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Pinched nose and alar retraction: assessing nostrils and surrounding tissue together

This is page 2 of case reports on pinched nose, alar retraction, and evaluating the nostrils alongside surrounding tissues. View surgical records and before-and-after photos for cases 19 to 36 of 56.

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Why the alae become pinched and the tip collapses after nasal tip inflammation, and methods for reconstruction — Before-and-after comparison
Before-and-after comparison

Why the alae become pinched and the tip collapses after nasal tip inflammation, and methods for reconstruction

A case of improving right alar pinching and depression caused by repeated surgeries and nasal tip inflammation using autologous rib cartilage septal reconstruction, nostril elongation, and a skin graft.

Preoperative condition · Postoperative record

Why the nose looks spread after nose filler without dissolving it, and how to create a slim line — Before-and-after comparison
Before-and-after comparison

Why the nose looks spread after nose filler without dissolving it, and how to create a slim line

For a nasal bridge that became wide and crooked after filler injections, accompanied by a dorsal hump and bulbous tip, a combined procedure was performed consisting of lateral osteotomy, tip elevation using autologous rib cartilage, hump rasping, nasal sill reduction, and rhinitis surgery.

Preoperative condition

Why the nasal bridge sinks and widens after implant removal, and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge sinks and widens after implant removal, and how to reconstruct it

Depression and widening of the nasal bridge, along with a crooked nose and bulbous tip that developed after implant removal, were refined through structural nasal reconstruction using autologous rib cartilage, nasal bridge augmentation with a silicone implant, tip refinement, and correction of the nasolabial angle.

Preoperative condition

Why the nose turns up, the columella retracts, and the tip looks pinched: how composite correction is performed — Before-and-after comparison
Before-and-after comparison

Why the nose turns up, the columella retracts, and the tip looks pinched: how composite correction is performed

For an upturned nose, retracted columella, pinched tip, and nostril asymmetry following repeated surgeries, columellar reconstruction, pinched tip correction, septoplasty, and submucosal resection of the inferior turbinate were performed.

Preoperative condition · Postoperative record

Why bulbous nose, short nose, and retracted columella appear together and how to build tip definition — Before-and-after comparison
Before-and-after comparison

Why bulbous nose, short nose, and retracted columella appear together and how to build tip definition

To correct a severe bulbous nose, short nose, and retracted columella, we performed anterior repositioning of the septal cartilage, septal extension using autologous rib cartilage, partial removal of soft tissue, and repositioning of the lower lateral cartilages.

Preoperative condition

Why nostril asymmetry and an upturned nose occur together, and how rib cartilage reconstruction works — Before-and-after comparison
Before-and-after comparison

Why nostril asymmetry and an upturned nose occur together, and how rib cartilage reconstruction works

A case correcting nostril asymmetry, columellar deviation, and an upturned nose following a previous surgery using lateral osteotomy and autologous rib cartilage septal extension, alongside functional improvement.

Preoperative condition

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.

Preoperative condition · Postoperative record

Why nostril stenosis develops after alar reduction and philtrum reduction, and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

Why nostril stenosis develops after alar reduction and philtrum reduction, and how to reconstruct it

To address left nostril stenosis and cartilage damage after alar reduction, septal and alar reconstruction using autologous rib cartilage was performed alongside an intranasal rotational flap.

Preoperative condition

Why Gore-Tex in the nasal tip causes issues and septal reconstruction using rib cartilage — Before-and-after comparison
Before-and-after comparison

Why Gore-Tex in the nasal tip causes issues and septal reconstruction using rib cartilage

A deviated nose, implant show-through, and pinched tip caused by silicone and nasal tip Gore-Tex were resolved by removing the Gore-Tex, reconstructing the septum with autologous rib cartilage, and correcting the nasolabial angle.

Preoperative condition · Postoperative record

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.

Preoperative condition

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.

Preoperative condition

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.

Preoperative condition

Why a thick columella and upturned nasal tip develop, and how autologous rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why a thick columella and upturned nasal tip develop, and how autologous rib cartilage reconstruction is performed

A case of an upturned nose with septal damage and contracture deformity from repeated surgeries, where the septum and lower lateral cartilages were reconstructed using autologous rib cartilage along with columellar width correction.

Preoperative condition · Postoperative record

How to replace absorbed donor rib cartilage with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

How to replace absorbed donor rib cartilage with autologous rib cartilage

For a patient whose nose became crooked and drooped due to partial resorption of previously placed donor rib cartilage, we removed the absorbed cartilage and performed septal reconstruction and deviated septum correction using autologous rib cartilage.

Preoperative condition · Postoperative record

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.

Preoperative condition · Postoperative record

How to reconstruct a pinched and upturned nose using autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

How to reconstruct a pinched and upturned nose using autologous rib cartilage

A case where an upturned nose, pinched alae, and a crooked nose resulting from multiple previous rhinoplasties were corrected with lateral osteotomy, septal reconstruction using autologous rib cartilage, and dermal grafting.

Preoperative condition · Postoperative record

How to correct a crooked nose and nostril asymmetry together — Before-and-after comparison
Before-and-after comparison

How to correct a crooked nose and nostril asymmetry together

This is a case of a crooked nose, nostril asymmetry, and depressive dimpling from scar adhesions following repeated surgeries and alar reduction. Nasal reconstruction using autologous rib cartilage and implant replacement were planned, and changes achieved through columellar repositioning and lower lateral cartilage rearrangement were documented.

Preoperative condition · Postoperative record

Revision rhinoplasty methods considering remaining tissue after alar reduction — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods considering remaining tissue after alar reduction

Pinched alae, nostril stenosis, and contracture deformity caused by excessive alar reduction were corrected using autologous rib cartilage septal reconstruction and composite skin-dermis grafting.

Preoperative condition · Postoperative record

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