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Nostril asymmetry: comparing size, sill height, and columella

This is page 10 of cases on nostril asymmetry: comparing size, floor height, and columella. Review surgical records and before-and-after photos for cases 163–180 of 302.

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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

Surgical planning that examines both the desired nasal shape and current anatomy — Before-and-after comparison
Before-and-after comparison

Surgical planning that examines both the desired nasal shape and current anatomy

A case of correcting a retracted columella and nostril asymmetry after repeated surgeries using a donor rib cartilage graft and scar tissue excision. The patient wished to maintain the existing silicone implant without altering the nasal dorsum.

Preoperative condition · Postoperative record

Supportive structures in a contracted nose and revision rhinoplasty using autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Supportive structures in a contracted nose and revision rhinoplasty using autologous rib cartilage

For a contracted nose and a sharply upturned nasal tip that developed after multiple surgeries, septal reconstruction with autologous rib cartilage, removal of inflammatory tissue from the nasal tip, and nostril lowering were performed.

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

Anatomy and correction methods for a crooked nose and dorsum depression — Before-and-after comparison
Before-and-after comparison

Anatomy and correction methods for a crooked nose and dorsum depression

Dorsum depression and nasal obstruction following previous dorsal hump reduction were corrected with inferior turbinate reduction, lateral osteotomy, autologous rib cartilage extension, and implant placement.

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

Bulbous nose and upturned nose: correction tailored to facial proportions — Before-and-after comparison
Before-and-after comparison

Bulbous nose and upturned nose: correction tailored to facial proportions

A case of a 24-year-old male patient who presented with a bulbous nose, an upturned nasal tip, and left-sided nasal obstruction. Septal extension using autologous rib cartilage, lowering the columella, septoplasty, and submucosal resection of the inferior turbinate were performed.

Preoperative condition · Postoperative record

Correction methods for a long nose and dorsal hump considering facial proportions — Before-and-after comparison
Before-and-after comparison

Correction methods for a long nose and dorsal hump considering facial proportions

A case of a 22-year-old female patient with a long nose, a dorsal hump, and rhinitis symptoms, who underwent septal extension, hump reduction, lateral osteotomy, and silicone implant insertion.

Preoperative condition

Autologous rib cartilage implant-free revision rhinoplasty for contracted nose and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Autologous rib cartilage implant-free revision rhinoplasty for contracted nose and nostril asymmetry

A case of implant-free nasal reconstruction using autologous rib cartilage for septal reconstruction and lateral osteotomy in a 22-year-old male patient who suffered from inflammation and contracted nose deformity.

Preoperative condition · Postoperative record

Revision rhinoplasty approach addressing nostril stenosis, crooked nose, and nasal obstruction together — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty approach addressing nostril stenosis, crooked nose, and nasal obstruction together

Left nostril stenosis and nasal obstruction that developed after repeated surgeries were improved through scar tissue removal, skin grafting, Z-plasty, and septal reconstruction using autologous rib cartilage.

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

Anatomy and correction methods for a drooping tip and dorsal hump — Before-and-after comparison
Before-and-after comparison

Anatomy and correction methods for a drooping tip and dorsal hump

For a patient experiencing a dorsal hump, drooping nasal tip, and nasal obstruction, we performed implant-free rhinoplasty using autologous rib cartilage along with dorsal hump reduction, lateral osteotomy, septoplasty, and turbinoplasty.

Preoperative condition · Postoperative record

How to correct a crooked nose and nostril asymmetry together — Before-and-after comparison
Before-and-after comparison

How to correct a crooked nose and nostril asymmetry together

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 · 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 · Postoperative record

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

Correction methods addressing a small nose and nostril asymmetry together — Before-and-after comparison
Before-and-after comparison

Correction methods addressing a small nose and nostril asymmetry together

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 · Postoperative record

The structure and correction methods for a bifid (cleft) nasal tip — Before-and-after comparison
Before-and-after comparison

The structure and correction methods for a bifid (cleft) nasal tip

For a patient with a bulbous, bifid nasal tip due to thin skin and prominent cartilage, we performed septal extension, partial removal of subcutaneous tissue, dermal graft reinforcement with ear cartilage grafting, and lateral osteotomy through a closed approach.

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

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