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Natural rhinoplasty designs and before-and-after cases

This is page 8 of natural rhinoplasty designs and before-and-after cases. Browse surgical records and before-and-after photos 127–144 of 218.

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Why the nasal bridge sinks and widens after implant removal, and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge sinks and widens after implant removal, and how to reconstruct it

Depression and widening of the nasal bridge, along with a crooked nose and bulbous tip that developed after implant removal, were refined through structural nasal reconstruction using autologous rib cartilage, nasal bridge augmentation with a silicone implant, tip refinement, and correction of the nasolabial angle.

Postoperative record

Why the nasal dorsum appears depressed and the tip looks bulbous after dorsal hump reduction, and how to correct it without implants — Before-and-after comparison
Before-and-after comparison

Why the nasal dorsum appears depressed and the tip looks bulbous after dorsal hump reduction, and how to correct it without implants

To improve a bulbous nasal tip, residual hump sensation, and asymmetry without silicone implants, autologous rib cartilage was used to elevate the nasal bridge and dorsal line, combined with cartilage repositioning, cartilage binding, and nasolabial angle correction.

Patient goals

Why a wide nose often comes with nasal obstruction: Correction using osteotomy and autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why a wide nose often comes with nasal obstruction: Correction using osteotomy and autologous rib cartilage

For a wide nose, bulbous tip, crooked nose, and deviated septum, lateral osteotomy, autologous rib cartilage septal extension, bridge augmentation, septal and inferior turbinate surgery, and autologous fat grafting were performed.

Patient goals

Why nasal bridge and tip show-through happens after old silicone rhinoplasty: dermal reinforcement and rib cartilage reconstruction — Before-and-after comparison
Before-and-after comparison

Why nasal bridge and tip show-through happens after old silicone rhinoplasty: dermal reinforcement and rib cartilage reconstruction

To resolve show-through of an L-shaped silicone implant and cartilage beneath thinned skin, we removed the previous silicone implant, reinforced the skin with dermis, adjusted the tip height, reconstructed the nasal tip with autologous rib cartilage, and replaced the implant with a new one.

Patient goals · Postoperative record

Why the nose turns up, the columella retracts, and the tip looks pinched: how composite correction is performed — Before-and-after comparison
Before-and-after comparison

Why the nose turns up, the columella retracts, and the tip looks pinched: how composite correction is performed

For an upturned nose, retracted columella, pinched tip, and nostril asymmetry following repeated surgeries, columellar reconstruction, pinched tip correction, septoplasty, and submucosal resection of the inferior turbinate were performed.

Postoperative record

Why a crooked nose and irregular dorsum occur: implant removal and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why a crooked nose and irregular dorsum occur: implant removal and reconstruction methods

We removed the premaxillary ("cat") implant and irregularly placed ear cartilage from previous surgeries, then refined the crooked nose and radix line using a dermal graft, lateral osteotomy, and autologous rib cartilage septal extension.

Patient goals

Why rhinitis symptoms recur after surgery, and how to correct a crooked nose at the same time — Before-and-after comparison
Before-and-after comparison

Why rhinitis symptoms recur after surgery, and how to correct a crooked nose at the same time

Following prior surgery for rhinitis and a deviated septum, the patient experienced a recurrence of symptoms along with nasal deviation and nostril asymmetry, which were improved through autologous rib cartilage septal extension, lateral osteotomy, and mucosal synechia adhesiolysis.

Patient goals

Why a dorsal hump often comes with nasal obstruction, and how it is corrected using only autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why a dorsal hump often comes with nasal obstruction, and how it is corrected using only autologous rib cartilage

For a severe dorsal hump, drooping tip, and nasal obstruction, septal reconstruction and bridge augmentation with autologous rib cartilage, lateral osteotomy, and submucosal resection of the inferior turbinate were performed.

