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Natural rhinoplasty designs and before-and-after cases

This is page 3 of natural rhinoplasty designs and before-and-after cases. Browse surgical records and before-and-after photos 37–54 of 218.

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Why nasal obstruction persists despite multiple surgeries: Correcting nasal valve stenosis and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Why nasal obstruction persists despite multiple surgeries: Correcting nasal valve stenosis and nostril asymmetry

A case of persistent nostril asymmetry and nasal valve stenosis after multiple surgeries, addressed by removing existing implants, performing septoplasty and turbinoplasty, and reconstructing the structure with rib cartilage and a skin graft.

Postoperative record

Why a deviated septum causes both nasal obstruction and a crooked nose, and how reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why a deviated septum causes both nasal obstruction and a crooked nose, and how reconstruction is performed

Nasal obstruction, a dorsal hump, and maxillary protrusion caused by a septum severely deviated to the left were addressed simultaneously through septal reconstruction using autologous rib cartilage, lateral osteotomy, and nasolabial angle correction.

Patient goals

Why nasal obstruction persists after multiple surgeries: How to reconstruct the septum and nasal valve — Before-and-after comparison
Before-and-after comparison

Why nasal obstruction persists after multiple surgeries: How to reconstruct the septum and nasal valve

For a patient whose septum had collapsed after repeated surgeries, causing internal nasal valve stenosis and inferior turbinate adhesions, we performed septal reconstruction with autologous rib cartilage, osteotomy reversal, and adhesiolysis.

Postoperative record

Why the nasal bridge looks low and the tip looks bulbous: how to correct them alongside a retracted columella — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge looks low and the tip looks bulbous: how to correct them alongside a retracted columella

To improve the low, bulbous nasal tip and retracted columella in a patient with no previous surgical history, autologous rib cartilage was used to reinforce the septum, elevate the nasal bridge and nasal tip, and correct the nasolabial angle.

Patient goals

Why the nose looks long due to a drooping tip after rhinoplasty, and nasal tip reconstruction with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why the nose looks long due to a drooping tip after rhinoplasty, and nasal tip reconstruction with autologous rib cartilage

A case addressing a drooping, elongated nasal tip after silicone rhinoplasty and nasal filler procedures. The existing implant and residual filler were removed, the support structure was reinforced using autologous rib cartilage, and the nasolabial angle was corrected.

Patient goals · Postoperative record

Why a dorsal hump and a crooked nose often occur together, and correction methods using osteotomy and autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why a dorsal hump and a crooked nose often occur together, and correction methods using osteotomy and autologous rib cartilage

For a male primary rhinoplasty patient with a bulbous, crooked nose with a dorsal hump, lateral osteotomy, cartilage tying, nasal tip plasty with autologous rib cartilage, and a customized silicone implant were performed.

Patient goals

Why the nostrils look severely uneven on both sides: cartilage reconstruction and skin graft correction — Before-and-after comparison
Before-and-after comparison

Why the nostrils look severely uneven on both sides: cartilage reconstruction and skin graft correction

Congenital asymmetry, along with a residual crooked nose and nostril asymmetry from a previous rhinoplasty, was stabilized using lower lateral cartilage reconstruction, internal nostril skin grafting (free composite graft), and septal reconstruction.

Patient goals

Why a nose appears low and how to build height using autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why a nose appears low and how to build height using autologous rib cartilage

For a male patient who had received repeated filler injections for a low nasal bridge, foreign material was removed, followed by nasal tip rhinoplasty using autologous rib cartilage and the insertion of a customized silicone implant.

Patient goals

Why internal nasal structures collapse after multiple rhinoplasties and total reconstruction with rib cartilage — Before-and-after comparison
Before-and-after comparison

Why internal nasal structures collapse after multiple rhinoplasties and total reconstruction with rib cartilage

Following four prior rhinoplasties, septal and lower lateral cartilage defects and nasal bone erosion were addressed by treating a chronic foreign body reaction, performing total reconstruction with autologous rib cartilage, and placing a nostril skin graft.

Postoperative record

Why the nasal bridge looks wide and the tip looks bulbous: how osteotomy and autologous rib cartilage correction work — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge looks wide and the tip looks bulbous: how osteotomy and autologous rib cartilage correction work

A case of minimally correcting a deviated, small, and thin septum, then refining a wide nasal bridge and bulbous tip using lateral osteotomy, a custom-carved silicone implant, and autologous rib cartilage tip plasty.

Patient goals · Postoperative record

Contracted nose: How contracted tissue removal and autologous rib cartilage reconstruction are performed — Before-and-after comparison
Before-and-after comparison

Contracted nose: How contracted tissue removal and autologous rib cartilage reconstruction are performed

In a nose that became upturned and crooked due to contracture following implant surgery, fibrotic tissue was removed, the nasal tip was reconstructed with autologous rib cartilage, the columella was lowered, and the silicone implant was replaced.

Postoperative record

Why the nose flattens and widens after double-jaw surgery, and septal reconstruction — Before-and-after comparison
Before-and-after comparison

Why the nose flattens and widens after double-jaw surgery, and septal reconstruction

After double-jaw surgery weakened the septum, the nose became lower and wider; we reinforced it through septal reconstruction with autologous rib cartilage and completed a smooth profile using a customized silicone implant.

Patient goals

Why nasal tip support weakens in an aged implant nose and septal extension reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why nasal tip support weakens in an aged implant nose and septal extension reconstruction methods

To reinforce nasal tip support weakened after a previous silicone and ear cartilage surgery, the silicone implant was customized and replaced, and a stable nasal line was established using septal extension with autologous rib cartilage.

Patient goals

Why one nostril shows more from the front and how to reconstruct the nasal tip — Before-and-after comparison
Before-and-after comparison

Why one nostril shows more from the front and how to reconstruct the nasal tip

To correct nasal tip deformity and asymmetrical nostril show, the nasal tip was supported with donor rib cartilage and septal cartilage, accompanied by right alar rim lowering and a customized silicone implant placement.

Patient goals · Postoperative record

Why we look at the facial axis first when correcting a nose with facial asymmetry — Before-and-after comparison
Before-and-after comparison

Why we look at the facial axis first when correcting a nose with facial asymmetry

A crooked nose, influenced by facial asymmetry, a history of orbital fracture, and facial contouring surgery, was corrected to align with the central facial axis, along with clearing existing filler and refining a drooping tip and the nasolabial angle.

Patient goals · Postoperative record

How permanent filler alters the shape of the nose and reconstruction methods after removal — Before-and-after comparison
Before-and-after comparison

How permanent filler alters the shape of the nose and reconstruction methods after removal

After permanent filler injections left the nose crooked and bulbous, the filler was removed, and a refined line was created using autologous rib cartilage for nasal tip support, lateral osteotomy, and a customized silicone implant.

Postoperative record

Why a bulbous nose looks blunt and wide, and how to create tip definition — Before-and-after comparison
Before-and-after comparison

Why a bulbous nose looks blunt and wide, and how to create tip definition

For a blunt, wide bulbous nose and drooping tip following nasal filler injections, we performed filler removal, created a tip support structure using autologous rib cartilage, reinforced the septum, and thinned the skin.

Patient goals · Postoperative record

Why the columella looks long and how to reposition the nasal tip cartilage — Before-and-after comparison
Before-and-after comparison

Why the columella looks long and how to reposition the nasal tip cartilage

Following prior surgery with a silicone implant and ear cartilage, the patient presented with a long, drooping columella and a crooked nose. The ear cartilage was replaced with autologous rib cartilage, the nasolabial angle was adjusted, and septal correction was performed.

Patient goals

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