This is page 2 of cases with visible implants and cartilage: evaluating skin and contours together. Explore surgical records and before-and-after photos 19–36 of 40.
View before-and-after cases ↓Comprehensive rhinoplasty guide
Upturned nostrils and implant show-through following Silitex insertion were improved by completely removing the implant, elevating the nasal tip with autologous rib cartilage, replacing the bridge implant with silicone, and performing facial fat grafting.
Preoperative condition · Postoperative record
A case involving a history of nose thread lifting, a dorsal hump, a long nose, and rhinitis symptoms, corrected with osteotomy, hump rasping, septoplasty, and inferior turbinate resection.
Preoperative condition
For a drooping tip, dorsal depression, and nasal obstruction that developed after multiple surgeries, septal extension using donor rib cartilage, dermal grafting for the depressed area, and septoplasty were performed.
Preoperative condition
Nostril asymmetry, a bulbous nasal tip, and nasal obstruction caused by excessive alar reduction were improved by combining autologous rib cartilage septal extension, alar reconstruction, and rhinitis surgery.
Preoperative condition
A case in which nasal bone depression and nasal valve stenosis causing nasal obstruction following lateral osteotomy were addressed through lateral bone mobilization, nasal valve reconstruction, and dorsal augmentation with autologous rib cartilage.
Preoperative condition
To address a sharp nasal tip and cartilage show-through following previous surgeries, the existing ear cartilage was removed, and donor rib cartilage alongside acellular dermal graft was used to reinforce the cartilage framework and overlying skin.
Preoperative condition
This is a case of a crooked nose, nostril asymmetry, and depressive dimpling from scar adhesions following repeated surgeries and alar reduction. Nasal reconstruction using autologous rib cartilage and implant replacement were planned, and changes achieved through columellar repositioning and lower lateral cartilage rearrangement were documented.
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.
Previous surgeries and procedures
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.
Preoperative condition · Postoperative record
For a patient who presented after two prior surgeries with a crooked nose, nostril asymmetry, and a bulbous tip, we performed septal reconstruction and extension using autologous rib cartilage, lateral osteotomy, silicone implant exchange, and a dermal graft to the nasal tip.
Preoperative condition
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
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.
Preoperative condition
Right-sided nasal obstruction, a drooping nasal tip, and a retracted columella following two previous surgeries were addressed using autologous rib cartilage septal extension, implant replacement, and mucosal adhesiolysis.
Preoperative condition · Postoperative record
Nasal obstruction, a pinched look, and an upturned nose that developed after ear cartilage suturing and filler injection were corrected with foreign material removal, autologous rib cartilage septal extension, and cartilage repositioning.
Preoperative condition · Postoperative record
With an unnatural implant outline and a crooked nose, the existing implant was removed and replaced with a wider implant, while autologous rib cartilage was used to lower the columella alongside osteotomy.
Preoperative condition · Postoperative record
This is a case where the lower edge of the silicone implant along the nasal bridge became visible as the nasal tip drooped. We planned an implant exchange and autologous rib cartilage reinforcement, documenting post-operative changes in the nasal tip, nasolabial angle, and nasal bridge line.
Preoperative condition
This is a case of silicone implant show-through and a bulbous nasal tip from a surgery performed long ago. Calcification of the capsule around the removed implant was confirmed. Here, I introduce the surgical plan using septal cartilage and donor rib cartilage for tip reshaping, along with changes to the nasal bridge and tip immediately after surgery.
Preoperative condition · Postoperative record
In a nose where the implant was overly conspicuous and the radix was excessively high, the silicone implant was removed to transition to a no-implant approach, creating natural contouring along the nasal tip and columella.
Preoperative condition
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