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Short or retracted columella: evaluating from profile and nostril views

This is page 3 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 37 to 54 of 90.

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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

Structure and correction methods for a short and upturned nose — Before-and-after comparison
Before-and-after comparison

Structure and correction methods for a short and upturned nose

This case involved a small, upturned nasal tip, excessive nostril show, and rhinitis. Using partially calcified autologous rib cartilage, we performed septal extension, submucosal resection of the inferior turbinates, and nasolabial angle correction.

Preoperative condition · Postoperative record

Rhinoplasty and chin augmentation considering facial proportions — Before-and-after comparison
Before-and-after comparison

Rhinoplasty and chin augmentation considering facial proportions

For a bulbous nasal tip, retracted columella, and a receding chin, septal extension using septal cartilage and donor rib cartilage was combined with a chin implant to refine the facial profile.

Preoperative condition

Correction approach considering height and proportions for a small nose — Before-and-after comparison
Before-and-after comparison

Correction approach considering height and proportions for a small nose

For a small, upturned nose with a wide tip, foreign material from nasal bridge filler was removed, followed by lateral osteotomy, silicone implant placement, lowering the columella, and nasolabial angle correction.

Preoperative condition

Examining the causes of a contracted nose and methods for reconstruction — Before-and-after comparison
Before-and-after comparison

Examining the causes of a contracted nose and methods for reconstruction

For a contracted nose and septal damage following repeated surgeries and implant removal, we reconstructed the septum using autologous rib cartilage while correcting the upturned tip and rhinitis.

Preoperative condition

Remaining structures and reconstruction methods after alar reduction — Before-and-after comparison
Before-and-after comparison

Remaining structures and reconstruction methods after alar reduction

Nostril asymmetry, a bulbous nasal tip, and nasal obstruction caused by excessive alar reduction were improved by combining autologous rib cartilage septal extension, alar reconstruction, and rhinitis surgery.

Preoperative condition

How to remove embedded lifting threads from the nose and reconstruct the nasal structure — Before-and-after comparison
Before-and-after comparison

How to remove embedded lifting threads from the nose and reconstruct the nasal structure

After completely removing 20 to 30 remaining threads inserted during oriental clinic thread-lifting procedures, the nasal line was improved by combining nasal tip correction using septal cartilage and donor rib cartilage with rhinitis surgery.

Preoperative condition · Postoperative record

Reconstruction methods for an upturned nose and damaged support structures — Before-and-after comparison
Before-and-after comparison

Reconstruction methods for an upturned nose and damaged support structures

An upturned nose accompanied by loss of the septum and damage to the lower lateral cartilages from excessive cartilage harvesting was restored through septal reconstruction with autologous rib cartilage and alar cartilage reconstruction using the previous ear cartilage.

Preoperative condition

How to correct a crooked nose, nasal obstruction, and nasal tip structure together — Before-and-after comparison
Before-and-after comparison

How to correct a crooked nose, nasal obstruction, and nasal tip structure together

A damaged septum, crooked nose, and nasal obstruction from previous surgery were corrected structurally and functionally using autologous rib cartilage septal reconstruction, septal extension grafting, and rhinitis surgery.

Preoperative condition · Postoperative record

How the septum is reconstructed in revision rhinoplasty — Before-and-after comparison
Before-and-after comparison

How the septum is reconstructed in revision rhinoplasty

In a patient presenting with septal damage, a crooked nose, and breathing difficulties following two-jaw surgery and filler procedures, residual filler was removed, autologous rib cartilage septal reconstruction was performed, and rhinitis surgery was carried out.

Preoperative condition

How to plan lowering the columella and nasolabial angle correction together — Before-and-after comparison
Before-and-after comparison

How to plan lowering the columella and nasolabial angle correction together

A case correcting an upturned nasal tip, retracted columella, and nostril show using autologous rib cartilage nasal reconstruction, columellar lowering, nasolabial angle correction, septal surgery, and inferior turbinate surgery.

Preoperative condition · Postoperative record

Anatomy and correction methods for wide and bulbous noses — Before-and-after comparison
Before-and-after comparison

Anatomy and correction methods for wide and bulbous noses

A blunt, wide nasal tip, a crooked nasal bridge, and nasal obstruction from rhinitis were corrected with lateral osteotomy, autologous rib cartilage septal extension, septoplasty, and inferior turbinate resection.

Preoperative condition · Postoperative record

How to plan nasal filler removal and nasal obstruction correction — Before-and-after comparison
Before-and-after comparison

How to plan nasal filler removal and nasal obstruction correction

This is a case of a patient who visited our clinic presenting with a blunt, widened nose and intermittent nasal obstruction after nasal filler treatment. Filler removal and nasal tip correction using autologous rib cartilage were performed, and functional surgery for the septum and inferior turbinates was planned.

Preoperative condition

Surgical planning that examines both the desired nasal shape and current anatomy — Before-and-after comparison
Before-and-after comparison

Surgical planning that examines both the desired nasal shape and current anatomy

A case of correcting a retracted columella and nostril asymmetry after repeated surgeries using a donor rib cartilage graft and scar tissue excision. The patient wished to maintain the existing silicone implant without altering the nasal dorsum.

Preoperative condition · Postoperative record

Revision rhinoplasty methods for correcting both a long nose and asymmetry — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for correcting both a long nose and asymmetry

A nasal tip that had become long and sharp from multiple surgeries, along with nostril asymmetry, was corrected using glabella bone rasping, autologous rib cartilage extension, and composite skin graft nostril lowering.

Preoperative condition

Reconstruction methods to evaluate damaged structures in a contracted nose — Before-and-after comparison
Before-and-after comparison

Reconstruction methods to evaluate damaged structures in a contracted nose

In a case where flap necrosis resulted in recurrent contracture, a retracted columella, and an upturned nasal tip, silicone implant removal was followed by septal reconstruction using autologous rib cartilage and mucosal graft.

Preoperative condition · Postoperative record

Bulbous nose and upturned nose: correction tailored to facial proportions — Before-and-after comparison
Before-and-after comparison

Bulbous nose and upturned nose: correction tailored to facial proportions

A case of a 24-year-old male patient who presented with a bulbous nose, an upturned nasal tip, and left-sided nasal obstruction. Septal extension using autologous rib cartilage, lowering the columella, septoplasty, and submucosal resection of the inferior turbinate were performed.

Preoperative condition

How to reconstruct with autologous rib cartilage after silicone implant side effects — Before-and-after comparison
Before-and-after comparison

How to reconstruct with autologous rib cartilage after silicone implant side effects

In a revision rhinoplasty case presenting with tip redness, cartilage resorption from a silicone foreign body reaction, rhinitis, and a deviated septum, silicone implant exchange was performed in conjunction with septal reconstruction using autologous rib cartilage and rhinitis surgery.

Preoperative condition

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