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Natural rhinoplasty designs and before-and-after cases

This is page 4 of natural rhinoplasty designs and before-and-after cases. Browse surgical records and before-and-after photos 55–72 of 218.

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Why an upturned nose and unilaterally pinched nostril occur, and how implant-free reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why an upturned nose and unilaterally pinched nostril occur, and how implant-free reconstruction is performed

An upturned nose and pinched nostril caused by multiple prior surgeries were corrected after removing artificial dermis, performing implant-free bridge augmentation with donor rib cartilage and septal cartilage, and using a skin-cartilage composite graft on the right nostril.

Postoperative record

How to correct a small, drooping nose accompanied by nasal obstruction — Before-and-after comparison
Before-and-after comparison

How to correct a small, drooping nose accompanied by nasal obstruction

To improve a small, drooping nose along with nasal obstruction from a deviated septum and rhinitis, autologous rib cartilage was used to firmly elevate the nasal tip, adjust the nasolabial angle, and correct the septum and inferior turbinates at the same time.

Patient goals

Why a septum collapsing to one side causes a crooked nose and blocked breathing, and how to reconstruct it with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why a septum collapsing to one side causes a crooked nose and blocked breathing, and how to reconstruct it with autologous rib cartilage

After two prior surgeries, a septum collapsed to the right, a depressed alar wing, and a mucosal defect were corrected through autologous rib cartilage septal reconstruction, perichondrium grafting, and re-carving of the silicone implant.

Patient goals

Why a crooked dorsal hump and drooping tip occur, and how septal extension is performed — Before-and-after comparison
Before-and-after comparison

Why a crooked dorsal hump and drooping tip occur, and how septal extension is performed

A crooked dorsal hump, drooping tip, and nasal obstruction were refined using lateral osteotomy, septal extension with donor rib cartilage and septal cartilage, nasal tip volume refinement with ear cartilage, and nasolabial angle correction.

Patient goals

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

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

Contracture causing the nose to harden and shorten after previous surgery: why it occurs and how it is reconstructed — Before-and-after comparison
Before-and-after comparison

Contracture causing the nose to harden and shorten after previous surgery: why it occurs and how it is reconstructed

For capsular contracture, septal damage, and asymmetric nasal bones following previous surgery, the implant and capsule were removed, and septal reconstruction, lateral osteotomy, and nasal bridge augmentation with autologous rib cartilage were performed.

Patient goals · 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

Bulbous, drooping nasal tip and an obtuse nasolabial angle: causes and correction methods — Before-and-after comparison
Before-and-after comparison

Bulbous, drooping nasal tip and an obtuse nasolabial angle: causes and correction methods

For a drooping, bulbous nasal tip, asymmetric nasal bridge, deviated septum, and rhinitis symptoms, we performed nasal tip correction using autologous rib cartilage, nasolabial angle adjustment, silicone implant replacement, septoplasty, and inferior turbinate reduction.

Patient goals

Why cartilage extrudes through the nasal mucosa and methods for restoration and reconstruction — Before-and-after comparison
Before-and-after comparison

Why cartilage extrudes through the nasal mucosa and methods for restoration and reconstruction

Cartilage protruding through the nasal mucosa was removed and the area restored with perichondrium, damaged lower lateral cartilage and a drooping tip were reconstructed using autologous rib cartilage, and the implant was replaced with customized silicone.

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.

Patient goals

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

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.

Patient goals · 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

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.

Patient goals · 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.

Patient goals · Postoperative record

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