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Natural rhinoplasty designs and before-and-after cases

This is page 2 of natural rhinoplasty designs and before-and-after cases. Browse surgical records and before-and-after photos 19–36 of 218.

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Nasal obstruction from a severely deviated septum: why cartilage reconstruction is necessary — Before-and-after comparison
Before-and-after comparison

Nasal obstruction from a severely deviated septum: why cartilage reconstruction is necessary

In a primary rhinoplasty patient, a severely deviated septum was reconstructed using autologous rib cartilage, and hypertrophied inferior turbinates were reduced. Dermis was grafted into the depressed alar region, and the nasolabial angle was adjusted.

Patient goals

Why a dorsal hump looks prominent and how to correct it along with the nasal tip — Before-and-after comparison
Before-and-after comparison

Why a dorsal hump looks prominent and how to correct it along with the nasal tip

Previously injected nasal filler was removed, the protruding dorsal hump was rasped, and lateral osteotomies were performed. The blunt nasal tip was elevated using autologous rib cartilage, and both the nasolabial angle and septum were corrected.

Patient goals

Why nostrils become asymmetrical and the nose looks crooked, and how rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why nostrils become asymmetrical and the nose looks crooked, and how rib cartilage reconstruction is performed

Nostril asymmetry caused by a tilted columellar axis and loss of alar cartilage after Gore-Tex insertion was corrected through Gore-Tex removal, autologous rib cartilage alar reconstruction, and septoplasty.

Patient goals

Why a multiply operated nose deviates and develops a widened tip, and how cartilage is reconstructed — Before-and-after comparison
Before-and-after comparison

Why a multiply operated nose deviates and develops a widened tip, and how cartilage is reconstructed

Following three prior procedures, a deviated nose caused by septal damage and a missing right lower lateral cartilage was restored through autologous rib cartilage structural reconstruction, silicone implant replacement, nasolabial angle correction, and rhinitis surgery.

Patient goals

Why the nasal tip can remain upturned after revision rhinoplasty, and when donor rib cartilage is used — Before-and-after comparison
Before-and-after comparison

Why the nasal tip can remain upturned after revision rhinoplasty, and when donor rib cartilage is used

An upturned and deviated nose, accompanied by hesitation toward autologous rib cartilage due to past pneumothorax, was improved without implants using donor rib cartilage, recycled previous rib cartilage, nasal bone rasping, and nasolabial angle correction.

Patient goals

Why an upturned tip makes the mouth look more protruding and how to correct it — Before-and-after comparison
Before-and-after comparison

Why an upturned tip makes the mouth look more protruding and how to correct it

A bulbous, upturned nasal tip, the appearance of a protruding mouth, and nasal obstruction were addressed by removing columellar filler, reinforcing the nasal tip with autologous rib cartilage, placing a customized silicone implant, adjusting the nasolabial angle, and correcting a deviated septum.

Patient goals

Why a nose operated on multiple times continues to appear upturned, and how septal reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why a nose operated on multiple times continues to appear upturned, and how septal reconstruction is performed

Following previous surgeries and double-jaw surgery, an upturned nasal tip and nostril asymmetry were precisely corrected using donor rib cartilage septal reconstruction, lower lateral cartilage restoration, and a composite dermis-fat graft to the soft triangle.

Patient goals

Why nasal tip skin thins after multiple surgeries: autologous dermis reinforcement and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why nasal tip skin thins after multiple surgeries: autologous dermis reinforcement and reconstruction methods

We removed previous foreign materials and implants, reconstructed the nasal tip using autologous rib cartilage, reinforced the thinned skin with autologous dermis, recarved a silicone implant, and performed fat grafting between the eyebrows.

Patient goals

Why a crooked nose and dorsal hump appear together, and how to approach male rhinoplasty — Before-and-after comparison
Before-and-after comparison

Why a crooked nose and dorsal hump appear together, and how to approach male rhinoplasty

In a male patient in his early 20s presenting with a crooked nose, dorsal hump, and nasal obstruction, osteotomy, tip rhinoplasty using donor rib cartilage and septal cartilage, and columellar correction were performed.

