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Nasal shape and revision rhinoplasty cases after double jaw surgery

In articles about noses with a history of double jaw surgery, nostril asymmetry, a widened appearance, and preoperative evaluations of the septum are discussed together. One record explains that reconstruction was planned after assessing the relationship between the septal base and the maxilla on imaging. The presumptive findings and what was actually confirmed during surgery are separate stages of information.

This includes articles evaluating a nose that appeared widened after double jaw surgery, as well as articles considering reconstruction when suspecting cartilage damage from previous surgery. These records should not be generalized to mean that all double jaw surgeries cause the same nasal changes. Read through each case while distinguishing the history of double jaw surgery, current concerns, findings reviewed during examination, and the final surgery performed.

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Why noses deviate and bulbous tips persist after double jaw surgery, and how rib cartilage septal reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why noses deviate and bulbous tips persist after double jaw surgery, and how rib cartilage septal reconstruction is performed

This is a case of septal damage, a deviated nasal bridge, a bulbous nose, and nasal obstruction following double jaw surgery and two prior rhinoplasties. Autologous rib cartilage septal reconstruction, cartilage repositioning, lateral osteotomy, and functional nasal surgery were performed.

Previous surgeries and procedures

Why noses become short and upturned after multiple revision surgeries, and methods for reconstruction — Before-and-after comparison
Before-and-after comparison

Why noses become short and upturned after multiple revision surgeries, and methods for reconstruction

A case correcting an upturned nasal tip caused by loss of the septum from repeated revision surgeries. Autologous rib cartilage septal reconstruction, nasal mucosal advancement flap, silicone implant adjustment, and rhinitis surgery were performed concurrently.

Previous surgeries and procedures

Why a nose looks more crooked with facial asymmetry and how to correct it — Before-and-after comparison
Before-and-after comparison

Why a nose looks more crooked with facial asymmetry and how to correct it

Residual facial asymmetry and a deviated septum following double jaw surgery were corrected using autologous rib cartilage reconstruction. Lateral osteotomy, precision carving of a silicone implant, and rhinitis surgery were performed concurrently.

Previous surgeries and procedures

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.

Previous surgeries and procedures

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.

Previous surgeries and procedures

Why the glabella widens and the nasal tip upturns after repeated filler and thread treatments — Before-and-after comparison
Before-and-after comparison

Why the glabella widens and the nasal tip upturns after repeated filler and thread treatments

Foreign materials that had widened the glabella along with the previous implant were removed, and the upturned nose was corrected through partial septal reconstruction using autologous rib cartilage and nasolabial angle adjustment.

Previous surgeries and procedures

Why the nose looks wide and the tip droops after double jaw surgery, and how to reconstruct it with rib cartilage — Before-and-after comparison
Before-and-after comparison

Why the nose looks wide and the tip droops after double jaw surgery, and how to reconstruct it with rib cartilage

After double jaw surgery and rhinoplasty, a wide-looking nose and drooping tip were improved by removing the previous materials, reconstructing the septum with autologous rib cartilage, and performing nasal sill reduction.

Previous surgeries and procedures

Why nasal asymmetry remains after cleft lip and palate, and reconstruction using rib and ear cartilage — Before-and-after comparison
Before-and-after comparison

Why nasal asymmetry remains after cleft lip and palate, and reconstruction using rib and ear cartilage

For cleft lip- and palate-related asymmetry and alar deformities, septal reconstruction and dorsal augmentation were performed using autologous rib cartilage, along with alar reconstruction using ear cartilage and lateral osteotomy.

Previous surgeries and procedures

How to perform reconstruction when multiple revision surgeries leave no nasal cartilage behind — Before-and-after comparison
Before-and-after comparison

How to perform reconstruction when multiple revision surgeries leave no nasal cartilage behind

This is a case where the septum was damaged and both lower lateral cartilages were removed following multiple rhinoplasties. The support structure was reconstructed using autologous rib cartilage, concurrently correcting the upturned nose, deviated columella, and nasolabial angle.

