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Lowering the columella and columellar correction cases

This is page 4 of cases on lowering the columella and columellar correction. View surgical records 55–72 of 82 and their before-and-after photos.

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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

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

Correction method for a small, upturned nose considering the nasolabial angle and nasal function — Before-and-after comparison
Before-and-after comparison

Correction method for a small, upturned nose considering the nasolabial angle and nasal function

To correct nasal obstruction along with an upturned nose, short nose, and low glabella, septoplasty, submucosal resection of the inferior turbinate, autologous rib cartilage septal extension, and lateral osteotomy were performed using a closed approach.

Performed or used in this surgery

How to plan bulbous nose correction together with lowering the columella — Before-and-after comparison
Before-and-after comparison

How to plan bulbous nose correction together with lowering the columella

To correct snoring, a retracted columella, a crooked nose, and a bulbous nose, residual bridge filler was removed, and septal extension with autologous rib cartilage, lowering the columella, and septoplasty and inferior turbinate surgery were performed through a closed approach.

Performed or used in this surgery

Rhinoplasty approach examining the structure of a bulbous nasal tip — Before-and-after comparison
Before-and-after comparison

Rhinoplasty approach examining the structure of a bulbous nasal tip

In a patient presenting with a bulbous, drooping tip and symptoms of a deviated septum after previous rhinoplasty, septal reconstruction with autologous rib cartilage, lateral osteotomy, and turbinoplasty were performed via a closed approach.

Performed or used in this surgery

How to plan filler removal and correction for a small, upturned nose — Before-and-after comparison
Before-and-after comparison

How to plan filler removal and correction for a small, upturned nose

To correct nostril show and a short, upturned nasal tip after filler injection, the undissolved filler was surgically removed, followed by closed septal extension with autologous rib cartilage and lowering of the columella.

Performed or used in this surgery

Revision rhinoplasty methods for a contracted nose and retracted columella — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for a contracted nose and retracted columella

To correct an upturned nose, retracted columella, and nasal obstruction caused by contracture after multiple surgeries, stem cell therapy was performed followed by closed septal reconstruction using autologous rib cartilage, lowering the columella, and osteotomy.

Performed or used in this surgery

How to correct contracture deformity after multiple rhinoplasties — Before-and-after comparison
Before-and-after comparison

How to correct contracture deformity after multiple rhinoplasties

To improve an upturned nose and cartilage damage resulting from contracture after implant inflammation, stem cell therapy was performed, followed by closed septal reconstruction with autologous rib cartilage, removal of dorsal fibrous tissue, and partial use of a silicone implant.

Performed or used in this surgery

Reconstruction method for an upturned and crooked nose after repeated surgeries — Before-and-after comparison
Before-and-after comparison

Reconstruction method for an upturned and crooked nose after repeated surgeries

Following multiple rhinoplasties, the patient presented with an upturned nasal tip, septal damage, protruding columellar cartilage, and nasal obstruction. Tip reconstruction using autologous rib cartilage, septoplasty, and submucosal resection of the inferior turbinate were performed through a closed approach.

Performed or used in this surgery

Correction methods for a retracted columella, bulbous nose, and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Correction methods for a retracted columella, bulbous nose, and nostril asymmetry

A case correcting a retracted columella, bulbous nose, and nostril asymmetry after three prior surgeries. Through a closed approach, septal reconstruction and extension were performed using autologous cartilage, elevating and lowering the retracted columella.

Performed or used in this surgery

Methods for correcting a short and upturned nose — Before-and-after comparison
Before-and-after comparison

Methods for correcting a short and upturned nose

A case of improving a short, upturned nose and a retracted columella accompanied by facial asymmetry. Using a closed approach, septal extension and reconstruction were performed using autologous rib cartilage, and the positions of the nasal tip and implant were adjusted to improve symmetry.

Performed or used in this surgery

Rhinoplasty method after foreign material (mesh and thread) removal — Before-and-after comparison
Before-and-after comparison

Rhinoplasty method after foreign material (mesh and thread) removal

A case of a patient who presented with a crooked nasal bridge, dorsal hump, and high radix after previous surgery using mesh and threads. Through a closed approach, the foreign materials were removed, and lateral osteotomy along with autologous rib cartilage reconstruction of the nasal tip and bridge was performed.

Performed or used in this surgery

Surgical approach for nasal obstruction, a drooping tip, and lowering the columella — Before-and-after comparison
Before-and-after comparison

Surgical approach for nasal obstruction, a drooping tip, and lowering the columella

Right-sided nasal obstruction, a drooping nasal tip, and a retracted columella following two previous surgeries were addressed using autologous rib cartilage septal extension, implant replacement, and mucosal adhesiolysis.

Performed or used in this surgery

Correction methods for a bulbous, deviated, and upturned nose — Before-and-after comparison
Before-and-after comparison

Correction methods for a bulbous, deviated, and upturned nose

A high radix, bulbous nose, deviated nose, and upturned nose were corrected via a closed approach using autologous rib cartilage septal extension, septoplasty, lowering of the radix, and nasolabial angle adjustment.

Performed or used in this surgery

Bulbous nose correction and lowering the columella — Before-and-after comparison
Before-and-after comparison

Bulbous nose correction and lowering the columella

To improve a retracted columella and a bulbous nose resulting from past alar reduction, filler on the nasal bridge was removed, and autologous rib cartilage was used for septal extension, lowering the columella, and nasolabial angle correction.

Performed or used in this surgery

Rhinoplasty methods following foreign material removal — Before-and-after comparison
Before-and-after comparison

Rhinoplasty methods following foreign material removal

Through a closed approach, complex filler and thread foreign materials accumulated over a prolonged period were removed, and the nasal structure was corrected using autologous rib cartilage for tip reconstruction, lateral osteotomy, and lowering the columella.

Performed or used in this surgery

Custom rhinoplasty method for replacing an unnatural silicone implant — Before-and-after comparison
Before-and-after comparison

Custom rhinoplasty method for replacing an unnatural silicone implant

With an unnatural implant outline and a crooked nose, the existing implant was removed and replaced with a wider implant, while autologous rib cartilage was used to lower the columella alongside osteotomy.

Performed or used in this surgery

Revision rhinoplasty for silicone implant side effects and a wide nose — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty for silicone implant side effects and a wide nose

The existing silicone implant extending to the nasal tip was removed, the thinned tip skin was reinforced, and the profile was improved into a masculine straight line through autologous rib cartilage reconstruction and dorsal silicone replacement.

Performed or used in this surgery

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