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Thin tip skin and soft tissue reinforcement

This is page 3 of cases for thin nasal tip skin and soft tissue reinforcement. View surgical records and before-and-after photos for cases 37–54 out of 70.

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Why nasal bridge and tip show-through happens after old silicone rhinoplasty: dermal reinforcement and rib cartilage reconstruction — Before-and-after comparison
Before-and-after comparison

Why nasal bridge and tip show-through happens after old silicone rhinoplasty: dermal reinforcement and rib cartilage reconstruction

To resolve show-through of an L-shaped silicone implant and cartilage beneath thinned skin, we removed the previous silicone implant, reinforced the skin with dermis, adjusted the tip height, reconstructed the nasal tip with autologous rib cartilage, and replaced the implant with a new one.

Performed or used in this surgery

Why the nasal tip looks spread out and lacks dimension, and how bulbous nose correction is performed — Before-and-after comparison
Before-and-after comparison

Why the nasal tip looks spread out and lacks dimension, and how bulbous nose correction is performed

To improve a wide nasal bridge, a blunt nasal tip, nostril asymmetry, and nasal obstruction, partial removal of subcutaneous tissue, lower lateral cartilage repositioning, cartilage suturing, and nasal tip height adjustment were performed in stages.

Performed or used in this surgery

Why a crooked nose and irregular dorsum occur: implant removal and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why a crooked nose and irregular dorsum occur: implant removal and reconstruction methods

We removed the premaxillary ("cat") implant and irregularly placed ear cartilage from previous surgeries, then refined the crooked nose and radix line using a dermal graft, lateral osteotomy, and autologous rib cartilage septal extension.

Performed or used in this surgery

When a silicone implant is about to push through the nasal tip skin: why it happens and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

When a silicone implant is about to push through the nasal tip skin: why it happens and how to reconstruct it

In an urgent condition where the silicone implant was on the verge of extruding just beneath the nasal tip skin, the implant was removed, and nasal tip reconstruction with autologous rib cartilage and dermal graft reinforcement was performed.

Performed or used in this surgery

Why repeat rhinoplasty thins the nasal tip skin causing cartilage show-through, and how autologous dermis reinforcement helps — Before-and-after comparison
Before-and-after comparison

Why repeat rhinoplasty thins the nasal tip skin causing cartilage show-through, and how autologous dermis reinforcement helps

To resolve thinned nasal tip skin and cartilage show-through caused by repeated surgeries, retroauricular autologous dermis grafting, lateral osteotomy, and columellar elevation were performed.

Performed or used in this surgery

Why nostril asymmetry and stenosis occur, and how rib cartilage reconstruction and Z-plasty are performed — Before-and-after comparison
Before-and-after comparison

Why nostril asymmetry and stenosis occur, and how rib cartilage reconstruction and Z-plasty are performed

For nostril asymmetry and stenosis following alar and philtrum reduction, septal reconstruction and extension using autologous rib cartilage, Z-plasty, and dermal grafting were performed.

Performed or used in this surgery

Why nostrils become visible and nasal bridge volume is lost after multiple surgeries — Before-and-after comparison
Before-and-after comparison

Why nostrils become visible and nasal bridge volume is lost after multiple surgeries

A case of nasal reconstruction using recycled autologous rib cartilage combined with donor rib cartilage and skin grafts to correct an upturned nasal deformity and asymmetry caused by repeated surgeries.

Performed or used in this surgery

Nostril stenosis narrowing the nostrils after previous surgery: causes and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Nostril stenosis narrowing the nostrils after previous surgery: causes and reconstruction methods

A case of nostril stenosis and an upturned nose following previous surgeries, reconstructed using autologous rib cartilage instead of a silicone implant, along with skin grafting and lower lateral cartilage reconstruction.

Performed or used in this surgery

Why contracture and nasal obstruction develop together after multiple rhinoplasties, and how reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why contracture and nasal obstruction develop together after multiple rhinoplasties, and how reconstruction is performed

A case involving a patient who experienced septal cartilage damage, an upturned nasal tip, and severe nasal obstruction after 8 surgeries over 15 years, where the septum was reconstructed using autologous rib cartilage and reinforced with dermis.

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

Revision rhinoplasty approach addressing both a drooping tip and nasal obstruction — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty approach addressing both a drooping tip and nasal obstruction

For a drooping tip, dorsal depression, and nasal obstruction that developed after multiple surgeries, septal extension using donor rib cartilage, dermal grafting for the depressed area, and septoplasty were performed.

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

How to correct a sharp nasal tip and cartilage show-through — Before-and-after comparison
Before-and-after comparison

How to correct a sharp nasal tip and cartilage show-through

To address a sharp nasal tip and cartilage show-through following previous surgeries, the existing ear cartilage was removed, and donor rib cartilage alongside acellular dermal graft was used to reinforce the cartilage framework and overlying skin.

Performed or used in this surgery

Revision rhinoplasty approach addressing nostril stenosis, crooked nose, and nasal obstruction together — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty approach addressing nostril stenosis, crooked nose, and nasal obstruction together

Left nostril stenosis and nasal obstruction that developed after repeated surgeries were improved through scar tissue removal, skin grafting, Z-plasty, and septal reconstruction using autologous rib cartilage.

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

The structure and correction methods for a bifid (cleft) nasal tip — Before-and-after comparison
Before-and-after comparison

The structure and correction methods for a bifid (cleft) nasal tip

For a patient with a bulbous, bifid nasal tip due to thin skin and prominent cartilage, we performed septal extension, partial removal of subcutaneous tissue, dermal graft reinforcement with ear cartilage grafting, and lateral osteotomy through a closed approach.

Performed or used in this surgery

Revision rhinoplasty planning considering nasal tip skin condition and necrosis risk — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty planning considering nasal tip skin condition and necrosis risk

This is a case of septal damage, an upturned nose, and nasal tip skin depression after multiple previous surgeries. Using a closed approach to preserve blood supply, we performed septal reconstruction with autologous rib cartilage along with cartilage and dermal grafts.

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

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