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Crooked nose cases: analyzing midline alignment of bridge and tip separately

This is page 4 of case reports on crooked (deviated) nose, assessing the midline of the nasal bridge and nasal tip separately. View surgical records and before-and-after photos for cases 55 to 72 of 272.

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Why a depressed nasal bone on one side makes the nose look crooked: Osteotomy reconstruction and septal reconstruction — Before-and-after comparison
Before-and-after comparison

Why a depressed nasal bone on one side makes the nose look crooked: Osteotomy reconstruction and septal reconstruction

A crooked nose and facial asymmetry caused by a depressed right nasal bone and deviated septum were corrected using osteotomy along with septal reconstruction and extension using autologous rib cartilage.

Preoperative condition · Postoperative record

Why the nose looks long and the columella deviates: how septal extension and reconstruction are performed — Before-and-after comparison
Before-and-after comparison

Why the nose looks long and the columella deviates: how septal extension and reconstruction are performed

To improve an elongated-looking nose, nostril asymmetry, and a deviated columella, we performed autologous rib cartilage septal extension, septal reconstruction, and alar base width correction together.

Preoperative condition · Postoperative record

Why a crooked nose and nasal obstruction persist after surgery, and how revision is performed — Before-and-after comparison
Before-and-after comparison

Why a crooked nose and nasal obstruction persist after surgery, and how revision is performed

Residual crooked nose and rhinitis-induced nasal obstruction following previous surgery were corrected through partial septal reconstruction with autologous rib cartilage, silicone implant replacement, lateral osteotomy, and submucosal resection of the inferior turbinates.

Preoperative condition · Postoperative record

Why the L-strut thins after multiple nose surgeries and how to structurally reconstruct it — Before-and-after comparison
Before-and-after comparison

Why the L-strut thins after multiple nose surgeries and how to structurally reconstruct it

The septal L-strut, thinned after three previous surgeries, was reinforced with autologous rib cartilage, and the crooked nose was reconstructed through lateral osteotomies and columellar lengthening.

Preoperative condition · Postoperative record

Why inflammation recurs after rhinoplasty and how to reconstruct using only autologous tissue — Before-and-after comparison
Before-and-after comparison

Why inflammation recurs after rhinoplasty and how to reconstruct using only autologous tissue

Persistent tip inflammation, deviation, and nasal symptoms following repeated surgeries were resolved by removing previous foreign materials and performing septal reconstruction with autologous rib cartilage alongside functional nasal surgery.

Preoperative condition · Postoperative record

Why the radix starts too high and the nose looks crooked, and how to correct it with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why the radix starts too high and the nose looks crooked, and how to correct it with autologous rib cartilage

Following a previous implant surgery, issues with a high radix, crooked dorsum, and upturned tip were corrected using autologous rib cartilage septal extension, lateral osteotomy, and nasolabial angle correction.

Preoperative condition · Postoperative record

Why nostrils look different when tilting the head up and cause nasal obstruction: septal reconstruction — Before-and-after comparison
Before-and-after comparison

Why nostrils look different when tilting the head up and cause nasal obstruction: septal reconstruction

To correct nostril asymmetry, a short nose, and nasal obstruction that developed after previous implant-free rhinoplasty and alar rim lowering, autologous rib cartilage septal reconstruction and functional nasal surgery were performed.

Preoperative condition · Postoperative record

Why nasal asymmetry remains after cleft lip and palate, and reconstruction using rib and ear cartilage — Before-and-after comparison
Before-and-after comparison

Why nasal asymmetry remains after cleft lip and palate, and reconstruction using rib and ear cartilage

For cleft lip- and palate-related asymmetry and alar deformities, septal reconstruction and dorsal augmentation were performed using autologous rib cartilage, along with alar reconstruction using ear cartilage and lateral osteotomy.

Postoperative record

Undissolved residual nasal filler and wide alae: causes, removal, and correction methods — Before-and-after comparison
Before-and-after comparison

Undissolved residual nasal filler and wide alae: causes, removal, and correction methods

Residual unabsorbed HA filler was completely removed, followed by autologous rib cartilage rhinoplasty, lower lateral cartilage trimming, and septal and inferior turbinate surgery, all performed via a closed approach.

