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Rhinoplasty and facial changes involving autologous fat

The mention of autologous fat in a rhinoplasty case does not always mean fat was injected into the nose. This collection includes cases where sunken facial areas were complemented with fat grafting to balance facial and nasal proportions. On the other hand, notes indicating a patient received nasal fat grafting multiple times in the past refer to previous surgical history, not the current operation.

There are also case records where facial fat grafting was performed concurrently with septal extension or nasal bridge correction using autologous rib cartilage. If the overall impression of the nose appears different in the photos, check whether it reflects both nasal changes and volume adjustments in the surrounding facial features. Distinguishing the graft location and timing helps prevent misunderstanding different surgical procedures as the same approach.

View before-and-after cases ↓Comprehensive rhinoplasty guide

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Key considerations when revising ear cartilage rhinoplasty with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Key considerations when revising ear cartilage rhinoplasty with autologous rib cartilage

A case of a patient seeking a slimmer line after a previous rhinoplasty. Nasal tip reconstruction with autologous rib cartilage, nasal bridge implant replacement with lowering of the radix, nasal sill reduction, and full-face autologous fat grafting were performed together.

Performed or used in this surgery

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.

Performed or used in this surgery

Why nasal tip skin thins after multiple surgeries: autologous dermis reinforcement and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why nasal tip skin thins after multiple surgeries: autologous dermis reinforcement and reconstruction methods

We removed previous foreign materials and implants, reconstructed the nasal tip using autologous rib cartilage, reinforced the thinned skin with autologous dermis, recarved a silicone implant, and performed fat grafting between the eyebrows.

Performed or used in this surgery

Why a mass obstructing the nostril develops, and how to perform resection and reconstruction — Before-and-after comparison
Before-and-after comparison

Why a mass obstructing the nostril develops, and how to perform resection and reconstruction

This is a case where a chronic inflammatory mass that developed after repeated surgeries and obstructed the nostril was precisely resected, restoring breathing function and stabilizing the nasal tip structure.

Previous surgeries and procedures

Why nasal tip cartilage shows through the skin and turns upward: reinforcement and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why nasal tip cartilage shows through the skin and turns upward: reinforcement and reconstruction methods

For a patient presenting with visible nasal tip cartilage and an upturned nose following previous surgery with a silicone implant and ear cartilage, we performed silicone implant removal, septal extension using autologous rib cartilage, fat grafting, and skin reinforcement with donor dermis.

Performed or used in this surgery

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.

Performed or used in this surgery

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

Why nasal threads and fat grafting fail to create a defined line: foreign body removal and rib cartilage reconstruction — Before-and-after comparison
Before-and-after comparison

Why nasal threads and fat grafting fail to create a defined line: foreign body removal and rib cartilage reconstruction

A case where foreign material was removed after dissatisfaction with thread lifting and fat grafting alongside a deviated septum, creating a straight bridge line with autologous rib cartilage and relieving nasal obstruction.

Previous surgeries and procedures · Removed in this surgery

Correction approach considering both a large nose and facial proportions — Before-and-after comparison
Before-and-after comparison

Correction approach considering both a large nose and facial proportions

For a large nose with a dorsal hump and a drooping tip, harmony was achieved through lateral osteotomy, nasal tip correction using autologous rib cartilage, nasal sill reduction, and autologous facial fat grafting.

Performed or used in this surgery

How to reconstruct a pinched and upturned nose using autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

How to reconstruct a pinched and upturned nose using autologous rib cartilage

A case where an upturned nose, pinched alae, and a crooked nose resulting from multiple previous rhinoplasties were corrected with lateral osteotomy, septal reconstruction using autologous rib cartilage, and dermal grafting.

Performed or used in this surgery

Reconstruction methods for a nose contracted after multiple surgeries — Before-and-after comparison
Before-and-after comparison

Reconstruction methods for a nose contracted after multiple surgeries

In a severe contracted nose that developed after a history of 27 surgeries and fat graft procedures, the protruding silicone implant and degenerated tissue were removed, and the septum and structural support were reconstructed using autologous rib cartilage.

Previous surgeries and procedures · Removed in this surgery

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Common questions before reading the cases

Does the autologous fat tag mean fat was injected into the nose?

Not necessarily. Cases where sunken areas of the face were supplemented with autologous fat grafting are also included under this material topic. In some posts, nasal fat grafting is mentioned only as past surgical history, so it is important to confirm the actual graft location and timing. If you are looking specifically for surgeries performed alongside facial fat grafting, the linked facial fat grafting topic provides more detailed cases.

How should I interpret rhinoplasty before-and-after photos where facial volume also changed?

Our case records include instances where three-dimensional facial contouring was addressed with autologous fat grafting while correcting the nasal tip and nasal bridge. Such photos are not comparisons showing changes from rhinoplasty alone. Differentiating which facial areas received fat grafting from what procedures were performed on the nose provides a clearer context for the overall change in facial impression.

Related topics to explore

Facial fat graftingFacial and midface proportional balanceAutologous rib cartilageRevision rhinoplasty

Surgical records referenced in this guide

  • Correction approach considering both a large nose and facial proportions
  • Reconstruction methods for a nose contracted after multiple surgeries
  • Why a wide nose often comes with nasal obstruction: Correction using osteotomy and autologous rib cartilage
Original article

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