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Autologous rib cartilage rhinoplasty and revision rhinoplasty cases

This is page 5 of autologous rib cartilage rhinoplasty and revision rhinoplasty cases. Explore surgical notes and before-and-after photos for cases 73–90 of 332.

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Why nasal tip cartilage shows through the skin and how dermis grafting reinforces it — Before-and-after comparison
Before-and-after comparison

Why nasal tip cartilage shows through the skin and how dermis grafting reinforces it

For a nose showing cartilage show-through through thinned skin, a widened nasal bridge, and nasal obstruction 7 years after surgery, autologous dermis reinforcement, autologous rib cartilage tip plasty, lateral osteotomy, and septoplasty were performed.

Performed or used in this surgery

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.

Performed or used in this surgery

Why nasal obstruction and a crooked nose can persist even after multiple surgeries — Before-and-after comparison
Before-and-after comparison

Why nasal obstruction and a crooked nose can persist even after multiple surgeries

In a case of ongoing nasal obstruction with a weakened, deviated septum following multiple surgeries, structural integrity and nasal breathing were improved through septal reconstruction using autologous rib cartilage, lateral osteotomy, septoplasty, and turbinoplasty.

Previous surgeries and procedures · Performed or used in this surgery

What problems arise with a septal perforation, and how is it reconstructed? — Before-and-after comparison
Before-and-after comparison

What problems arise with a septal perforation, and how is it reconstructed?

In a case where a 15×10 mm septal perforation and cartilage damage occurred after previous surgery, the perforation was closed with a skin graft and structural support was restored by reconstructing the septum with autologous rib cartilage.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this surgery

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.

Performed or used in this surgery

Why a wide tip often comes with nasal obstruction, and how foreign material removal and reconstruction are performed — Before-and-after comparison
Before-and-after comparison

Why a wide tip often comes with nasal obstruction, and how foreign material removal and reconstruction are performed

For nasal obstruction caused by nasal bridge filler, a bulbous nose, a deviated septum, and inferior turbinate hypertrophy, foreign material was removed, followed by nasal tip correction using autologous rib cartilage, septoplasty, and turbinoplasty.

Performed or used in this surgery

When tip skin is lacking after alar and philtrum reduction, how to determine the elevation limit — Before-and-after comparison
Before-and-after comparison

When tip skin is lacking after alar and philtrum reduction, how to determine the elevation limit

In a patient with limited skin elasticity and mucosal adhesion following multiple nasal surgeries along with alar and philtrum reductions, we performed septal reconstruction with autologous rib cartilage, nasolabial angle correction, columellar extension, and nasal synechia adhesiolysis.

Previous surgeries and procedures · Performed or used in this surgery

Why artificial dermis on the nasal bridge can remain as a dorsal hump and how it is reconstructed after removal — Before-and-after comparison
Before-and-after comparison

Why artificial dermis on the nasal bridge can remain as a dorsal hump and how it is reconstructed after removal

In a case where residual artificial dermis from a previous procedure formed a dorsal hump and weakened the septal support, the artificial dermis was dissected and removed, lateral osteotomy and dorsal hump reduction were performed, the nasal tip was reconstructed using autologous rib cartilage, and the silicone implant was replaced.

Performed or used in this surgery

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.

Previous surgeries and procedures · Performed or used in this surgery

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.

Performed or used in this surgery

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.

Previous surgeries and procedures · Performed or used in this surgery

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.

Performed or used in this surgery

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.

Previous surgeries and procedures · Performed or used in this surgery

Why the columella droops and nostrils become visible: correcting a crooked nose and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Why the columella droops and nostrils become visible: correcting a crooked nose and nostril asymmetry

A case of a drooping columella, crooked nose, and nostril show following prior filler, Misko, and silicone rhinoplasty. Autologous rib cartilage reconstruction and alar rim grafts were performed after implant removal.

Performed or used in this surgery

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