This is page 4 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 55 to 72 of 90.
View before-and-after cases ↓Comprehensive rhinoplasty guide
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
For a primary rhinoplasty patient presenting with a small nose, nostril asymmetry, and a retracted columella, we performed septal extension using septal cartilage and donor rib cartilage, dorsal hump reduction, dermal graft reinforcement, and silicone implant placement.
Preoperative condition
In a patient presenting with a bulbous nose, dragon nose, and retracted columella after previous filler injections, filler removal, septal extension using septal cartilage and donor rib cartilage, nostril lowering, and silicone implant insertion were performed via a closed approach.
Preoperative condition
This is a case of a male patient concerned with a small, short nose, a bulbous tip, and nasal obstruction. After checking the condition of the septal cartilage intraoperatively, autologous rib cartilage was used to shape the nasal tip, while a silicone implant and septal and inferior turbinate surgery were included in the surgical plan.
Preoperative condition
A case of severe columellar retraction and septal cartilage damage following inflammation and implant removal, corrected with autologous rib cartilage septal reconstruction, deviated septum correction, and composite grafting.
Preoperative condition
A case involving bridge pain, implant mobility, and a bulbous tip from a silicone implant placed 20 years ago. The previous implant and granulation tissue were removed, followed by septal extension using autologous rib cartilage and placement of a new implant.
Preoperative condition · Postoperative record
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
This is a case where a retracted columella, a bulbous and upturned tip, and a small dorsal hump made a protruding mouth look prominent. Septal extension and lateral osteotomy were planned, and changes in the nasal tip and nasolabial angle were documented following closed rhinoplasty.
Preoperative condition
For severe nasal tip skin depression and contracture deformity that developed after infection treatment, remaining Gore-Tex in the glabella was removed, followed by autologous rib cartilage septal reconstruction and dermis-cartilage reinforcement.
Preoperative condition
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 · Postoperative record
To correct snoring, a retracted columella, a crooked nose, and a bulbous nose, residual bridge filler was removed, and septal extension with autologous rib cartilage, lowering the columella, and septoplasty and inferior turbinate surgery were performed through a closed approach.
Preoperative condition
In a patient presenting with a bulbous, drooping tip and symptoms of a deviated septum after previous rhinoplasty, septal reconstruction with autologous rib cartilage, lateral osteotomy, and turbinoplasty were performed via a closed approach.
Preoperative condition · Postoperative record
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
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
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
Following multiple rhinoplasties, the patient presented with an upturned nasal tip, septal damage, protruding columellar cartilage, and nasal obstruction. Tip reconstruction using autologous rib cartilage, septoplasty, and submucosal resection of the inferior turbinate were performed through a closed approach.
Preoperative condition
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 · Postoperative record
A case of improving a short, upturned nose and a retracted columella accompanied by facial asymmetry. Using a closed approach, septal extension and reconstruction were performed using autologous rib cartilage, and the positions of the nasal tip and implant were adjusted to improve symmetry.
Preoperative condition · Postoperative record
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