Patient goals

Why a previously operated nose can look crooked and develop a drooping tip — Before-and-after comparison
Before-and-after comparison

Why a previously operated nose can look crooked and develop a drooping tip

To address a crooked nose, a drooping tip, and residual nasal filler, we removed the previous filler and performed lateral osteotomy and nasal tip correction using autologous rib cartilage.

Postoperative record

Why repeat rhinoplasty thins the nasal tip skin causing cartilage show-through, and how autologous dermis reinforcement helps — Before-and-after comparison
Before-and-after comparison

Why repeat rhinoplasty thins the nasal tip skin causing cartilage show-through, and how autologous dermis reinforcement helps

To resolve thinned nasal tip skin and cartilage show-through caused by repeated surgeries, retroauricular autologous dermis grafting, lateral osteotomy, and columellar elevation were performed.

Postoperative record

Why bulbous and flared tips persist after revision rhinoplasty: How reconstruction is performed using autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why bulbous and flared tips persist after revision rhinoplasty: How reconstruction is performed using autologous rib cartilage

To restore septal support weakened by prior surgery and address a bulbous, flared nasal tip, we performed septal reconstruction and septal extension using autologous rib cartilage.

Postoperative record

Why a dorsal hump often accompanies nasal deviation and nostril asymmetry, and how septal cartilage correction is performed — Before-and-after comparison
Before-and-after comparison

Why a dorsal hump often accompanies nasal deviation and nostril asymmetry, and how septal cartilage correction is performed

A case in which septal extension using septal cartilage and lateral osteotomy were performed to achieve a natural change, correcting a dorsal hump, crooked nose, and nostril asymmetry together.

Patient goals · Postoperative record

When undissolved nasal filler spreads and sinusitis coexists: how removal and correction are performed — Before-and-after comparison
Before-and-after comparison

When undissolved nasal filler spreads and sinusitis coexists: how removal and correction are performed

Spread nasal filler, a dorsal hump, a long-looking nasal tip, and sinusitis symptoms were addressed together through filler removal, hump reduction, and septoplasty.

Patient goals

Dorsal hump and crooked nose worsened after trauma: A correction method with minimal change — Before-and-after comparison
Before-and-after comparison

Dorsal hump and crooked nose worsened after trauma: A correction method with minimal change

A case in which septal extension using donor rib cartilage, lateral osteotomy, and inferior turbinate rhinitis surgery were performed for a dorsal hump, crooked nose, and nasal obstruction that worsened after trauma.

Patient goals

Why nostril stenosis develops after alar reduction and philtrum reduction, and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

Why nostril stenosis develops after alar reduction and philtrum reduction, and how to reconstruct it

To address left nostril stenosis and cartilage damage after alar reduction, septal and alar reconstruction using autologous rib cartilage was performed alongside an intranasal rotational flap.

Postoperative record

Why a blunt, spread nasal tip occurs, and how to create a straight bridge line with autologous rib cartilage septal extension — Before-and-after comparison
Before-and-after comparison

Why a blunt, spread nasal tip occurs, and how to create a straight bridge line with autologous rib cartilage septal extension

With no functional abnormalities present, we performed autologous rib cartilage septal extension and tip cartilage repositioning to correct a spread nasal tip and the appearance of a protruding mouth, creating a straight bridge line.

Postoperative record

Why contracture and septal perforation occur after old Gore-Tex, and how reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why contracture and septal perforation occur after old Gore-Tex, and how reconstruction is performed

To resolve contracture, septal perforation, and cartilage loss that occurred after Gore-Tex surgery performed long ago, the septum was reconstructed using autologous rib cartilage and the perforation was closed.

Postoperative record

What to look for when nasal bone asymmetry and a drooping tip coincide with chronic rhinitis — Before-and-after comparison
Before-and-after comparison

What to look for when nasal bone asymmetry and a drooping tip coincide with chronic rhinitis

Nasal bone asymmetry, chronic rhinitis, and a drooping nasal tip were corrected through lateral osteotomy, septal reconstruction using donor rib cartilage, and adjustment of the silicone implant.

Patient goals

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