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Tip reconstruction and support reinforcement cases

This is page 4 of cases for nasal tip reconstruction and structural support reinforcement. View surgical records and before-and-after photos for cases 55–72 out of 271.

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Why internal nasal structures collapse after multiple rhinoplasties and total reconstruction with rib cartilage — Before-and-after comparison
Before-and-after comparison

Why internal nasal structures collapse after multiple rhinoplasties and total reconstruction with rib cartilage

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

Why the nasal bridge looks wide and the tip looks bulbous: how osteotomy and autologous rib cartilage correction work — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge looks wide and the tip looks bulbous: how osteotomy and autologous rib cartilage correction work

A case of minimally correcting a deviated, small, and thin septum, then refining a wide nasal bridge and bulbous tip using lateral osteotomy, a custom-carved silicone implant, and autologous rib cartilage tip plasty.

Performed or used in this surgery

Noses with an arrow nose and bulbous tip: why we start with septal reconstruction — Before-and-after comparison
Before-and-after comparison

Noses with an arrow nose and bulbous tip: why we start with septal reconstruction

A clinical case in which a septum damaged from two previous surgeries and chronic nasal obstruction were restored using autologous rib cartilage reconstruction, septoplasty, rhinitis surgery, and bulbous tip correction.

Performed or used in this surgery

Why does the nose look crooked when the osteotomy site is over-resected? Nasal bone restoration and nasal tip reconstruction — Before-and-after comparison
Before-and-after comparison

Why does the nose look crooked when the osteotomy site is over-resected? Nasal bone restoration and nasal tip reconstruction

For a patient who developed an over-resected area and a crooked nose following a past osteotomy, we performed left nasal bone restoration, autologous rib cartilage septal extension, a customized silicone implant, and nasolabial angle correction.

Performed or used in this surgery

Contracted nose: How contracted tissue removal and autologous rib cartilage reconstruction are performed — Before-and-after comparison
Before-and-after comparison

Contracted nose: How contracted tissue removal and autologous rib cartilage reconstruction are performed

In a nose that became upturned and crooked due to contracture following implant surgery, fibrotic tissue was removed, the nasal tip was reconstructed with autologous rib cartilage, the columella was lowered, and the silicone implant was replaced.

Performed or used in this surgery

Why the nose flattens and widens after double-jaw surgery, and septal reconstruction — Before-and-after comparison
Before-and-after comparison

Why the nose flattens and widens after double-jaw surgery, and septal reconstruction

After double-jaw surgery weakened the septum, the nose became lower and wider; we reinforced it through septal reconstruction with autologous rib cartilage and completed a smooth profile using a customized silicone implant.

Performed or used in this surgery

Why nasal tip support weakens in an aged implant nose and septal extension reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why nasal tip support weakens in an aged implant nose and septal extension reconstruction methods

To reinforce nasal tip support weakened after a previous silicone and ear cartilage surgery, the silicone implant was customized and replaced, and a stable nasal line was established using septal extension with autologous rib cartilage.

Performed or used in this surgery

Why one nostril shows more from the front and how to reconstruct the nasal tip — Before-and-after comparison
Before-and-after comparison

Why one nostril shows more from the front and how to reconstruct the nasal tip

To correct nasal tip deformity and asymmetrical nostril show, the nasal tip was supported with donor rib cartilage and septal cartilage, accompanied by right alar rim lowering and a customized silicone implant placement.

Performed or used in this surgery

What sets the limit when you want a higher nasal bridge: 3D custom implant and autologous rib cartilage tip support — Before-and-after comparison
Before-and-after comparison

What sets the limit when you want a higher nasal bridge: 3D custom implant and autologous rib cartilage tip support

To improve the nasal bridge and glabella height in balance with prominent brow bones, the existing implant was removed, and a 3D custom implant, autologous rib cartilage tip support, and nasolabial angle correction were performed.

