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Septal correction and rhinoplasty with nasal obstruction

In septal correction cases, you can separately evaluate the visible nasal line and the internal breathing records. Some cases cover cosmetic rhinoplasty combined with septal correction, while others document septal correction combined with inferior turbinate reduction. Surgical plans addressing nasal obstruction are not limited to a single procedure.

Which side of the nose had breathing discomfort before surgery, which areas were actually corrected, and how symptoms were documented afterward are all distinct pieces of information. While photos show external changes, details regarding breathing must be confirmed through the descriptions in the text. Reviewing the functional surgeries performed alongside septal correction allows for a more detailed comparison between cases.

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Why an L-shaped silicone implant gradually causes the nasal tip to become upturned: removal and reconstruction — Before-and-after comparison
Before-and-after comparison

Why an L-shaped silicone implant gradually causes the nasal tip to become upturned: removal and reconstruction

A case where an L-shaped implant placed about 10 years ago caused skin thinning and an upturned nasal tip. The L-shaped silicone implant was removed, and nasal tip reconstruction with autologous rib cartilage, septal correction, and dermal tissue reinforcement were performed.

Performed or used in this surgery

Why noses deviate and bulbous tips persist after double jaw surgery, and how rib cartilage septal reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why noses deviate and bulbous tips persist after double jaw surgery, and how rib cartilage septal reconstruction is performed

This is a case of septal damage, a deviated nasal bridge, a bulbous nose, and nasal obstruction following double jaw surgery and two prior rhinoplasties. Autologous rib cartilage septal reconstruction, cartilage repositioning, lateral osteotomy, and functional nasal surgery were performed.

Performed or used in this surgery

Why a high radix makes the nose look long and overly prominent — Before-and-after comparison
Before-and-after comparison

Why a high radix makes the nose look long and overly prominent

Following prior surgeries, a bulbous and drooping long nose with an excessively high radix and nasal obstruction was corrected using a closed approach. Scar tissue debridement, osteotomy, nasolabial angle correction, and septoplasty were performed concurrently.

Performed or used in this surgery

Why mesh remaining in the septum causes an upturned nose, and reconstruction after removal — Before-and-after comparison
Before-and-after comparison

Why mesh remaining in the septum causes an upturned nose, and reconstruction after removal

This is a case where mesh left in the septum after previous surgeries resulted in an upturned nose and excessive nostril show. All foreign material was removed, followed by septal reconstruction using autologous rib cartilage, replacement of the silicone implant, and reinforcement of the skin with acellular dermal matrix.

Performed or used in this surgery

Why noses become short and upturned after multiple revision surgeries, and methods for reconstruction — Before-and-after comparison
Before-and-after comparison

Why noses become short and upturned after multiple revision surgeries, and methods for reconstruction

A case correcting an upturned nasal tip caused by loss of the septum from repeated revision surgeries. Autologous rib cartilage septal reconstruction, nasal mucosal advancement flap, silicone implant adjustment, and rhinitis surgery were performed concurrently.

Performed or used in this surgery

Why the nasal tip can look bulbous and crooked after rhinoplasty with ear cartilage — Before-and-after comparison
Before-and-after comparison

Why the nasal tip can look bulbous and crooked after rhinoplasty with ear cartilage

This is a revision rhinoplasty case where the patient experienced a drooping tip, a deviated septum, and nasal obstruction after previous surgery. The septum was reconstructed using autologous rib cartilage, and silicone implant replacement along with rhinitis surgery was performed using a closed approach.

Performed or used in this surgery

Why a operated nose deviates and nostrils become asymmetric after physical trauma, and how septal reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why a operated nose deviates and nostrils become asymmetric after physical trauma, and how septal reconstruction is performed

A case where post-surgical trauma caused a septal tear, resulting in a crooked nose and nostril asymmetry. Septal reconstruction was performed using autologous rib cartilage, along with realigning the columellar central axis and replacing the implant.

Performed or used in this surgery

Why the nasal tip elongates and droops years after rhinoplasty, and how to correct it — Before-and-after comparison
Before-and-after comparison

Why the nasal tip elongates and droops years after rhinoplasty, and how to correct it

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.

Performed or used in this surgery

Why a nose looks more crooked with facial asymmetry and how to correct it — Before-and-after comparison
Before-and-after comparison

Why a nose looks more crooked with facial asymmetry and how to correct it

Residual facial asymmetry and a deviated septum following double jaw surgery were corrected using autologous rib cartilage reconstruction. Lateral osteotomy, precision carving of a silicone implant, and rhinitis surgery were performed concurrently.

Performed or used in this surgery

Why the nasal tip deviates to one side after rhinoplasty and methods for reconstructing its support structure — Before-and-after comparison
Before-and-after comparison

Why the nasal tip deviates to one side after rhinoplasty and methods for reconstructing its support structure

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.