Patient goals

Why dorsal humps and drooping tips appear together, and how hump reduction and osteotomy are performed — Before-and-after comparison
Before-and-after comparison

Why dorsal humps and drooping tips appear together, and how hump reduction and osteotomy are performed

A dorsal hump and drooping tip were smoothly refined through a closed approach using autologous rib cartilage tip plasty, hump reduction, lateral osteotomy, and nasolabial angle correction.

Patient goals

Why small lower lateral cartilages cause a drooping tip: rib cartilage reinforcement and osteotomy methods — Before-and-after comparison
Before-and-after comparison

Why small lower lateral cartilages cause a drooping tip: rib cartilage reinforcement and osteotomy methods

A drooping nasal tip and crooked dorsal hump caused by small lower lateral cartilages were refined through autologous rib cartilage support reinforcement, lateral osteotomy, a silicone implant, and nasolabial angle correction.

Patient goals

Why the nasal tip looks bulbous and spread out, and how septal extension is performed — Before-and-after comparison
Before-and-after comparison

Why the nasal tip looks bulbous and spread out, and how septal extension is performed

A bulbous, spread-out nasal tip and deviated septum were refined with autologous rib cartilage septal extension, nasolabial angle correction, a silicone implant on the nasal dorsum, and functional nasal surgery.

Patient goals

Why a high radix makes the nose look artificial: septal reconstruction and radix correction methods — Before-and-after comparison
Before-and-after comparison

Why a high radix makes the nose look artificial: septal reconstruction and radix correction methods

A deviated septum and an excessively high radix resulting from a previous surgery were precisely corrected using donor rib cartilage septal reconstruction, silicone implant replacement, osteotomy, and inferior turbinate reduction.

Patient goals

Why the nasal bridge deviates and the tip appears drooping: How to correct it using only cartilage without implants — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge deviates and the tip appears drooping: How to correct it using only cartilage without implants

For a patient who wanted primary rhinoplasty without artificial implants, lateral osteotomy was performed to straighten the deviated nasal bones, and donor rib cartilage and septal cartilage were used to reinforce the bridge and reshape the nasal tip.

Patient goals

Why the columella retracts and the alar rim looks pinched after rhinoplasty, and how autologous rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why the columella retracts and the alar rim looks pinched after rhinoplasty, and how autologous rib cartilage reconstruction is performed

In a patient presenting with columellar retraction and a pinched right alar rim following rhinoplasty with silicone and donor rib cartilage, the existing materials were removed and reconstruction of the septum and alar cartilage was performed using autologous rib cartilage.

Patient goals

Why nasal bone deviation and dorsal humps remain after rhinoplasty: lateral osteotomy and autologous rib cartilage correction methods — Before-and-after comparison
Before-and-after comparison

Why nasal bone deviation and dorsal humps remain after rhinoplasty: lateral osteotomy and autologous rib cartilage correction methods

To correct the residual deviated nasal bone, dorsal hump, and nasal obstruction remaining after a previous silicone rhinoplasty, the existing implant was removed and lateral osteotomy, autologous rib cartilage tip plasty, and septoplasty were performed.

Patient goals

Why a nose looks low and wide: surgical technique starting from the nasal tip structure — Before-and-after comparison
Before-and-after comparison

Why a nose looks low and wide: surgical technique starting from the nasal tip structure

To improve an inherently low and wide nose along with rhinitis symptoms, primary rhinoplasty was performed using donor rib cartilage for tip support, a customized silicone implant for the bridge, and septoplasty.

Patient goals · Postoperative record

Why nasal filler cannot correct a drooping tip and dorsal hump, and the reconstruction method after removal — Before-and-after comparison
Before-and-after comparison

Why nasal filler cannot correct a drooping tip and dorsal hump, and the reconstruction method after removal

To resolve a persistent drooping tip and dorsal hump deformity after filler and PDO thread lifting, foreign material was removed, followed by nasal tip reconstruction using autologous rib cartilage, a silicone implant on the nasal bridge, and septoplasty.

Patient goals

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