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Rhinoplasty considering facial proportions and harmony

This is page 3 of rhinoplasty cases designed for facial proportions and harmony. Browse surgical records and before-and-after photos 37–54 of 153.

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Why nasal tip cartilage shows through the skin and how dermis grafting reinforces it — Before-and-after comparison
Before-and-after comparison

Why nasal tip cartilage shows through the skin and how dermis grafting reinforces it

For a nose showing cartilage show-through through thinned skin, a widened nasal bridge, and nasal obstruction 7 years after surgery, autologous dermis reinforcement, autologous rib cartilage tip plasty, lateral osteotomy, and septoplasty were performed.

Postoperative record

Why the nasal tip appears upturned and the columella looks short after rhinoplasty: methods for lowering the columella and correcting the bridge line — Before-and-after comparison
Before-and-after comparison

Why the nasal tip appears upturned and the columella looks short after rhinoplasty: methods for lowering the columella and correcting the bridge line

An upturned nasal tip, a short columella, and an unnatural silicone bridge line from previous rhinoplasty were improved using autologous rib cartilage septal extension, custom-carved silicone implant replacement, and nasolabial angle correction.

Patient goals · Postoperative record

What problems arise with a septal perforation, and how is it reconstructed? — Before-and-after comparison
Before-and-after comparison

What problems arise with a septal perforation, and how is it reconstructed?

In a case where a 15×10 mm septal perforation and cartilage damage occurred after previous surgery, the perforation was closed with a skin graft and structural support was restored by reconstructing the septum with autologous rib cartilage.

Postoperative record

Changes caused by semi-permanent bridge filler and septal reconstruction after removal — Before-and-after comparison
Before-and-after comparison

Changes caused by semi-permanent bridge filler and septal reconstruction after removal

For Artecoll semi-permanent filler on the nasal bridge, a damaged septum, an upturned nasal tip, and nostril asymmetry, foreign material was completely removed, followed by septal reconstruction using autologous rib cartilage and alar rim lowering.

Postoperative record

Why the nasal tip looks spread out and how to address the nasal sill and nasolabial angle together — Before-and-after comparison
Before-and-after comparison

Why the nasal tip looks spread out and how to address the nasal sill and nasolabial angle together

For a wide nasal tip and nasal sill, residual filler, and a deviated septum, we removed the filler and performed donor rib cartilage tip correction, nasal sill reduction, nasolabial angle correction, septoplasty, and rhinitis surgery.

Patient goals · Postoperative record

Why nostrils narrow and breathing becomes difficult after philtrum reduction, and how to correct it — Before-and-after comparison
Before-and-after comparison

Why nostrils narrow and breathing becomes difficult after philtrum reduction, and how to correct it

For leftward nasal asymmetry, deviation, and breathing discomfort caused by narrowed nostrils following philtrum reduction, lateral osteotomy, nasolabial angle correction, and nostril skin grafting were performed.

Postoperative record

Reasons for a high radix and upturned nasal tip and correction methods — Before-and-after comparison
Before-and-after comparison

Reasons for a high radix and upturned nasal tip and correction methods

For a high radix, upturned nasal tip, and columellar and nostril asymmetry from a previous surgery, the implant was replaced, tip derotation was performed using autologous rib cartilage, and lower lateral cartilage correction was carried out.

Patient goals · Postoperative record

Why a wide tip often comes with nasal obstruction, and how foreign material removal and reconstruction are performed — Before-and-after comparison
Before-and-after comparison

Why a wide tip often comes with nasal obstruction, and how foreign material removal and reconstruction are performed

For nasal obstruction caused by nasal bridge filler, a bulbous nose, a deviated septum, and inferior turbinate hypertrophy, foreign material was removed, followed by nasal tip correction using autologous rib cartilage, septoplasty, and turbinoplasty.

