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Rhinoplasty cases with previous nasal filler and filler removal

This is page 2 of rhinoplasty cases following a history of nasal filler or filler removal. Explore surgical notes and before-and-after photos for cases 19–36 of 102.

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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

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.

Removed in this surgery

Why the nasal tip looks spread out and how to address the nasal sill and nasolabial angle together — Before-and-after comparison
Before-and-after comparison

Why the nasal tip looks spread out and how to address the nasal sill and nasolabial angle together

For a wide nasal tip and nasal sill, residual filler, and a deviated septum, we removed the filler and performed donor rib cartilage tip correction, nasal sill reduction, nasolabial angle correction, septoplasty, and rhinitis surgery.

Previous surgeries and procedures · Removed 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.

Previous surgeries and procedures

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.

Previous surgeries and procedures · Removed 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 · Removed 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.

Previous surgeries and procedures

Why an autologous dermal graft absorbs, leading to a widened bridge and upturned nose, and how to correct it — Before-and-after comparison
Before-and-after comparison

Why an autologous dermal graft absorbs, leading to a widened bridge and upturned nose, and how to correct it

A case of an upturned nose and widened bridge caused by dermal graft absorption. After removing nasal filler placed 2 years ago, a straight bridge line was established through septal extension, alar rim lowering, and correction of the depressed dorsum.

Previous surgeries and procedures

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.

Previous surgeries and procedures · Removed in this surgery

Why the nasal tip droops and spreads when smiling after rhinoplasty: foreign material removal and tip correction methods — Before-and-after comparison
Before-and-after comparison

Why the nasal tip droops and spreads when smiling after rhinoplasty: foreign material removal and tip correction methods

A case of nasal tip drooping, a pinched look, and tip spreading after nasal filler injection and silicone rhinoplasty 7 years ago. Foreign materials and the silicone implant were removed, and the nasolabial angle was corrected while reinforcing tip support.

Previous surgeries and procedures · Removed in this surgery

Why short, upturned noses and crooked noses occur together, and how to correct them with septal extension — Before-and-after comparison
Before-and-after comparison

Why short, upturned noses and crooked noses occur together, and how to correct them with septal extension

A short, upturned, crooked nose following an L-shaped silicone implant was lowered using septal extension with autologous rib cartilage, and the airway was improved through nasal valve reconstruction and septal correction.

Previous surgeries and procedures

Short and upturned nose with insufficient septal cartilage: how to lengthen it with rib cartilage reinforcement — Before-and-after comparison
Before-and-after comparison

Short and upturned nose with insufficient septal cartilage: how to lengthen it with rib cartilage reinforcement

A short, upturned nose caused by septal cartilage deficiency from a previous surgery was corrected with septal reconstruction using autologous rib cartilage, combined with chin filler removal and receding chin correction.

Previous surgeries and procedures

Why a crooked nose and nasal obstruction persist after surgery, and how revision is performed — Before-and-after comparison
Before-and-after comparison

Why a crooked nose and nasal obstruction persist after surgery, and how revision is performed

Residual crooked nose and rhinitis-induced nasal obstruction following previous surgery were corrected through partial septal reconstruction with autologous rib cartilage, silicone implant replacement, lateral osteotomy, and submucosal resection of the inferior turbinates.

Previous surgeries and procedures

Depression along the nasal bridge and an upturned feel after repeated implant insertions and removals — Before-and-after comparison
Before-and-after comparison

Depression along the nasal bridge and an upturned feel after repeated implant insertions and removals

Correcting nostril asymmetry, an upturned nasal tip, and an overly high radix caused by repeated surgeries using autologous rib cartilage septal extension and height adjustment.

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

Undissolved residual nasal filler and wide alae: causes, removal, and correction methods — Before-and-after comparison
Before-and-after comparison

Undissolved residual nasal filler and wide alae: causes, removal, and correction methods

Residual unabsorbed HA filler was completely removed, followed by autologous rib cartilage rhinoplasty, lower lateral cartilage trimming, and septal and inferior turbinate surgery, all performed via a closed approach.

Previous surgeries and procedures

Why clicking sounds and shape changes occur in the nasal tip after trauma, and reconstruction with rib cartilage — Before-and-after comparison
Before-and-after comparison

Why clicking sounds and shape changes occur in the nasal tip after trauma, and reconstruction with rib cartilage

For a patient who experienced nasal tip deformity and asymmetry of the nasal bone and nostrils following everyday trauma, autologous rib cartilage reconstruction and lateral osteotomy were performed to establish a stable structure.

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

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