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

This is page 3 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 37 to 54 of 56.

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Correction approach considering a wide nose and midface proportions — Before-and-after comparison
Before-and-after comparison

Correction approach considering a wide nose and midface proportions

A high radix, visible thin implant show-through, and a drooping tip were corrected using autologous rib cartilage for septal reconstruction and extension, silicone implant replacement, and alar rim grafts.

Preoperative condition · Postoperative record

Methods for correcting nasal deformities associated with cleft lip and palate — Before-and-after comparison
Before-and-after comparison

Methods for correcting nasal deformities associated with cleft lip and palate

A case in which asymmetry, a right maxillary bone defect, and nostril floor depression resulting from cleft lip and palate were corrected by reconstructing the septum and lower lateral cartilage and augmenting the nasal floor bone using autologous rib cartilage.

Preoperative condition

Revision rhinoplasty methods for a contracted nose and retracted columella — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for a contracted nose and retracted columella

To correct an upturned nose, retracted columella, and nasal obstruction caused by contracture after multiple surgeries, stem cell therapy was performed followed by closed septal reconstruction using autologous rib cartilage, lowering the columella, and osteotomy.

Preoperative condition · Postoperative record

Nasal structures and reconstruction methods for a contracted nose after repeated surgeries — Before-and-after comparison
Before-and-after comparison

Nasal structures and reconstruction methods for a contracted nose after repeated surgeries

Following a history of 6 surgeries with cartilage resorption, contracture, and columellar retraction, the structure was corrected through total septal reconstruction using fresh autologous rib cartilage.

Preoperative condition · Postoperative record

How to correct an upturned nose and nostril show together — Before-and-after comparison
Before-and-after comparison

How to correct an upturned nose and nostril show together

To correct an upturned nose, nostril show, and pinched alae resulting from multiple previous surgeries, I reconstructed the damaged septum and lower lateral cartilages using autologous rib cartilage, and performed nostril lowering and osteotomy through a closed approach.

Preoperative condition · Postoperative record

Correction methods for a retracted columella, bulbous nose, and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Correction methods for a retracted columella, bulbous nose, and nostril asymmetry

A case correcting a retracted columella, bulbous nose, and nostril asymmetry after three prior surgeries. Through a closed approach, septal reconstruction and extension were performed using autologous cartilage, elevating and lowering the retracted columella.

Preoperative condition

Correcting asymmetry and function in a small, upturned nose with thin skin — Before-and-after comparison
Before-and-after comparison

Correcting asymmetry and function in a small, upturned nose with thin skin

This is a revision case involving thin skin, an upturned nose, and nostril asymmetry following a prior surgery. The septum was reconstructed using autologous rib cartilage, combined with artificial dermis reinforcement, alar rim elongation, and septoplasty.

Preoperative condition

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

How to correct a pinched nose and nostril asymmetry

A case correcting pinched alae, an upturned nose, and nostril asymmetry following previous surgeries. Using a closed approach, septal reconstruction with autologous rib cartilage, lower lateral cartilage reconstruction, alar rim grafting (lowering the alar rim), and dermis grafting were performed.

Preoperative condition · Postoperative record

How to correct a crooked nose and a bulbous, drooping nasal tip — Before-and-after comparison
Before-and-after comparison

How to correct a crooked nose and a bulbous, drooping nasal tip

A crooked nose with a drooping, bulbous tip and a high radix following multiple surgeries was corrected using autologous rib cartilage septal reconstruction and extension, radix lowering, and rhinitis surgery.

Preoperative condition · Postoperative record

Revision rhinoplasty methods for correcting a short, upturned nose — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for correcting a short, upturned nose

Nasal obstruction, a pinched look, and an upturned nose that developed after ear cartilage suturing and filler injection were corrected with foreign material removal, autologous rib cartilage septal extension, and cartilage repositioning.

Preoperative condition · Postoperative record

A staged correction method for a severely upturned contracted nose — Before-and-after comparison
Before-and-after comparison

A staged correction method for a severely upturned contracted nose

After total removal of implants due to inflammation left a severely upturned contracted nose, the septum and lower lateral cartilage were reconstructed using autologous rib cartilage and the skin was stretched via a closed approach.

Preoperative condition · Postoperative record

Revision rhinoplasty methods for alar and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for alar and nostril asymmetry

Alar and nostril asymmetry and tip drooping after three prior surgeries were corrected via a closed approach using autologous rib cartilage septal reconstruction, septal extension, and septoplasty.

Preoperative condition · Postoperative record

Custom rhinoplasty method for replacing an unnatural silicone implant — Before-and-after comparison
Before-and-after comparison

Custom rhinoplasty method for replacing an unnatural silicone implant

With an unnatural implant outline and a crooked nose, the existing implant was removed and replaced with a wider implant, while autologous rib cartilage was used to lower the columella alongside osteotomy.

Preoperative condition

How to correct nasal obstruction and a wide, spread-out nose — Before-and-after comparison
Before-and-after comparison

How to correct nasal obstruction and a wide, spread-out nose

This is a case where mucosal adhesion, septal deviation, and tip deformity were identified following previous surgeries. We planned support reinforcement using autologous rib cartilage along with functional surgery, and recorded the postoperative changes in columellar and nostril asymmetry.

Preoperative condition

How to correct a bulbous, drooping nose — Before-and-after comparison
Before-and-after comparison

How to correct a bulbous, drooping nose

For a drooping, bulbous nose caused by glabella filler and bony asymmetry, the filler was removed, and refinement was achieved through lateral osteotomy, septal extension, and a thin silicone implant.

Preoperative condition

How to lower the radix and columella together — Before-and-after comparison
Before-and-after comparison

How to lower the radix and columella together

This is a case of a patient who visited the clinic to improve a high radix and the shape of the nasal tip and columella. We planned to adjust both the radix and nasal tip, and documented the changes in the columellar line and nostril asymmetry after surgery.

Preoperative condition · Postoperative record

How to plan nostril lowering (alar rim grafting) in an upturned nose — Before-and-after comparison
Before-and-after comparison

How to plan nostril lowering (alar rim grafting) in an upturned nose

A case where a septum weakened by previous surgery was reinforced with donor rib cartilage, and nostril lowering was performed using an ear cartilage graft and lower lateral cartilage repositioning. The existing autologous gluteal dermis was reused at the nasal tip, and functional surgery for nasal obstruction was performed simultaneously.

Preoperative condition

Is it possible to correct a philtrum reduction and remove autologous dermis? — Before-and-after comparison
Before-and-after comparison

Is it possible to correct a philtrum reduction and remove autologous dermis?

Nostril asymmetry, a crooked nose, and nasal bone defects that developed after a previous philtrum reduction and rhinoplasty were reconstructed using lateral osteotomy restoration, autologous rib cartilage, and a rotation flap.

Preoperative condition

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