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Ear cartilage rhinoplasty and revision rhinoplasty cases

This is page 2 of ear cartilage rhinoplasty and revision rhinoplasty cases. Explore surgical notes and before-and-after photos for cases 19–36 of 161.

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Why the nasal tip turns upward when the septum is lost, and how to reconstruct the septum with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why the nasal tip turns upward when the septum is lost, and how to reconstruct the septum with autologous rib cartilage

Septal support lost in previous surgeries was reconstructed with autologous rib cartilage, and pinched alae and depressed nasal bridge areas were reinforced to correct an upturned nasal tip and nostril show.

Previous surgeries and procedures

Why nasal obstruction persists despite multiple surgeries: Correcting nasal valve stenosis and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Why nasal obstruction persists despite multiple surgeries: Correcting nasal valve stenosis and nostril asymmetry

A case of persistent nostril asymmetry and nasal valve stenosis after multiple surgeries, addressed by removing existing implants, performing septoplasty and turbinoplasty, and reconstructing the structure with rib cartilage and a skin graft.

Previous surgeries and procedures

Why nasal obstruction persists after multiple surgeries: How to reconstruct the septum and nasal valve — Before-and-after comparison
Before-and-after comparison

Why nasal obstruction persists after multiple surgeries: How to reconstruct the septum and nasal valve

For a patient whose septum had collapsed after repeated surgeries, causing internal nasal valve stenosis and inferior turbinate adhesions, we performed septal reconstruction with autologous rib cartilage, osteotomy reversal, and adhesiolysis.

Previous surgeries and procedures

Why silicone implants deviate and make the nose look long: implant replacement and rib cartilage reconstruction — Before-and-after comparison
Before-and-after comparison

Why silicone implants deviate and make the nose look long: implant replacement and rib cartilage reconstruction

Silicone implant deviation, excessive nostril show, and a high radix were corrected by removing the previous implant, reconstructing the nasal tip with autologous rib cartilage, placing a customized implant, and adjusting the nasolabial angle.

Previous surgeries and procedures

Why internal nasal structures collapse after multiple rhinoplasties and total reconstruction with rib cartilage — Before-and-after comparison
Before-and-after comparison

Why internal nasal structures collapse after multiple rhinoplasties and total reconstruction with rib cartilage

Following four prior rhinoplasties, septal and lower lateral cartilage defects and nasal bone erosion were addressed by treating a chronic foreign body reaction, performing total reconstruction with autologous rib cartilage, and placing a nostril skin graft.

Previous surgeries and procedures

Noses with an arrow nose and bulbous tip: why we start with septal reconstruction — Before-and-after comparison
Before-and-after comparison

Noses with an arrow nose and bulbous tip: why we start with septal reconstruction

A clinical case in which a septum damaged from two previous surgeries and chronic nasal obstruction were restored using autologous rib cartilage reconstruction, septoplasty, rhinitis surgery, and bulbous tip correction.

Previous surgeries and procedures

Why does the nose look crooked when the osteotomy site is over-resected? Nasal bone restoration and nasal tip reconstruction — Before-and-after comparison
Before-and-after comparison

Why does the nose look crooked when the osteotomy site is over-resected? Nasal bone restoration and nasal tip reconstruction

For a patient who developed an over-resected area and a crooked nose following a past osteotomy, we performed left nasal bone restoration, autologous rib cartilage septal extension, a customized silicone implant, and nasolabial angle correction.

Previous surgeries and procedures

Why nasal tip support weakens in an aged implant nose and septal extension reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why nasal tip support weakens in an aged implant nose and septal extension reconstruction methods

To reinforce nasal tip support weakened after a previous silicone and ear cartilage surgery, the silicone implant was customized and replaced, and a stable nasal line was established using septal extension with autologous rib cartilage.

Previous surgeries and procedures

Why the columella looks long and how to reposition the nasal tip cartilage — Before-and-after comparison
Before-and-after comparison

Why the columella looks long and how to reposition the nasal tip cartilage

Following prior surgery with a silicone implant and ear cartilage, the patient presented with a long, drooping columella and a crooked nose. The ear cartilage was replaced with autologous rib cartilage, the nasolabial angle was adjusted, and septal correction was performed.

Previous surgeries and procedures · Removed in this surgery

Why an upturned nose and unilaterally pinched nostril occur, and how implant-free reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why an upturned nose and unilaterally pinched nostril occur, and how implant-free reconstruction is performed

An upturned nose and pinched nostril caused by multiple prior surgeries were corrected after removing artificial dermis, performing implant-free bridge augmentation with donor rib cartilage and septal cartilage, and using a skin-cartilage composite graft on the right nostril.

Previous surgeries and procedures

Why a crooked dorsal hump and drooping tip occur, and how septal extension is performed — Before-and-after comparison
Before-and-after comparison

Why a crooked dorsal hump and drooping tip occur, and how septal extension is performed

A crooked dorsal hump, drooping tip, and nasal obstruction were refined using lateral osteotomy, septal extension with donor rib cartilage and septal cartilage, nasal tip volume refinement with ear cartilage, and nasolabial angle correction.

Performed or used in this surgery

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.

Previous surgeries and procedures

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

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.

Previous surgeries and procedures

Why nostrils narrow and breathing becomes difficult after philtrum reduction, and how to correct it — Before-and-after comparison
Before-and-after comparison

Why nostrils narrow and breathing becomes difficult after philtrum reduction, and how to correct it

For leftward nasal asymmetry, deviation, and breathing discomfort caused by narrowed nostrils following philtrum reduction, lateral osteotomy, nasolabial angle correction, and nostril skin grafting were performed.

Previous surgeries and procedures

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.

Previous surgeries and procedures

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.

Previous surgeries and procedures

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.

Previous surgeries and procedures

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