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Alar lowering and alar cartilage correction cases

This is page 2 of cases on lowering the nostril rim and correcting the alar cartilages. View surgical records 19–36 of 45 and their before-and-after photos.

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Why the alae become pinched and the tip collapses after nasal tip inflammation, and methods for reconstruction — Before-and-after comparison
Before-and-after comparison

Why the alae become pinched and the tip collapses after nasal tip inflammation, and methods for reconstruction

A case of improving right alar pinching and depression caused by repeated surgeries and nasal tip inflammation using autologous rib cartilage septal reconstruction, nostril elongation, and a skin graft.

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.

Performed or used in this surgery

Why grafted dermis repeatedly absorbs, and how to reconstruct the nose — Before-and-after comparison
Before-and-after comparison

Why grafted dermis repeatedly absorbs, and how to reconstruct the nose

A case in which nasal deformity and septal damage caused by repeated dermal grafting and absorption were corrected through structural reconstruction with autologous rib cartilage and recycling of existing dermis.

Performed or used in this surgery

Examining the causes of a contracted nose and methods for reconstruction — Before-and-after comparison
Before-and-after comparison

Examining the causes of a contracted nose and methods for reconstruction

For a contracted nose and septal damage following repeated surgeries and implant removal, we reconstructed the septum using autologous rib cartilage while correcting the upturned tip and rhinitis.

Performed or used in this surgery

Upturned nose and nasal obstruction: how to reconstruct structural support with rib cartilage — Before-and-after comparison
Before-and-after comparison

Upturned nose and nasal obstruction: how to reconstruct structural support with rib cartilage

For an upturned nose and severe nasal obstruction caused by septal cartilage loss following silicone implant removal, we performed total septal reconstruction using rib cartilage, nostril lowering, and internal nasal valve reconstruction.

Performed or used in this surgery

How to correct a contracted nose and inflammation caused by residual foreign material — Before-and-after comparison
Before-and-after comparison

How to correct a contracted nose and inflammation caused by residual foreign material

Contracture and septal defect developed due to residual mesh and a foreign body reaction from previous surgeries. We removed the remaining foreign material, reconstructed the septum using autologous rib cartilage, and performed a skin graft to the columella.

Performed or used in this surgery

Revision rhinoplasty for a long nose and a wide, flat nasal bridge — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty for a long nose and a wide, flat nasal bridge

A long nose, wide nasal bridge, mucus pooling, and nasal obstruction resulting from multiple prior surgeries were corrected using lateral osteotomy, autologous rib cartilage grafting, and septoplasty.

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

Surgical planning that examines both the desired nasal shape and current anatomy — Before-and-after comparison
Before-and-after comparison

Surgical planning that examines both the desired nasal shape and current anatomy

A case of correcting a retracted columella and nostril asymmetry after repeated surgeries using a donor rib cartilage graft and scar tissue excision. The patient wished to maintain the existing silicone implant without altering the nasal dorsum.

Performed or used in this surgery

Supportive structures in a contracted nose and revision rhinoplasty using autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Supportive structures in a contracted nose and revision rhinoplasty using autologous rib cartilage

For a contracted nose and a sharply upturned nasal tip that developed after multiple surgeries, septal reconstruction with autologous rib cartilage, removal of inflammatory tissue from the nasal tip, and nostril lowering were performed.

Performed or used in this surgery

Revision rhinoplasty methods for correcting both a long nose and asymmetry — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for correcting both a long nose and asymmetry

A nasal tip that had become long and sharp from multiple surgeries, along with nostril asymmetry, was corrected using glabella bone rasping, autologous rib cartilage extension, and composite skin graft nostril lowering.

Performed or used in this surgery

Nostril correction methods considering crooked nose, upturned nose, and nasal obstruction — Before-and-after comparison
Before-and-after comparison

Nostril correction methods considering crooked nose, upturned nose, and nasal obstruction

For nasal tip deviation, an upturned tip, and nasal obstruction caused by intranasal mucosal adhesion following previous surgery, we performed septal extension using donor rib cartilage, nostril lowering, and mucosal adhesion release.

Performed or used in this surgery

How to correct nasal obstruction and nostril asymmetry together — Before-and-after comparison
Before-and-after comparison

How to correct nasal obstruction and nostril asymmetry together

In a revision rhinoplasty case involving intranasal mucosal synechiae, a deviated septum, and nostril asymmetry, we removed the Gore-Tex implant, performed septal reconstruction and extension with autologous rib cartilage, along with alar rim extension and silicone implant replacement.

Performed or used in this surgery

Closed correction method for bulbous nose and dragon nose — Before-and-after comparison
Before-and-after comparison

Closed correction method for bulbous nose and dragon nose

In a patient presenting with a bulbous nose, dragon nose, and retracted columella after previous filler injections, filler removal, septal extension using septal cartilage and donor rib cartilage, nostril lowering, and silicone implant insertion were performed via a closed approach.

Performed or used in this surgery

Columellar retraction and contracted nose: Anatomy and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Columellar retraction and contracted nose: Anatomy and reconstruction methods

A case of severe columellar retraction and septal cartilage damage following inflammation and implant removal, corrected with autologous rib cartilage septal reconstruction, deviated septum correction, and composite grafting.

Performed or used in this surgery

Correction approach considering a wide nose and midface proportions — Before-and-after comparison
Before-and-after comparison

Correction approach considering a wide nose and midface proportions

A high radix, visible thin implant show-through, and a drooping tip were corrected using autologous rib cartilage for septal reconstruction and extension, silicone implant replacement, and alar rim grafts.

Performed or used in this surgery

Revision rhinoplasty approach for an upturned nose caused by contracture — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty approach for an upturned nose caused by contracture

To address a contracted and upturned nose with nostril asymmetry resulting from inflammation and implant removal, stem cell therapy was performed first, followed by autologous rib cartilage septal extension, alar rim grafting, and silicone nasal bridge augmentation.

Performed or used in this surgery

Correction methods considering the shape of contracted and upturned noses — Before-and-after comparison
Before-and-after comparison

Correction methods considering the shape of contracted and upturned noses

In a male patient who developed contracture deformity, an upturned nose, and nasal obstruction after repeated surgeries, septal reconstruction and extension using autologous rib cartilage along with nostril lowering were performed via a closed approach.

Performed or used in this surgery

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