This is page 5 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 73 to 90 of 90.
View before-and-after cases ↓Comprehensive rhinoplasty guide
This is a case of a contracted nose and nasal obstruction following multiple surgical procedures. After silicone implant removal and stem cell therapy, nasal tip and septal reconstruction using autologous rib cartilage and an inferior turbinoplasty were performed through a closed approach.
Preoperative condition
Right-sided nasal obstruction, a drooping nasal tip, and a retracted columella following two previous surgeries were addressed using autologous rib cartilage septal extension, implant replacement, and mucosal adhesiolysis.
Preoperative condition · Postoperative record
A long nose, high radix, and columellar depression that developed after multiple prior surgeries were corrected by removing previous foreign material, reconstructing the septum with donor rib cartilage, and carving a silicone implant.
Preoperative condition · Postoperative record
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
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
To improve a retracted columella and a bulbous nose resulting from past alar reduction, filler on the nasal bridge was removed, and autologous rib cartilage was used for septal extension, lowering the columella, and nasolabial angle correction.
Preoperative condition · Postoperative record
Through a closed approach, complex filler and thread foreign materials accumulated over a prolonged period were removed, and the nasal structure was corrected using autologous rib cartilage for tip reconstruction, lateral osteotomy, and lowering the columella.
Preoperative condition · Postoperative record
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 · Postoperative record
In a nose where most of the septum and alar cartilages were lost after two previous surgeries, we reconstructed the overall framework using autologous rib cartilage, removed contracture tissue, and corrected the nasolabial angle.
Preoperative condition · Postoperative record
In a patient presenting with an excessively high radix, a drooping tip, and nasal obstruction, a closed approach was used to lower the starting point, reconstruct the nasal tip using autologous rib cartilage, and perform septoplasty.
Preoperative condition
This is a case of a contracted nose following total removal of materials due to acute inflammation after a previous surgery. After stem cell injection therapy, the damaged septum and lower lateral cartilage were reconstructed using autologous rib cartilage, and adhesiolysis was planned to address nasal obstruction.
Preoperative condition
In a severe contracted nose that developed after a history of 27 surgeries and fat graft procedures, the protruding silicone implant and degenerated tissue were removed, and the septum and structural support were reconstructed using autologous rib cartilage.
Preoperative condition
Loss of the septum and retraction of the columella caused by inflammation and contracture were restored with three-dimensional definition through total autologous rib cartilage reconstruction and lowering the columella.
Preoperative condition · Postoperative record
This is a case of a second surgery addressing a drooping tip and columellar scarring after reconstructing a contracted nose with autologous rib cartilage. We planned nasal tip reinforcement and a skin graft, and recorded changes in the position of the columella and the skin graft site after surgery.
Preoperative condition · Postoperative record
This is a case of a patient with a history of two-jaw surgery, a bulbous nasal tip, a wide nasal sill (nostril floor), and asymmetry. Considering the possibility of detachment of the septal base, reconstruction was planned, and changes in the nasal tip, nasolabial angle, and nasal sill were documented.
Preoperative condition
The excessively high Gore-Tex implant was removed from the glabella, the radix was lowered to the pupil line, and the septum and retracted columella were corrected using autologous rib cartilage.
Preoperative condition
A case of a patient who visited our clinic with a bulbous, drooping tip and nostril asymmetry. During surgery, severe damage to the septum and lower lateral cartilages was identified, leading to reconstruction with autologous rib cartilage, while alar rim lowering and lateral osteotomy were included in the surgical plan.
Preoperative condition
To correct a progressively upturning nose, dorsal hump, nostril asymmetry, and nasal obstruction, revision rhinoplasty using autologous rib cartilage was performed alongside functional nasal surgery through a closed approach.
Preoperative condition · Postoperative record
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