgery, we performed septal extension using donor rib cartilage, nostril lowering, and mucosal adhesion release.
Previous surgeries and procedures
In a revision rhinoplasty case involving intranasal mucosal synechiae, a deviated septum, and nostril asymmetry, we removed the Gore-Tex implant, performed septal reconstruction and extension with autologous rib cartilage, along with alar rim extension and silicone implant replacement.
Preoperative condition
This was a case involving a blunt nasal tip, a high starting point at the glabella, and mesh foreign material following a previous surgery. Four pieces of mesh were removed, and septal reconstruction and extension were performed using autologous rib cartilage.
Preoperative condition
A case of severe columellar retraction and septal cartilage damage following inflammation and implant removal, corrected with autologous rib cartilage septal reconstruction, deviated septum correction, and composite grafting.
Preoperative condition
A case involving bridge pain, implant mobility, and a bulbous tip from a silicone implant placed 20 years ago. The previous implant and granulation tissue were removed, followed by septal extension using autologous rib cartilage and placement of a new implant.
Preoperative condition
This is a case of previous surgery resulting in a deviated nasal bridge, an upturned nasal tip, nasolabial angle issues, and nasal obstruction. Using a closed approach with autologous rib cartilage, septal deviation correction, septal extension, and lateral osteotomy were performed.
Preoperative condition
A short, upturned nose and nasal obstruction following multiple prior surgeries were corrected using donor rib cartilage septal extension, recycling of existing cartilage, silicone implant replacement, and septal and inferior turbinate surgery.
Preoperative condition
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