Previous surgeries and procedures

Changes following nasal bridge skin necrosis after rhinoplasty and how reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Changes following nasal bridge skin necrosis after rhinoplasty and how reconstruction is performed

In a case with signs of nasal bridge skin necrosis and alar asymmetry after multiple rhinoplasties, the nasal bridge and nostril shape were reconstructed using autologous rib cartilage grafting, alar repositioning, and growth factor application.

Previous surgeries and procedures

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.

Previous surgeries and procedures

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.

Previous surgeries and procedures

Why the septum is damaged and rhinitis recurs after double jaw surgery — Before-and-after comparison
Before-and-after comparison

Why the septum is damaged and rhinitis recurs after double jaw surgery

We reconstructed the septum damaged by double jaw surgery using autologous rib cartilage, and combined rhinitis surgery, right alar reduction, and lateral osteotomy to create a straight bridge line.

Previous surgeries and procedures

Why the nose widens and becomes blocked after double-jaw surgery, and how to address both function and form — Before-and-after comparison
Before-and-after comparison

Why the nose widens and becomes blocked after double-jaw surgery, and how to address both function and form

A case in which intranasal mucosal adhesions, nasal obstruction, and a widened nasal deformity following double-jaw surgery were corrected using synechia adhesiolysis, donor rib cartilage, and septal cartilage.

Previous surgeries and procedures

How the septum is reconstructed in revision rhinoplasty — Before-and-after comparison
Before-and-after comparison

How the septum is reconstructed in revision rhinoplasty

In a patient presenting with septal damage, a crooked nose, and breathing difficulties following two-jaw surgery and filler procedures, residual filler was removed, autologous rib cartilage septal reconstruction was performed, and rhinitis surgery was carried out.

Previous surgeries and procedures

Correction methods for a long nose and dorsal hump considering facial proportions — Before-and-after comparison
Before-and-after comparison

Correction methods for a long nose and dorsal hump considering facial proportions

A case of a 22-year-old female patient with a long nose, a dorsal hump, and rhinitis symptoms, who underwent septal extension, hump reduction, lateral osteotomy, and silicone implant insertion.

Previous surgeries and procedures

Autologous rib cartilage implant-free revision rhinoplasty for contracted nose and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Autologous rib cartilage implant-free revision rhinoplasty for contracted nose and nostril asymmetry

A case of implant-free nasal reconstruction using autologous rib cartilage for septal reconstruction and lateral osteotomy in a 22-year-old male patient who suffered from inflammation and contracted nose deformity.

Previous surgeries and procedures

Revision rhinoplasty planning considering nasal tip skin condition and necrosis risk — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty planning considering nasal tip skin condition and necrosis risk

This is a case of septal damage, an upturned nose, and nasal tip skin depression after multiple previous surgeries. Using a closed approach to preserve blood supply, we performed septal reconstruction with autologous rib cartilage along with cartilage and dermal grafts.

Previous surgeries and procedures

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Common questions before reading the cases

Are there records of the nose appearing widened after double jaw surgery?

There are records that evaluated differences in nostril size and asymmetry, noting that nasal widening became noticeable after double jaw surgery. This reflects the original assessment based on that specific patient's appearance and medical history. Rather than generalizing that everyone with a history of double jaw surgery experiences the same changes, you can review the actual photos alongside the patient's current concerns.

Is septal reconstruction necessary if there is a history of double jaw surgery?

These records include cases where septal reconstruction was planned after reviewing imaging findings and the possibility of cartilage damage. This was an assessment and surgical plan established for a specific patient, not a conclusion that applies uniformly to every history of double jaw surgery. It is important to distinguish suspected conditions from what was actually observed, as well as the initial surgical plan from the final result.

Related topics to explore

Septal reconstructionNostril asymmetryWide alae and nasal baseRevision rhinoplasty

Surgical records referenced in this guide

  • How to improve a bulbous nose and a protruding mouth
  • How is a long nose corrected?
  • How to correct a short and upturned nose
Original article

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