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Revision rhinoplasty: evaluating prior surgeries alongside current concerns

This is page 9 of revision rhinoplasty: evaluating prior surgeries and current concerns together. Explore surgical records and before-and-after photos 145–162 of 201.

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Correction approach considering a wide nose and midface proportions — Before-and-after comparison
Before-and-after comparison

Correction approach considering a wide nose and midface proportions

A high radix, visible thin implant show-through, and a drooping tip were corrected using autologous rib cartilage for septal reconstruction and extension, silicone implant replacement, and alar rim grafts.

Previous surgeries and procedures

How to reconstruct the nose after silicone implant exposure and inflammation — Before-and-after comparison
Before-and-after comparison

How to reconstruct the nose after silicone implant exposure and inflammation

In a case presenting with silicone implant exposure accompanied by inflammatory granulation tissue, the existing implant and capsule were removed, and autologous rib cartilage was used to perform septal extension and reconstruct the lower lateral cartilage.

Performed or used in this surgery

Revision rhinoplasty for a contracted nose and nasal tip skin depression — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty for a contracted nose and nasal tip skin depression

For severe nasal tip skin depression and contracture deformity that developed after infection treatment, remaining Gore-Tex in the glabella was removed, followed by autologous rib cartilage septal reconstruction and dermis-cartilage reinforcement.

Previous surgeries and procedures

Correction methods considering the shape of contracted and upturned noses — Before-and-after comparison
Before-and-after comparison

Correction methods considering the shape of contracted and upturned noses

In a male patient who developed contracture deformity, an upturned nose, and nasal obstruction after repeated surgeries, septal reconstruction and extension using autologous rib cartilage along with nostril lowering were performed via a closed approach.

Performed or used in this surgery

Planning rhinoplasty to address multiple nasal shape concerns together — Before-and-after comparison
Before-and-after comparison

Planning rhinoplasty to address multiple nasal shape concerns together

To resolve a long nose, drooping tip, and nostril asymmetry that developed after prior surgery using a silicone implant, ear cartilage, and Medpor, the Medpor was removed and autologous rib cartilage septal extension along with nasal tip reconstruction were performed.

Preoperative condition

Characteristics and correction methods for an upturned, curved nose — Before-and-after comparison
Before-and-after comparison

Characteristics and correction methods for an upturned, curved nose

A revision rhinoplasty case in a male patient presenting with an upturned nasal tip, excessive nostril show, and nasal obstruction, treated via a closed approach using autologous rib cartilage septal extension, implant exchange, and septoplasty.

Preoperative condition

How to correct nasal length and the nasal tip together in a long nose — Before-and-after comparison
Before-and-after comparison

How to correct nasal length and the nasal tip together in a long nose

A case of a nose that appeared long with nostril asymmetry after two prior nasal surgeries, corrected using a closed approach with silicone implant replacement, autologous rib cartilage septal extension, and adjustment of the radix.

Preoperative condition

Closed correction method for a crooked nose and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Closed correction method for a crooked nose and nostril asymmetry

In a patient with a persistent crooked nose, nostril asymmetry, a wide nasal dorsum, and nasal obstruction after a prior rhinoplasty, autologous rib cartilage septal reconstruction, osteotomies, and inferior turbinate resection were performed without an implant.

Previous surgeries and procedures

Correcting a crooked nose and nostril asymmetry while considering breathing — Before-and-after comparison
Before-and-after comparison

Correcting a crooked nose and nostril asymmetry while considering breathing

Following prior filler and rhinoplasty, the patient experienced a persistent crooked nose, nostril asymmetry, and breathing difficulty; we performed filler removal, septal reconstruction and extension using autologous rib cartilage, and inferior turbinate resection.

Preoperative condition

Rhinoplasty approach examining the structure of a bulbous nasal tip — Before-and-after comparison
Before-and-after comparison

Rhinoplasty approach examining the structure of a bulbous nasal tip

In a patient presenting with a bulbous, drooping tip and symptoms of a deviated septum after previous rhinoplasty, septal reconstruction with autologous rib cartilage, lateral osteotomy, and turbinoplasty were performed via a closed approach.

Previous surgeries and procedures

How to remove injected foreign substances and reconstruct the nose — Before-and-after comparison
Before-and-after comparison

How to remove injected foreign substances and reconstruct the nose

For a nose deformed by illegal filler injections 10 years ago, foreign substances were removed using the closed inner-open technique, and the septum and alar cartilage were reconstructed using autologous rib cartilage.

Preoperative condition

The anatomy of post-traumatic nasal obstruction and its correction methods — Before-and-after comparison
Before-and-after comparison

The anatomy of post-traumatic nasal obstruction and its correction methods

In a patient presenting with septal fracture, nasal obstruction, and tip deviation resulting from trauma, septal correction and extension using donor rib cartilage, dorsal reinforcement with dermis, and osteotomy were performed via an implant-free, closed approach.

Preoperative condition

Surgical approach for an upturned and crooked nose — Before-and-after comparison
Before-and-after comparison

Surgical approach for an upturned and crooked nose

This is a case of correcting a crooked nasal bridge and an upturned nose after two prior surgeries. Using a closed approach, the existing silicone implant and foreign material were removed, the nasal bridge and nasal tip were reconstructed with autologous rib cartilage, and nostril lowering was performed simultaneously.

Previous surgeries and procedures

Reconstruction method for an upturned and crooked nose after repeated surgeries — Before-and-after comparison
Before-and-after comparison

Reconstruction method for an upturned and crooked nose after repeated surgeries

Following multiple rhinoplasties, the patient presented with an upturned nasal tip, septal damage, protruding columellar cartilage, and nasal obstruction. Tip reconstruction using autologous rib cartilage, septoplasty, and submucosal resection of the inferior turbinate were performed through a closed approach.

Preoperative condition

Correcting asymmetry and function in a small, upturned nose with thin skin — Before-and-after comparison
Before-and-after comparison

Correcting asymmetry and function in a small, upturned nose with thin skin

This is a revision case involving thin skin, an upturned nose, and nostril asymmetry following a prior surgery. The septum was reconstructed using autologous rib cartilage, combined with artificial dermis reinforcement, alar rim elongation, and septoplasty.

Preoperative condition

How to correct a pinched nose and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

How to correct a pinched nose and nostril asymmetry

A case correcting pinched alae, an upturned nose, and nostril asymmetry following previous surgeries. Using a closed approach, septal reconstruction with autologous rib cartilage, lower lateral cartilage reconstruction, alar rim grafting (lowering the alar rim), and dermis grafting were performed.

Previous surgeries and procedures

Rhinoplasty method after foreign material (mesh and thread) removal — Before-and-after comparison
Before-and-after comparison

Rhinoplasty method after foreign material (mesh and thread) removal

A case of a patient who presented with a crooked nasal bridge, dorsal hump, and high radix after previous surgery using mesh and threads. Through a closed approach, the foreign materials were removed, and lateral osteotomy along with autologous rib cartilage reconstruction of the nasal tip and bridge was performed.

Preoperative condition

How to correct a crooked nose and a bulbous, drooping nasal tip — Before-and-after comparison
Before-and-after comparison

How to correct a crooked nose and a bulbous, drooping nasal tip

A crooked nose with a drooping, bulbous tip and a high radix following multiple surgeries was corrected using autologous rib cartilage septal reconstruction and extension, radix lowering, and rhinitis surgery.

Preoperative condition

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