Performed or used in this surgery

Why Medpor causes loss of the anterior septum: removal and autologous rib cartilage reconstruction — Before-and-after comparison
Before-and-after comparison

Why Medpor causes loss of the anterior septum: removal and autologous rib cartilage reconstruction

In a nose where the anterior septum was severely damaged by Medpor, foreign materials were removed, and septal reconstruction using autologous rib cartilage, silicone implant replacement, nasal sill reduction, and functional nasal surgery were performed.

Performed or used in this surgery

How permanent filler alters the shape of the nose and reconstruction methods after removal — Before-and-after comparison
Before-and-after comparison

How permanent filler alters the shape of the nose and reconstruction methods after removal

After permanent filler injections left the nose crooked and bulbous, the filler was removed, and a refined line was created using autologous rib cartilage for nasal tip support, lateral osteotomy, and a customized silicone implant.

Performed or used in this surgery

Why a bulbous nose looks blunt and wide, and how to create tip definition — Before-and-after comparison
Before-and-after comparison

Why a bulbous nose looks blunt and wide, and how to create tip definition

For a blunt, wide bulbous nose and drooping tip following nasal filler injections, we performed filler removal, created a tip support structure using autologous rib cartilage, reinforced the septum, and thinned the skin.

Performed or used in this surgery

Why the columella looks long and how to reposition the nasal tip cartilage — Before-and-after comparison
Before-and-after comparison

Why the columella looks long and how to reposition the nasal tip cartilage

Following prior surgery with a silicone implant and ear cartilage, the patient presented with a long, drooping columella and a crooked nose. The ear cartilage was replaced with autologous rib cartilage, the nasolabial angle was adjusted, and septal correction was performed.

Performed or used in this surgery

Why an upturned nose and unilaterally pinched nostril occur, and how implant-free reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why an upturned nose and unilaterally pinched nostril occur, and how implant-free reconstruction is performed

An upturned nose and pinched nostril caused by multiple prior surgeries were corrected after removing artificial dermis, performing implant-free bridge augmentation with donor rib cartilage and septal cartilage, and using a skin-cartilage composite graft on the right nostril.

Performed or used in this surgery

How to correct a small, drooping nose accompanied by nasal obstruction — Before-and-after comparison
Before-and-after comparison

How to correct a small, drooping nose accompanied by nasal obstruction

To improve a small, drooping nose along with nasal obstruction from a deviated septum and rhinitis, autologous rib cartilage was used to firmly elevate the nasal tip, adjust the nasolabial angle, and correct the septum and inferior turbinates at the same time.

Performed or used in this surgery

Why a septum collapsing to one side causes a crooked nose and blocked breathing, and how to reconstruct it with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why a septum collapsing to one side causes a crooked nose and blocked breathing, and how to reconstruct it with autologous rib cartilage

After two prior surgeries, a septum collapsed to the right, a depressed alar wing, and a mucosal defect were corrected through autologous rib cartilage septal reconstruction, perichondrium grafting, and re-carving of the silicone implant.

Performed or used in this surgery

Why nasal tip cartilage shows through the skin and how dermis grafting reinforces it — Before-and-after comparison
Before-and-after comparison

Why nasal tip cartilage shows through the skin and how dermis grafting reinforces it

For a nose showing cartilage show-through through thinned skin, a widened nasal bridge, and nasal obstruction 7 years after surgery, autologous dermis reinforcement, autologous rib cartilage tip plasty, lateral osteotomy, and septoplasty were performed.

Performed or used in this surgery

Changes caused by semi-permanent bridge filler and septal reconstruction after removal — Before-and-after comparison
Before-and-after comparison

Changes caused by semi-permanent bridge filler and septal reconstruction after removal

For Artecoll semi-permanent filler on the nasal bridge, a damaged septum, an upturned nasal tip, and nostril asymmetry, foreign material was completely removed, followed by septal reconstruction using autologous rib cartilage and alar rim lowering.

Performed or used in this surgery

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