Postoperative record

A nose with almost no septal cartilage left: why the nasal tip cannot be elevated — Before-and-after comparison
Before-and-after comparison

A nose with almost no septal cartilage left: why the nasal tip cannot be elevated

A case where the septal support was largely lost from previous surgeries, resulting in nostril asymmetry. The central support was reconstructed with autologous rib cartilage, and the nasal tip was elevated with dermis and cartilage grafts.

Postoperative record

A small, short, and upturned nose: why it should not be raised excessively — Before-and-after comparison
Before-and-after comparison

A small, short, and upturned nose: why it should not be raised excessively

A case of a short, upturned, small nose with no prior rhinoplasty. Considering the skin tension, septal extension was performed using autologous rib cartilage, combined with functional surgery for the septum and turbinates.

Patient goals · Postoperative record

How rib cartilage reconstruction is done when the septum is damaged after multiple surgeries — Before-and-after comparison
Before-and-after comparison

How rib cartilage reconstruction is done when the septum is damaged after multiple surgeries

A case where a septal defect and filler-induced deformity were identified after five prior surgeries. Following filler removal, the septum was reconstructed with autologous rib cartilage, and the nasal tip was reinforced using existing deep temporal fascia.

Postoperative record

Why a bulbous, drooping nose makes the midface look long, and reconstruction methods using calcified rib cartilage — Before-and-after comparison
Before-and-after comparison

Why a bulbous, drooping nose makes the midface look long, and reconstruction methods using calcified rib cartilage

A case involving an implant from 17 years ago, residual filler, and a long, drooping nasal tip. Calcified autologous rib cartilage was harvested to correct the nasolabial angle and lower the radix starting point.

Patient goals · Postoperative record

How a fractured nasal bone alters the nose after trauma, and how reduction and reconstruction are performed — Before-and-after comparison
Before-and-after comparison

How a fractured nasal bone alters the nose after trauma, and how reduction and reconstruction are performed

A case involving a traumatic nasal bone fracture and damage to the right cartilage. Closed reduction of the nasal bone and donor rib cartilage reconstruction were performed alongside procedures to improve facial balance.

Patient goals · Postoperative record

Why nasal tip skin thins and cartilage shows through, and how skin reinforcement is done — Before-and-after comparison
Before-and-after comparison

Why nasal tip skin thins and cartilage shows through, and how skin reinforcement is done

A case of skin thinning, cartilage show-through, and an upturned nose following contracted nose surgery. The skin was reinforced with dermis and autologous rib perichondrium, along with septal extension.

Postoperative record

Why the nose looks wide and bulbous, and how to correct it with septal cartilage and ear cartilage — Before-and-after comparison
Before-and-after comparison

Why the nose looks wide and bulbous, and how to correct it with septal cartilage and ear cartilage

A case of a wide, bulbous nasal tip and asymmetry with no prior surgical history. Autologous septal and ear cartilage were used to construct a support strut, and septal and turbinate surgery were performed concurrently.

Postoperative record

Why the columella droops and nostrils become visible: correcting a crooked nose and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Why the columella droops and nostrils become visible: correcting a crooked nose and nostril asymmetry

A case of a drooping columella, crooked nose, and nostril show following prior filler, Misko, and silicone rhinoplasty. Autologous rib cartilage reconstruction and alar rim grafts were performed after implant removal.

Postoperative record

Why short, upturned noses and crooked noses occur together, and how to correct them with septal extension — Before-and-after comparison
Before-and-after comparison

Why short, upturned noses and crooked noses occur together, and how to correct them with septal extension

A short, upturned, crooked nose following an L-shaped silicone implant was lowered using septal extension with autologous rib cartilage, and the airway was improved through nasal valve reconstruction and septal correction.

Patient goals · Postoperative record

Foreign materials from illegal procedures in the nasal bridge: how to perform removal and total septal reconstruction — Before-and-after comparison
Before-and-after comparison

Foreign materials from illegal procedures in the nasal bridge: how to perform removal and total septal reconstruction

We removed foreign materials from illegal injections in the nasal bridge, completely reconstructed the cartilage-depleted septum using autologous rib cartilage, and performed dermal grafting on the thinned skin.

Postoperative record

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