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Revision rhinoplasty involving artificial dermis and donor dermis

This is page 2 of revision rhinoplasty cases involving acellular dermal matrix and donor dermis. Explore surgical notes and before-and-after photos for cases 19–36 of 36.

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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.

Previous surgeries and procedures

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.

Performed or used in this surgery

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.

Previous surgeries and procedures · Performed or used in this surgery

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.

Previous surgeries and procedures

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.

Previous surgeries and procedures

Why Medpor extrudes through the nasal mucosa, and how removal and reconstruction are performed — Before-and-after comparison
Before-and-after comparison

Why Medpor extrudes through the nasal mucosa, and how removal and reconstruction are performed

The extruded Medpor and damaged tissue protruding into the nasal cavity were removed, and the septum along with the missing lower lateral cartilage was reconstructed using autologous rib cartilage to treat asymmetry and inflammation.

Previous surgeries and procedures · Removed in this surgery

Why the nasal bridge lowers and widens as artificial dermis is absorbed — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge lowers and widens as artificial dermis is absorbed

After identifying a lowered, widened nasal bridge and septal damage caused by artificial dermis absorption, I removed the residual dermis and reconstructed the septum with donor rib cartilage to restore bridge height.

Previous surgeries and procedures · Removed in this surgery

Why the nose looks crooked after dorsal hump surgery, and how septal reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why the nose looks crooked after dorsal hump surgery, and how septal reconstruction is performed

A crooked nose and deviated septum that developed after dorsal hump correction were improved by removing the existing donor rib cartilage, reconstructing the septum with autologous rib cartilage, and performing submucosal resection of the inferior turbinate.

Previous surgeries and procedures

Why contracture and nasal obstruction develop together after multiple rhinoplasties, and how reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why contracture and nasal obstruction develop together after multiple rhinoplasties, and how reconstruction is performed

A case involving a patient who experienced septal cartilage damage, an upturned nasal tip, and severe nasal obstruction after 8 surgeries over 15 years, where the septum was reconstructed using autologous rib cartilage and reinforced with dermis.

Previous surgeries and procedures

How to replace absorbed donor rib cartilage with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

How to replace absorbed donor rib cartilage with autologous rib cartilage

For a patient whose nose became crooked and drooped due to partial resorption of previously placed donor rib cartilage, we removed the absorbed cartilage and performed septal reconstruction and deviated septum correction using autologous rib cartilage.

Previous surgeries and procedures

How to correct a sharp nasal tip and cartilage show-through — Before-and-after comparison
Before-and-after comparison

How to correct a sharp nasal tip and cartilage show-through

To address a sharp nasal tip and cartilage show-through following previous surgeries, the existing ear cartilage was removed, and donor rib cartilage alongside acellular dermal graft was used to reinforce the cartilage framework and overlying skin.

Performed or used in this surgery

Correction methods addressing a small nose and nostril asymmetry together — Before-and-after comparison
Before-and-after comparison

Correction methods addressing a small nose and nostril asymmetry together

For a primary rhinoplasty patient presenting with a small nose, nostril asymmetry, and a retracted columella, we performed septal extension using septal cartilage and donor rib cartilage, dorsal hump reduction, dermal graft reinforcement, and silicone implant placement.

Performed or used in this surgery

Revision rhinoplasty methods for a short and upturned nose — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for a short and upturned nose

A short, upturned nose and nasal obstruction following multiple prior surgeries were corrected using donor rib cartilage septal extension, recycling of existing cartilage, silicone implant replacement, and septal and inferior turbinate surgery.

Previous surgeries and procedures

How to remove mesh and reconstruct a contracted nose — Before-and-after comparison
Before-and-after comparison

How to remove mesh and reconstruct a contracted nose

In a patient presenting with post-inflammatory nasal contracture and nasal obstruction, unexpected mesh and residual donor rib cartilage found in the nasal tip were removed. The entire septum and both lower lateral cartilages were then reconstructed using autologous rib cartilage.

Previous surgeries and procedures

Correcting asymmetry and function in a small, upturned nose with thin skin — Before-and-after comparison
Before-and-after comparison

Correcting asymmetry and function in a small, upturned nose with thin skin

This is a revision case involving thin skin, an upturned nose, and nostril asymmetry following a prior surgery. The septum was reconstructed using autologous rib cartilage, combined with artificial dermis reinforcement, alar rim elongation, and septoplasty.

Performed or used in this surgery

How to correct a crooked nose and a bulbous, drooping nasal tip — Before-and-after comparison
Before-and-after comparison

How to correct a crooked nose and a bulbous, drooping nasal tip

A crooked nose with a drooping, bulbous tip and a high radix following multiple surgeries was corrected using autologous rib cartilage septal reconstruction and extension, radix lowering, and rhinitis surgery.

Previous surgeries and procedures

Revision rhinoplasty methods for correcting a short, upturned nose — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for correcting a short, upturned nose

Nasal obstruction, a pinched look, and an upturned nose that developed after ear cartilage suturing and filler injection were corrected with foreign material removal, autologous rib cartilage septal extension, and cartilage repositioning.

Removed in this surgery

Revision rhinoplasty for silicone implant side effects and a wide nose — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty for silicone implant side effects and a wide nose

The existing silicone implant extending to the nasal tip was removed, the thinned tip skin was reinforced, and the profile was improved into a masculine straight line through autologous rib cartilage reconstruction and dorsal silicone replacement.

Performed or used in this surgery

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