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Lowering the columella and columellar correction cases

This is page 3 of cases on lowering the columella and columellar correction. View surgical records 37–54 of 82 and their before-and-after photos.

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Remaining structures and reconstruction methods after alar reduction — Before-and-after comparison
Before-and-after comparison

Remaining structures and reconstruction methods after alar reduction

Nostril asymmetry, a bulbous nasal tip, and nasal obstruction caused by excessive alar reduction were improved by combining autologous rib cartilage septal extension, alar reconstruction, and rhinitis surgery.

Performed or used in this surgery

How to replace absorbed donor rib cartilage with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

How to replace absorbed donor rib cartilage with autologous rib cartilage

For a patient whose nose became crooked and drooped due to partial resorption of previously placed donor rib cartilage, we removed the absorbed cartilage and performed septal reconstruction and deviated septum correction using autologous rib cartilage.

Performed or used in this surgery

How the septum is reconstructed in revision rhinoplasty — Before-and-after comparison
Before-and-after comparison

How the septum is reconstructed in revision rhinoplasty

In a patient presenting with septal damage, a crooked nose, and breathing difficulties following two-jaw surgery and filler procedures, residual filler was removed, autologous rib cartilage septal reconstruction was performed, and rhinitis surgery was carried out.

Performed or used in this surgery

How to plan lowering the columella and nasolabial angle correction together — Before-and-after comparison
Before-and-after comparison

How to plan lowering the columella and nasolabial angle correction together

A case correcting an upturned nasal tip, retracted columella, and nostril show using autologous rib cartilage nasal reconstruction, columellar lowering, nasolabial angle correction, septal surgery, and inferior turbinate surgery.

Performed or used in this surgery

Anatomy and correction methods for wide and bulbous noses — Before-and-after comparison
Before-and-after comparison

Anatomy and correction methods for wide and bulbous noses

A blunt, wide nasal tip, a crooked nasal bridge, and nasal obstruction from rhinitis were corrected with lateral osteotomy, autologous rib cartilage septal extension, septoplasty, and inferior turbinate resection.

Performed or used in this surgery

How to plan nasal filler removal and nasal obstruction correction — Before-and-after comparison
Before-and-after comparison

How to plan nasal filler removal and nasal obstruction correction

This is a case of a patient who visited our clinic presenting with a blunt, widened nose and intermittent nasal obstruction after nasal filler treatment. Filler removal and nasal tip correction using autologous rib cartilage were performed, and functional surgery for the septum and inferior turbinates was planned.

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

Reconstruction methods to evaluate damaged structures in a contracted nose — Before-and-after comparison
Before-and-after comparison

Reconstruction methods to evaluate damaged structures in a contracted nose

In a case where flap necrosis resulted in recurrent contracture, a retracted columella, and an upturned nasal tip, silicone implant removal was followed by septal reconstruction using autologous rib cartilage and mucosal graft.

Performed or used in this surgery

Bulbous nose and upturned nose: correction tailored to facial proportions — Before-and-after comparison
Before-and-after comparison

Bulbous nose and upturned nose: correction tailored to facial proportions

A case of a 24-year-old male patient who presented with a bulbous nose, an upturned nasal tip, and left-sided nasal obstruction. Septal extension using autologous rib cartilage, lowering the columella, septoplasty, and submucosal resection of the inferior turbinate were performed.

Performed or used in this surgery

How to reconstruct with autologous rib cartilage after silicone implant side effects — Before-and-after comparison
Before-and-after comparison

How to reconstruct with autologous rib cartilage after silicone implant side effects

In a revision rhinoplasty case presenting with tip redness, cartilage resorption from a silicone foreign body reaction, rhinitis, and a deviated septum, silicone implant exchange was performed in conjunction with septal reconstruction using autologous rib cartilage and rhinitis surgery.

Performed or used in this surgery

How to correct a crooked nose and nostril asymmetry together — Before-and-after comparison
Before-and-after comparison

How to correct a crooked nose and nostril asymmetry together

This is a case of a crooked nose, nostril asymmetry, and depressive dimpling from scar adhesions following repeated surgeries and alar reduction. Nasal reconstruction using autologous rib cartilage and implant replacement were planned, and changes achieved through columellar repositioning and lower lateral cartilage rearrangement were documented.

Performed or used in this surgery

Correction methods addressing a small nose and nostril asymmetry together — Before-and-after comparison
Before-and-after comparison

Correction methods addressing a small nose and nostril asymmetry together

For a primary rhinoplasty patient presenting with a small nose, nostril asymmetry, and a retracted columella, we performed septal extension using septal cartilage and donor rib cartilage, dorsal hump reduction, dermal graft reinforcement, and silicone implant placement.

Performed or used in this surgery

Rhinoplasty approach considering proportion and height for a small nose — Before-and-after comparison
Before-and-after comparison

Rhinoplasty approach considering proportion and height for a small nose

This is a case of a male patient concerned with a small, short nose, a bulbous tip, and nasal obstruction. After checking the condition of the septal cartilage intraoperatively, autologous rib cartilage was used to shape the nasal tip, while a silicone implant and septal and inferior turbinate surgery were included in the surgical plan.

Performed or used in this surgery

Nasal structure and correction methods for a bulbous, widened nose — Before-and-after comparison
Before-and-after comparison

Nasal structure and correction methods for a bulbous, widened nose

A case involving bridge pain, implant mobility, and a bulbous tip from a silicone implant placed 20 years ago. The previous implant and granulation tissue were removed, followed by septal extension using autologous rib cartilage and placement of a new implant.

Performed or used in this surgery

Revision rhinoplasty method to correct both an upturned nose and a crooked nose — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty method to correct both an upturned nose and a crooked nose

This patient had an artificial appearance, an upturned nasal tip, and a crooked nose following previous surgeries with an L-shaped silicone implant and ear cartilage. Through a closed approach, autologous rib cartilage septal extension, silicone implant replacement, and rhinitis surgery were performed together.

Performed or used in this surgery

How to correct a wide nose and bulbous tip together — Before-and-after comparison
Before-and-after comparison

How to correct a wide nose and bulbous tip together

This is a case of a bulbous nose, dorsal hump, crooked nose, and rhinitis symptoms. Through a closed approach, septal extension using donor rib cartilage and septal cartilage, osteotomy, silicone implant placement, bulbous tip correction, and rhinitis surgery were performed concurrently.

Performed or used in this surgery

Revision rhinoplasty methods considering remaining tissue after alar reduction — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods considering remaining tissue after alar reduction

Pinched alae, nostril stenosis, and contracture deformity caused by excessive alar reduction were corrected using autologous rib cartilage septal reconstruction and composite skin-dermis grafting.

Performed or used in this surgery

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