In skin reinforcement cases, the internal cartilage framework of the nasal tip and the overlying soft tissue can be evaluated separately. Records document the use of artificial dermis and scar tissue to address cartilage show-through in thin skin, as well as reinforcing the nasal tip with autologous dermis harvested from behind the ear. Even within the same term "reinforcement," the actual tissue source varies.
Cases also include reinforcing nasal tip skin with dermis alongside repositioning the lower lateral cartilages and placing ear cartilage grafts. Because lateral osteotomy or columella correction may also be performed, the overall before-and-after changes cannot be attributed solely to skin reinforcement. We recommend distinguishing the thinned areas, visible structures, and additional cartilage work described in the original records.
View before-and-after cases ↓Comprehensive rhinoplasty guide
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
A case where a silicone implant became palpable, the nasal tip skin thinned, and asymmetry developed after a previous rhinoplasty. The implant was removed, the nasal tip and septum were reconstructed using sliced autologous rib cartilage, and artificial dermis was used for reinforcement.
Performed or used in this surgery
A primary rhinoplasty case involving a small, low nose and an upturned tip causing excessive nostril show. Using a closed approach, septal reconstruction with autologous rib cartilage, nasolabial angle correction, artificial dermis skin reinforcement, and a silicone implant were performed.
Performed or used in this surgery
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
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
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
A case where repeated surgeries and inflammation led to depressed nasal tip skin and implant show-through. The damaged skin was revised, dermal and cartilage grafts were placed, the septum was reinforced with autologous rib cartilage, and the implant was replaced.
Performed or used in this surgery
Implant show-through at the nasal tip and thinned skin were reinforced with donor dermis, and foreign substances were removed. The nasal tip was reconstructed using autologous rib cartilage, along with dragon nose correction and lateral osteotomy.
Performed or used in this surgery
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
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
Following previous surgeries and double-jaw surgery, an upturned nasal tip and nostril asymmetry were precisely corrected using donor rib cartilage septal reconstruction, lower lateral cartilage restoration, and a composite dermis-fat graft to the soft triangle.
Performed or used in this surgery
We removed previous foreign materials and implants, reconstructed the nasal tip using autologous rib cartilage, reinforced the thinned skin with autologous dermis, recarved a silicone implant, and performed fat grafting between the eyebrows.
Performed or used in this surgery
In a patient presenting with columellar retraction and a pinched right alar rim following rhinoplasty with silicone and donor rib cartilage, the existing materials were removed and reconstruction of the septum and alar cartilage was performed using autologous rib cartilage.
Performed or used in this surgery
A case of persistent nostril asymmetry and nasal valve stenosis after multiple surgeries, addressed by removing existing implants, performing septoplasty and turbinoplasty, and reconstructing the structure with rib cartilage and a skin graft.
Performed or used in this surgery
For a patient whose septum had collapsed after repeated surgeries, causing internal nasal valve stenosis and inferior turbinate adhesions, we performed septal reconstruction with autologous rib cartilage, osteotomy reversal, and adhesiolysis.
Performed or used in this surgery
Congenital asymmetry, along with a residual crooked nose and nostril asymmetry from a previous rhinoplasty, was stabilized using lower lateral cartilage reconstruction, internal nostril skin grafting (free composite graft), and septal reconstruction.
Performed or used in this surgery
Nostril asymmetry, over-osteotomy, and a collapsed septum resulting from prior alar reduction were corrected using a skin graft, osteotomy reversal, septal reinforcement with autologous rib cartilage, and rhinitis surgery.
Performed or used in this surgery
Following four prior rhinoplasties, septal and lower lateral cartilage defects and nasal bone erosion were addressed by treating a chronic foreign body reaction, performing total reconstruction with autologous rib cartilage, and placing a nostril skin graft.
Performed or used in this surgery
Please try searching with different keywords.
Scroll to keep reading
The records document surgeries using a combination of artificial dermis and scar tissue, as well as surgeries using autologous dermis harvested from behind the ear. In some cases, only "dermis" is noted, so they cannot all be assumed to be the same material. Checking whether the original text specifies the exact source and placement site helps clarify the differences among skin reinforcement methods.
One case describes reinforcing the nasal tip skin with dermis while repositioning the lower lateral cartilages and placing an ear cartilage graft at the nasal tip. This is a record of addressing both the overlying soft tissue and the underlying cartilage framework together. Other cases also involve columella correction and osteotomy, so it is helpful to distinguish each surgical step associated with the changes seen in the photos.
Read more records