Surgeries that use septal cartilage and those that rebuild the septum itself may sound similar, but they address different considerations. This collection includes a case where an upturned nose was corrected by using septal cartilage on the right side and donor rib cartilage on the left. Rather than assuming only one type of cartilage is used, you can see how materials are combined in practice.
Another article describes a case where a previous surgery harvested a significant amount of septal cartilage, leaving insufficient structural support. In that case, septal reconstruction using autologous rib cartilage is documented. Distinguishing between newly harvested cartilage, previously used cartilage, and the current condition of the remaining septum makes it easier to understand the revision rhinoplasty process.
View before-and-after cases ↓Comprehensive rhinoplasty guide
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.
Previous surgeries and procedures
This is a case of septal cartilage deficit, nasal bone asymmetry, and nasal obstruction remaining after two surgeries. Through a closed approach, autologous rib cartilage was used for septal reconstruction, along with nasolabial angle correction, nasal bone asymmetry correction, and radix adjustment.
Previous surgeries and procedures · Performed or used in this surgery
A case where a short, upturned nasal tip and a drooping columella in an unoperated nose were corrected through septal extension. A strut was built using donor rib cartilage and septal cartilage, accompanied by columellar elevation and silicone implant placement.
Performed or used in this surgery
A case where damage from previous surgeries led to collapse of the anterior septum and nostril asymmetry. The septum was reconstructed using autologous rib cartilage, followed by nasal tip rhinoplasty with donor rib cartilage and implant replacement.
Previous surgeries and procedures
A case involving a long, drooping nasal tip and nasal obstruction following previous rhinoplasty with a silicone implant and septal cartilage. The nasal tip was corrected using autologous rib cartilage, performed concurrently with septoplasty, inferior turbinate reduction, and synechia adhesiolysis.
Previous surgeries and procedures
A high, deviated silicone implant was replaced to lower the radix, and septal extension was performed using donor rib cartilage. Partial soft tissue resection, cartilage tie, and rhinitis surgery addressed the bulbous tip and nasal obstruction.
Previous surgeries and procedures · Performed or used in this surgery
Septal cartilage damaged from previous surgeries was reconstructed using autologous rib cartilage, and the lower lateral cartilages were restored. Lateral osteotomy and rhinitis surgery were performed concurrently to correct the crooked nose and nostril asymmetry.
Previous surgeries and procedures
An upturned and deviated nose, accompanied by hesitation toward autologous rib cartilage due to past pneumothorax, was improved without implants using donor rib cartilage, recycled previous rib cartilage, nasal bone rasping, and nasolabial angle correction.
Previous surgeries and procedures
After 6 previous surgeries, a drooping and tilted columella, crooked nose, and nostril asymmetry were stabilized through a closed approach using autologous rib cartilage reinforcement, lateral osteotomy, and columellar alignment correction.
Previous surgeries and procedures
In a male patient in his early 20s presenting with a crooked nose, dorsal hump, and nasal obstruction, osteotomy, tip rhinoplasty using donor rib cartilage and septal cartilage, and columellar correction were performed.
Performed or used in this surgery
To resolve a damaged septum, an upturned nasal tip, and rhinitis-related nasal obstruction after multiple surgeries, autologous rib cartilage septal reconstruction and inferior turbinate reduction were performed.
Previous surgeries and procedures
A deviated septum and an excessively high radix resulting from a previous surgery were precisely corrected using donor rib cartilage septal reconstruction, silicone implant replacement, osteotomy, and inferior turbinate reduction.
Previous surgeries and procedures
For a patient who wanted primary rhinoplasty without artificial implants, lateral osteotomy was performed to straighten the deviated nasal bones, and donor rib cartilage and septal cartilage were used to reinforce the bridge and reshape the nasal tip.
Performed or used in this surgery
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
Foreign material was removed from the nasal bridge, and lateral osteotomy, a custom-carved silicone implant, and donor rib cartilage were used to eliminate the dorsal step-off, creating a slim, straight bridge line.
Performed or used in this surgery
In a nose that became upturned and crooked due to contracture following implant surgery, fibrotic tissue was removed, the nasal tip was reconstructed with autologous rib cartilage, the columella was lowered, and the silicone implant was replaced.
Previous surgeries and procedures
To correct nasal tip deformity and asymmetrical nostril show, the nasal tip was supported with donor rib cartilage and septal cartilage, accompanied by right alar rim lowering and a customized silicone implant placement.
Performed or used in this surgery
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.
Performed or used in this surgery
Please try searching with different keywords.
Scroll to keep reading
In one case, septal extension was performed using septal cartilage on the right side and donor rib cartilage on the left to correct an upturned nose. Because this is an actual record where different materials were placed on each side, surgery involving septal cartilage should not be assumed to rely on only a single material. Specific placement details can be reviewed in the main text.
You can review cases where very little septal cartilage remained or where the remaining portion sustained significant damage. Those articles describe the process of reconstructing the septal framework using autologous rib cartilage. These are records of each patient's specific intraoperative findings, and the fact that septal cartilage was harvested previously does not mean the same reconstruction is necessarily required.
Read more records