This is page 2 of case reports on short or retracted columella, evaluated from the profile and nostril view. View surgical records and before-and-after photos for cases 19 to 36 of 90.
View before-and-after cases ↓Comprehensive rhinoplasty guide
To resolve persistent nasal obstruction, a crooked nose, and a retracted columella following a prior surgery, complete reconstruction using autologous rib cartilage and septoplasty were performed.
Preoperative condition · Postoperative record
We removed an old paranasal implant that had migrated into the nasal cavity and obstructed breathing, and completely reconstructed the damaged septum and lower lateral cartilages using autologous rib cartilage, improving both breathing function and nasal appearance.
Preoperative condition · Postoperative record
In a patient whose septal cartilage had been excessively harvested during previous surgeries, leading to a shortened nasal tip and nostril asymmetry, the septum was solidly reconstructed using autologous rib cartilage to restore nasal length.
Preoperative condition · Postoperative record
For a drooping tip and retracted columella caused by septal cartilage damage following previous surgery with autologous rib cartilage and a silicone implant, the septum was reconstructed using autologous rib cartilage, the columella was restored, and the nasolabial angle was corrected.
Preoperative condition · Postoperative record
For a patient presenting with visible nasal tip cartilage and an upturned nose following previous surgery with a silicone implant and ear cartilage, we performed silicone implant removal, septal extension using autologous rib cartilage, fat grafting, and skin reinforcement with donor dermis.
Preoperative condition · Postoperative record
Columellar retraction and bulbous tip deformity after previous dorsal hump reduction and osteotomy were corrected through septal extension with autologous rib cartilage, columellar cartilage grafting, and lateral osteotomies.
Preoperative condition · Postoperative record
A wide, blunt nasal bridge, drooping nasal tip, and retracted columella were corrected into a slim, three-dimensional profile using septal extension with autologous rib cartilage, nasolabial angle correction, and nostril sill reduction.
Preoperative condition · Postoperative record
A case where an upturned nose and a retracted columella caused by cartilage loss from previous surgeries were naturally restored using autologous rib cartilage for lower lateral cartilage reconstruction and septal extension.
Preoperative condition · Postoperative record
To correct a traumatic nasal bone fracture and a deviated nasal tip, closed reduction and autologous rib cartilage septal extension were performed without an implant, with plans to adjust the nasal bridge height after an observation period.
Preoperative condition
A case correcting a pinched nose caused by Medpor discovered after three surgeries and cartilage defects, through foreign material removal and full reconstruction of the alar cartilages and septum using autologous rib cartilage.
Preoperative condition · Postoperative record
A case where a bulbous nasal tip, drooping arrow nose, and weakened septum—occurring after alar reduction and implant surgery 12 years prior—were corrected through septal reconstruction with autologous rib cartilage, nasal shortening, and septoplasty.
Preoperative condition
A case where a septum weakened by excessive harvest was reinforced with autologous rib cartilage, and the nasal structure was reconstructed without artificial implants using lateral osteotomy along with diced cartilage and dermis grafts.
Preoperative condition · Postoperative record
A case where purulent foreign material injected into the nasal bridge during an illegal procedure was removed, contracted skin was released, and an upturned nasal tip and bridge line were reconstructed using autologous rib cartilage and a silicone implant.
Preoperative condition · Postoperative record
A case where nasal bridge depression caused by skin necrosis and severe septal damage were improved with septal reconstruction using autologous rib cartilage, cartilage and acellular dermal matrix grafts, and submucosal resection of the inferior turbinate.
Preoperative condition · Postoperative record
A case where a septum damaged after two-jaw surgery was reconstructed with autologous rib cartilage, combined with lateral osteotomy and columella lowering, improving a crooked nose and bulbous tip.
Preoperative condition · Postoperative record
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
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 · Postoperative record
Upturned nostrils and implant show-through following Silitex insertion were improved by completely removing the implant, elevating the nasal tip with autologous rib cartilage, replacing the bridge implant with silicone, and performing facial fat grafting.
Preoperative condition
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