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Natural rhinoplasty designs and before-and-after cases

This is page 7 of natural rhinoplasty designs and before-and-after cases. Browse surgical records and before-and-after photos 109–126 of 218.

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Why nasal tip cartilage shows through the skin and turns upward: reinforcement and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why nasal tip cartilage shows through the skin and turns upward: reinforcement and reconstruction methods

For a patient presenting with visible nasal tip cartilage and an upturned nose following previous surgery with a silicone implant and ear cartilage, we performed silicone implant removal, septal extension using autologous rib cartilage, fat grafting, and skin reinforcement with donor dermis.

Patient goals

Why nostril asymmetry and a drooping tip develop: reconstruction combining different cartilages — Before-and-after comparison
Before-and-after comparison

Why nostril asymmetry and a drooping tip develop: reconstruction combining different cartilages

To correct congenital nostril asymmetry and a drooping nasal tip, residual filler and foreign material were removed, and septal extension was performed using both donor rib cartilage and septal cartilage.

Patient goals · Postoperative record

Why the nose looks crooked and the columella tilts to one side, and how to correct it — Before-and-after comparison
Before-and-after comparison

Why the nose looks crooked and the columella tilts to one side, and how to correct it

A mobile silicone implant, a tilted columella, and a crooked nasal bridge were corrected through the removal of the existing implant and foreign material, lateral osteotomy, and septal reinforcement using autologous rib cartilage.

Postoperative record

Why a dorsal hump can reappear and nostrils become visible after hump reduction — Before-and-after comparison
Before-and-after comparison

Why a dorsal hump can reappear and nostrils become visible after hump reduction

Correction of a residual dorsal hump and excessive nostril show 17 years after hump surgery using residual filler removal, lateral osteotomy, and autologous rib cartilage septal extension.

Patient goals

Why the columella retracts and the nasal tip becomes bulbous years after rhinoplasty, and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

Why the columella retracts and the nasal tip becomes bulbous years after rhinoplasty, and how to reconstruct it

Columellar retraction and bulbous tip deformity after previous dorsal hump reduction and osteotomy were corrected through septal extension with autologous rib cartilage, columellar cartilage grafting, and lateral osteotomies.

Patient goals

Why nostrils narrow after illegal injections by unlicensed practitioners, and methods for removal and reconstruction — Before-and-after comparison
Before-and-after comparison

Why nostrils narrow after illegal injections by unlicensed practitioners, and methods for removal and reconstruction

In a patient who developed nostril stenosis and a drooping tip from illegal injections administered by an unlicensed practitioner 20 years ago, we removed the foreign material and reconstructed the septum and lower lateral cartilage using autologous rib cartilage to improve the nasal shape.

Patient goals

Why the columella droops severely into an arrow nose, and rib cartilage reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why the columella droops severely into an arrow nose, and rib cartilage reconstruction methods

For a patient presenting with a severely drooping columella, an arrow nose, and nostril asymmetry after previous surgeries, autologous rib cartilage septal extension and lower lateral cartilage repositioning were performed to improve tip drooping and asymmetry.

Patient goals · Postoperative record

Why a nose becomes short and upturned with a retracted columella, and how autologous rib cartilage reconstruction works — Before-and-after comparison
Before-and-after comparison

Why a nose becomes short and upturned with a retracted columella, and how autologous rib cartilage reconstruction works

A case where an upturned nose and a retracted columella caused by cartilage loss from previous surgeries were naturally restored using autologous rib cartilage for lower lateral cartilage reconstruction and septal extension.

Patient goals

Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — Before-and-after comparison
Before-and-after comparison

Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it

A case where a crooked nasal bone and drooping bulbous tip remaining after previous dorsal hump correction were straightened through lateral osteotomy, septal extension using autologous rib cartilage, hump rasping, and rhinitis surgery.

Patient goals

Why nostrils show excessively in an upturned nose, and how to correct nasal tip position — Before-and-after comparison
Before-and-after comparison

Why nostrils show excessively in an upturned nose, and how to correct nasal tip position

A clinical case improving excessive nostril show, a wide nasal bridge, and an upturned nose deformity through lower lateral cartilage repositioning, nasal tip repositioning, dorsal hump rasping, and inferior turbinate resection.

Patient goals

Why long-standing contracted noses and crooked noses occur together, and how reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why long-standing contracted noses and crooked noses occur together, and how reconstruction is performed

A case correcting a contracted nose, crooked nose, and pinched nostrils that developed after repeated surgeries, using silicone implant and scar tissue removal, nasal tip reconstruction with autologous rib cartilage, alar reconstruction with ear cartilage, and dermal grafting.

Patient goals

Why the nose becomes bulbous after filler and thread lifts: Foreign body removal and nasal tip correction methods — Before-and-after comparison
Before-and-after comparison

Why the nose becomes bulbous after filler and thread lifts: Foreign body removal and nasal tip correction methods

A case where a bulbous nose and deviated septum after Hiko threads and nasal filler were improved through removal of the Hiko threads and filler, nasal tip reconstruction using donor rib cartilage and septal cartilage, and nasolabial angle correction.

Patient goals

How to achieve height and a straight bridge line in a nose with thick, inelastic tip skin — Before-and-after comparison
Before-and-after comparison

How to achieve height and a straight bridge line in a nose with thick, inelastic tip skin

A case where a straight bridge line was created in a bulbous, upturned nose with thick, inelastic skin through septal extension using autologous rib cartilage and nasolabial angle correction.

Postoperative record

How to reconstruct a nose with weakened septal cartilage without implants — Before-and-after comparison
Before-and-after comparison

How to reconstruct a nose with weakened septal cartilage without implants

A case where a septum weakened by excessive harvest was reinforced with autologous rib cartilage, and the nasal structure was reconstructed without artificial implants using lateral osteotomy along with diced cartilage and dermis grafts.

Patient goals

Nasal bridge depression and nostril asymmetry after multiple rhinoplasties: causes and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Nasal bridge depression and nostril asymmetry after multiple rhinoplasties: causes and reconstruction methods

A case where nasal bridge depression caused by skin necrosis and severe septal damage were improved with septal reconstruction using autologous rib cartilage, cartilage and acellular dermal matrix grafts, and submucosal resection of the inferior turbinate.

Patient goals

Why replacing a cartilage nasal tip with an L-shaped silicone implant causes problems — Before-and-after comparison
Before-and-after comparison

Why replacing a cartilage nasal tip with an L-shaped silicone implant causes problems

A case where a previously replaced L-shaped silicone implant was removed, the nasal tip was reconstructed with autologous rib cartilage, and the nasal bridge was replaced with an I-shaped implant to correct an upturned nose and a tilted columella.

Patient goals

Why the nose deviates and the nasal tip turns bulbous after two-jaw surgery, and how to create a dorsal hump line with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why the nose deviates and the nasal tip turns bulbous after two-jaw surgery, and how to create a dorsal hump line with autologous rib cartilage

A case where a septum damaged after two-jaw surgery was reconstructed with autologous rib cartilage, combined with lateral osteotomy and columella lowering, improving a crooked nose and bulbous tip.

Patient goals · Postoperative record

Chronic foreign body reaction causing a blunt, widened nasal bridge: causes and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Chronic foreign body reaction causing a blunt, widened nasal bridge: causes and reconstruction methods

This is a revision rhinoplasty case in which a septum damaged from prior double jaw surgery and a chronic foreign body reaction in the nasal bridge were identified, followed by irrigation, capsule removal, and septal reconstruction using autologous rib cartilage.

Patient goals

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