Preoperative condition · Postoperative record

Why the nasal tip spreads wide and the nose appears crooked, and how rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why the nasal tip spreads wide and the nose appears crooked, and how rib cartilage reconstruction is performed

For a crooked nose with a wide, bulbous tip and a drooping tip deformity, autologous rib cartilage nasal structural reconstruction was performed alongside nasolabial angle correction and functional rhinitis surgery.

Preoperative condition · Postoperative record

Why clicking sounds and shape changes occur in the nasal tip after trauma, and reconstruction with rib cartilage — Before-and-after comparison
Before-and-after comparison

Why clicking sounds and shape changes occur in the nasal tip after trauma, and reconstruction with rib cartilage

For a patient who experienced nasal tip deformity and asymmetry of the nasal bone and nostrils following everyday trauma, autologous rib cartilage reconstruction and lateral osteotomy were performed to establish a stable structure.

Preoperative condition · Postoperative record

How to perform reconstruction when multiple revision surgeries leave no nasal cartilage behind — Before-and-after comparison
Before-and-after comparison

How to perform reconstruction when multiple revision surgeries leave no nasal cartilage behind

This is a case where the septum was damaged and both lower lateral cartilages were removed following multiple rhinoplasties. The support structure was reconstructed using autologous rib cartilage, concurrently correcting the upturned nose, deviated columella, and nasolabial angle.

Preoperative condition · Postoperative record

Why an overly high nose looks unnatural and deviates, and how it can be reconstructed — Before-and-after comparison
Before-and-after comparison

Why an overly high nose looks unnatural and deviates, and how it can be reconstructed

For an overly high "Pinocchio-like" deviated nose with septal damage, the silicone implant was removed, and autologous rib cartilage reconstruction, radix adjustment, and nasal sill reduction were performed.

Preoperative condition · Postoperative record

Why an old silicone implant capsule calcifies and causes a dorsal hump and crooked nose — Before-and-after comparison
Before-and-after comparison

Why an old silicone implant capsule calcifies and causes a dorsal hump and crooked nose

A case of complete reconstruction using autologous rib cartilage after removing an L-shaped silicone implant and its calcified capsule inserted 30 years ago, which had caused a dorsal hump and a crooked nose.

Preoperative condition · Postoperative record

Why the nose looks deviated to one side and feels blocked at night: septal reconstruction and nasal obstruction relief — Before-and-after comparison
Before-and-after comparison

Why the nose looks deviated to one side and feels blocked at night: septal reconstruction and nasal obstruction relief

A case of autologous rib cartilage reconstruction combined with septal and inferior turbinate surgery to address a left-deviated nose, long nose, bulbous tip, severe facial asymmetry, and nasal obstruction.

Preoperative condition · Postoperative record

Why the nose keeps deviating after multiple surgeries and methods for septal cartilage reconstruction — Before-and-after comparison
Before-and-after comparison

Why the nose keeps deviating after multiple surgeries and methods for septal cartilage reconstruction

To resolve persistent septal damage, nasal deviation, and nostril asymmetry following repeated surgeries, the central support pillar was entirely reconstructed using autologous rib cartilage.

Preoperative condition · Postoperative record

Slight lack of height and subtle asymmetry remaining after rhinoplasty: Why they occur and how they are refined — Before-and-after comparison
Before-and-after comparison

Slight lack of height and subtle asymmetry remaining after rhinoplasty: Why they occur and how they are refined

After a stable primary surgery, reinforcement using autologous rib cartilage, septal reconstruction, and nasolabial angle correction were performed to add height and correct subtle bilateral asymmetry.

Preoperative condition

Changes that occur when supporting the nasal tip with ear cartilage alone and reconstruction methods using rib cartilage — Before-and-after comparison
Before-and-after comparison

Changes that occur when supporting the nasal tip with ear cartilage alone and reconstruction methods using rib cartilage

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

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