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High glabella and high radix: concerns distinct from overall nasal height

This is page 3 of cases on high radix and starting point of the bridge: concerns distinct from overall height. Review surgical records and before-and-after photos for cases 37–54 of 99.

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Why grafted dermis repeatedly absorbs, and how to reconstruct the nose — Before-and-after comparison
Before-and-after comparison

Why grafted dermis repeatedly absorbs, and how to reconstruct the nose

A case in which nasal deformity and septal damage caused by repeated dermal grafting and absorption were corrected through structural reconstruction with autologous rib cartilage and recycling of existing dermis.

Preoperative condition

Revision rhinoplasty approach addressing both a drooping tip and nasal obstruction — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty approach addressing both a drooping tip and nasal obstruction

For a drooping tip, dorsal depression, and nasal obstruction that developed after multiple surgeries, septal extension using donor rib cartilage, dermal grafting for the depressed area, and septoplasty were performed.

Preoperative condition

Nasal structure of an artificial-looking nose after surgery and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Nasal structure of an artificial-looking nose after surgery and reconstruction methods

For a high radix, upturned tip, and nasal obstruction caused by septal deviation, donor rib cartilage extension, tip cartilage repositioning, and inferior turbinate resection were performed.

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

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 · Postoperative record

How to replace absorbed donor rib cartilage with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

How to replace absorbed donor rib cartilage with autologous rib cartilage

For a patient whose nose became crooked and drooped due to partial resorption of previously placed donor rib cartilage, we removed the absorbed cartilage and performed septal reconstruction and deviated septum correction using autologous rib cartilage.

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 correct a contracted nose and inflammation caused by residual foreign material — Before-and-after comparison
Before-and-after comparison

How to correct a contracted nose and inflammation caused by residual foreign material

Contracture and septal defect developed due to residual mesh and a foreign body reaction from previous surgeries. We removed the remaining foreign material, reconstructed the septum using autologous rib cartilage, and performed a skin graft to the columella.

Preoperative condition · Postoperative record

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

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

How to reconstruct an old contracted nose using autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

How to reconstruct an old contracted nose using autologous rib cartilage

For a contracted nose deformity that developed long after silicone implant surgery, the implant capsule was removed and autologous rib cartilage was used to comprehensively reconstruct the septum, lower lateral cartilages, and nasal bridge.

Preoperative condition

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 · Postoperative record

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

How to plan foreign material removal and nasal reconstruction — Before-and-after comparison
Before-and-after comparison

How to plan foreign material removal and nasal reconstruction

We resolved the asymmetry and nasal deviation caused by foreign materials such as threads and filler, rebuilding a well-aligned contour using donor rib cartilage septal extension and silicone implant replacement.

Preoperative condition · Postoperative record

Revision rhinoplasty methods for a crooked nose and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for a crooked nose and nostril asymmetry

For a patient who developed a depressed nostril sill, an upturned nose, and nostril asymmetry 15 years after primary rhinoplasty, a closed-approach surgical plan was established including septal reconstruction, cartilage adjustment, and implant exchange.

Preoperative condition

Nostril correction methods considering crooked nose, upturned nose, and nasal obstruction — Before-and-after comparison
Before-and-after comparison

Nostril correction methods considering crooked nose, upturned nose, and nasal obstruction

For nasal tip deviation, an upturned tip, and nasal obstruction caused by intranasal mucosal adhesion following previous surgery, we performed septal extension using donor rib cartilage, nostril lowering, and mucosal adhesion release.

Preoperative condition · Postoperative record

How to correct nasal obstruction and nostril asymmetry together — Before-and-after comparison
Before-and-after comparison

How to correct nasal obstruction and nostril asymmetry together

In a revision rhinoplasty case involving intranasal mucosal synechiae, a deviated septum, and nostril asymmetry, we removed the Gore-Tex implant, performed septal reconstruction and extension with autologous rib cartilage, along with alar rim extension and silicone implant replacement.

Preoperative condition · Postoperative record

How to correct an upturned nose and overly curved bridge after repeated surgeries — Before-and-after comparison
Before-and-after comparison

How to correct an upturned nose and overly curved bridge after repeated surgeries

In a nose with septal damage, an upturned nose, and a high radix after 5 surgeries, the filler and silicone implant were removed, followed by septal reconstruction and extension using autologous rib cartilage and placement of a new silicone implant.

Preoperative condition · Postoperative record

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