Performed or used in this surgery

Why the nose looks long and the nostrils look pinched after multiple rhinoplasties — Before-and-after comparison
Before-and-after comparison

Why the nose looks long and the nostrils look pinched after multiple rhinoplasties

Lost lower lateral cartilage was reconstructed using autologous rib cartilage, and asymmetric, pinched nostrils were corrected. By lowering the radix, the appearance of a long nose was reduced, and surgery for rhinitis and nasal valve stenosis was performed concurrently.

Performed or used in this surgery

Why contracture remains in multiply operated noses: Reconstructing the columella and support framework — Before-and-after comparison
Before-and-after comparison

Why contracture remains in multiply operated noses: Reconstructing the columella and support framework

Contracture and septal defect resulting from repeated surgeries were reconstructed using autologous rib cartilage. For the retracted columella, retroauricular free skin flap grafting and perichondrium grafting were performed to restore its shape.

Performed or used in this surgery

Nasal obstruction from a severely deviated septum: why cartilage reconstruction is necessary — Before-and-after comparison
Before-and-after comparison

Nasal obstruction from a severely deviated septum: why cartilage reconstruction is necessary

In a primary rhinoplasty patient, a severely deviated septum was reconstructed using autologous rib cartilage, and hypertrophied inferior turbinates were reduced. Dermis was grafted into the depressed alar region, and the nasolabial angle was adjusted.

Performed or used in this surgery

Why a dorsal hump looks prominent and how to correct it along with the nasal tip — Before-and-after comparison
Before-and-after comparison

Why a dorsal hump looks prominent and how to correct it along with the nasal tip

Previously injected nasal filler was removed, the protruding dorsal hump was rasped, and lateral osteotomies were performed. The blunt nasal tip was elevated using autologous rib cartilage, and both the nasolabial angle and septum were corrected.

Performed or used in this surgery

Why nostrils become asymmetrical and the nose looks crooked, and how rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why nostrils become asymmetrical and the nose looks crooked, and how rib cartilage reconstruction is performed

Nostril asymmetry caused by a tilted columellar axis and loss of alar cartilage after Gore-Tex insertion was corrected through Gore-Tex removal, autologous rib cartilage alar reconstruction, and septoplasty.

Performed or used in this surgery

Why a multiply operated nose deviates and develops a widened tip, and how cartilage is reconstructed — Before-and-after comparison
Before-and-after comparison

Why a multiply operated nose deviates and develops a widened tip, and how cartilage is reconstructed

Following three prior procedures, a deviated nose caused by septal damage and a missing right lower lateral cartilage was restored through autologous rib cartilage structural reconstruction, silicone implant replacement, nasolabial angle correction, and rhinitis surgery.

Performed or used in this surgery

Why an upturned tip makes the mouth look more protruding and how to correct it — Before-and-after comparison
Before-and-after comparison

Why an upturned tip makes the mouth look more protruding and how to correct it

A bulbous, upturned nasal tip, the appearance of a protruding mouth, and nasal obstruction were addressed by removing columellar filler, reinforcing the nasal tip with autologous rib cartilage, placing a customized silicone implant, adjusting the nasolabial angle, and correcting a deviated septum.

Performed or used in this surgery

Why the nasal bridge becomes uneven after rhinoplasty, and how septal reconstruction using rib cartilage is performed — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge becomes uneven after rhinoplasty, and how septal reconstruction using rib cartilage is performed

An uneven nasal bridge, damaged septal cartilage, and nasal obstruction were corrected by removing the existing silicone implant and filler, followed by autologous rib cartilage reconstruction, re-insertion of a customized silicone implant, and septoplasty with inferior turbinoplasty.

Performed or used in this surgery

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Common questions before reading the cases

Are there cases where septal correction and inferior turbinate surgery were performed together?

There are cases documenting that septal correction and inferior turbinate reduction were performed together to address nasal obstruction. These records detail functional surgery performed simultaneously with external correction. Even among cases addressing nasal obstruction, some focus solely on the septum while others combine different procedures, making it important to review the specific list of surgeries performed.

Can improvement in nasal obstruction be determined from before-and-after photos alone?

Changes in nasal obstruction and breathing cannot be judged solely by external appearance in photos; they should be read alongside the original descriptions of symptoms, surgical details, and clinical progress. While this collection includes records noting improved breathing function, the surgical plan varies for each patient. Changes in front or profile photos and the functional observations documented in the text should be viewed as distinct information.

Related topics to explore

Deviated septumNasal obstruction / breathing discomfortInferior turbinate surgeryNasal valve reconstruction / expansion

Surgical records referenced in this guide

  • Surgical techniques for correcting a dorsal hump, crooked nose, bulbous tip, and nostril asymmetry
  • Correcting asymmetry and function in a small, upturned nose with thin skin
  • How to balance the nasal bridge and tip when a dorsal hump and drooping tip coexist
Original article

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