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

This is page 4 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 55–72 of 99.

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Revision rhinoplasty planning considering nasal tip skin condition and necrosis risk — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty planning considering nasal tip skin condition and necrosis risk

This is a case of septal damage, an upturned nose, and nasal tip skin depression after multiple previous surgeries. Using a closed approach to preserve blood supply, we performed septal reconstruction with autologous rib cartilage along with cartilage and dermal grafts.

Preoperative condition

Removal of mesh inside the nose and autologous rib cartilage reconstruction — Before-and-after comparison
Before-and-after comparison

Removal of mesh inside the nose and autologous rib cartilage reconstruction

This was a case involving a blunt nasal tip, a high starting point at the glabella, and mesh foreign material following a previous surgery. Four pieces of mesh were removed, and septal reconstruction and extension were performed using autologous rib cartilage.

Preoperative condition

How to correct the nasal tip and bridge in a sharp upturned nose — Before-and-after comparison
Before-and-after comparison

How to correct the nasal tip and bridge in a sharp upturned nose

This is a case of previous surgery resulting in a deviated nasal bridge, an upturned nasal tip, nasolabial angle issues, and nasal obstruction. Using a closed approach with autologous rib cartilage, septal deviation correction, septal extension, and lateral osteotomy were performed.

Preoperative condition

Revision rhinoplasty method to correct both an upturned nose and a crooked nose — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty method to correct both an upturned nose and a crooked nose

This patient had an artificial appearance, an upturned nasal tip, and a crooked nose following previous surgeries with an L-shaped silicone implant and ear cartilage. Through a closed approach, autologous rib cartilage septal extension, silicone implant replacement, and rhinitis surgery were performed together.

Preoperative condition · Postoperative record

Revision rhinoplasty methods for a short and upturned nose — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for a short and upturned nose

A short, upturned nose and nasal obstruction following multiple prior surgeries were corrected using donor rib cartilage septal extension, recycling of existing cartilage, silicone implant replacement, and septal and inferior turbinate surgery.

Preoperative condition · Postoperative record

Correction approach considering a wide nose and midface proportions — Before-and-after comparison
Before-and-after comparison

Correction approach considering a wide nose and midface proportions

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

How to reconstruct the nose after silicone implant exposure and inflammation — Before-and-after comparison
Before-and-after comparison

How to reconstruct the nose after silicone implant exposure and inflammation

In a case presenting with silicone implant exposure accompanied by inflammatory granulation tissue, the existing implant and capsule were removed, and autologous rib cartilage was used to perform septal extension and reconstruct the lower lateral cartilage.

Preoperative condition

How to remove mesh and reconstruct a contracted nose — Before-and-after comparison
Before-and-after comparison

How to remove mesh and reconstruct a contracted nose

In a patient presenting with post-inflammatory nasal contracture and nasal obstruction, unexpected mesh and residual donor rib cartilage found in the nasal tip were removed. The entire septum and both lower lateral cartilages were then reconstructed using autologous rib cartilage.

Preoperative condition · Postoperative record

Closed correction method for a crooked nose, bulbous tip, and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Closed correction method for a crooked nose, bulbous tip, and nostril asymmetry

For a patient who presented after two prior surgeries with a crooked nose, nostril asymmetry, and a bulbous tip, we performed septal reconstruction and extension using autologous rib cartilage, lateral osteotomy, silicone implant exchange, and a dermal graft to the nasal tip.

Preoperative condition · Postoperative record

Planning rhinoplasty to address multiple nasal shape concerns together — Before-and-after comparison
Before-and-after comparison

Planning rhinoplasty to address multiple nasal shape concerns together

To resolve a long nose, drooping tip, and nostril asymmetry that developed after prior surgery using a silicone implant, ear cartilage, and Medpor, the Medpor was removed and autologous rib cartilage septal extension along with nasal tip reconstruction were performed.

Preoperative condition · Postoperative record

Characteristics and correction methods for an upturned, curved nose — Before-and-after comparison
Before-and-after comparison

Characteristics and correction methods for an upturned, curved nose

A revision rhinoplasty case in a male patient presenting with an upturned nasal tip, excessive nostril show, and nasal obstruction, treated via a closed approach using autologous rib cartilage septal extension, implant exchange, and septoplasty.

Preoperative condition · Postoperative record

How to correct nasal length and the nasal tip together in a long nose — Before-and-after comparison
Before-and-after comparison

How to correct nasal length and the nasal tip together in a long nose

A case of a nose that appeared long with nostril asymmetry after two prior nasal surgeries, corrected using a closed approach with silicone implant replacement, autologous rib cartilage septal extension, and adjustment of the radix.

Preoperative condition · Postoperative record

Closed correction method for a crooked nose and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Closed correction method for a crooked nose and nostril asymmetry

In a patient with a persistent crooked nose, nostril asymmetry, a wide nasal dorsum, and nasal obstruction after a prior rhinoplasty, autologous rib cartilage septal reconstruction, osteotomies, and inferior turbinate resection were performed without an implant.

Preoperative condition

Correcting a crooked nose and nostril asymmetry while considering breathing — Before-and-after comparison
Before-and-after comparison

Correcting a crooked nose and nostril asymmetry while considering breathing

Following prior filler and rhinoplasty, the patient experienced a persistent crooked nose, nostril asymmetry, and breathing difficulty; we performed filler removal, septal reconstruction and extension using autologous rib cartilage, and inferior turbinate resection.

Preoperative condition · Postoperative record

Rhinoplasty approach examining the structure of a bulbous nasal tip — Before-and-after comparison
Before-and-after comparison

Rhinoplasty approach examining the structure of a bulbous nasal tip

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

Surgical plan for revision rhinoplasty with septal perforation — Before-and-after comparison
Before-and-after comparison

Surgical plan for revision rhinoplasty with septal perforation

In a patient with a history of past surgeries, septal perforation, and saddle nose deformity, septal reconstruction and extension using autologous rib cartilage, alar lowering, and direct closure were performed via a closed approach.

Preoperative condition

How to remove injected foreign substances and reconstruct the nose — Before-and-after comparison
Before-and-after comparison

How to remove injected foreign substances and reconstruct the nose

For a nose deformed by illegal filler injections 10 years ago, foreign substances were removed using the closed inner-open technique, and the septum and alar cartilage were reconstructed using autologous rib cartilage.

Preoperative condition

How to correct an upturned nose and nostril show together — Before-and-after comparison
Before-and-after comparison

How to correct an upturned nose and nostril show together

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

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