This is page 16 of cases on nostril asymmetry: comparing size, floor height, and columella. Review surgical records and before-and-after photos for cases 271–288 of 302.
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In a nose where the implant was overly conspicuous and the radix was excessively high, the silicone implant was removed to transition to a no-implant approach, creating natural contouring along the nasal tip and columella.
Preoperative condition · Postoperative record
This is a case of correcting a bulbous and drooping long nose caused by thick, broad tip skin. A portion of the subcutaneous tissue beneath the nasal tip skin was removed, and the nasal tip height, the starting point at the glabella, and the drooping columella shape were adjusted.
Preoperative condition · Postoperative record
This is a case where the nasal tip began drooping and deviating to the left after surgery with donor rib cartilage, raising suspicion of partial resorption. Nasal reconstruction and septal extension using autologous rib cartilage were planned, and immediate postoperative changes in the nasal tip and nasolabial angle, as well as the limitations of asymmetry correction, were documented.
Preoperative condition · Postoperative record
For a bulbously drooping nasal tip, a C-shaped deviated nasal bridge, and nostril asymmetry, the drooping was naturally corrected without excessively raising the tip, and the deviated bridge line was gently straightened.
Preoperative condition · Postoperative record
This case addresses nasal obstruction along with a long, drooping arrow-shaped nose and a crooked nasal bridge. Surgery on the septum and inferior turbinate, along with osteotomy and cartilage reinforcement, was planned, and changes in bridge curvature and tip drooping were documented after surgery.
Preoperative condition · Postoperative record
This is a case where the silicone implant had been removed after repeated surgeries led to tip redness and contracture deformity. Autologous rib cartilage and stem cell therapy were planned, and changes in tip depression, upturning, and nasolabial angle immediately after surgery were documented.
Preoperative condition
Nostril asymmetry, a crooked nose, and nasal bone defects that developed after a previous philtrum reduction and rhinoplasty were reconstructed using lateral osteotomy restoration, autologous rib cartilage, and a rotation flap.
Preoperative condition
This is a case addressing a depressed, flattened nasal tip, a crooked nasal bridge, and nasal obstruction. We planned nasal tip cartilage reinforcement, osteotomy, and rhinitis surgery. This record details correcting a weak septum during surgery and the changes observed following nasal sill reduction.
Preoperative condition · Postoperative record
This is a case of a patient who visited our clinic with a long, drooping tip after a history of nasal filler, rhinoplasty, and two-jaw surgery. Foreign material removal was documented, and septal reconstruction using autologous rib cartilage along with thinning of the nasal tip skin was planned.
Preoperative condition · Postoperative record
In a patient presenting with contracture, an upturned nose, and loss of lower lateral cartilages due to inflammation after previous surgery, we performed septal and alar cartilage reconstruction using autologous rib cartilage combined with stem cell therapy and alar rim lowering.
Preoperative condition · Postoperative record
To correct a low, flat glabella, a wide and bulbous nasal tip, a drooping tip, and nasal asymmetry, we planned and performed partial subcutaneous tissue removal, lower lateral cartilage suturing, robust tip projection, and dorsal bridge augmentation.
Preoperative condition · Postoperative record
A case where deviation recurred following previous septal surgery, leaving nasal obstruction and a tilted columella. We planned septal reconstruction using autologous rib cartilage and documented changes in the nasal tip, columella, and nostril asymmetry 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 · Postoperative record
A long, drooping arrow-shaped nose and dorsal hump were refined through osteotomy and implant replacement, while septal extension using autologous rib cartilage and nasal sill reduction improved the nasolabial angle and nostril asymmetry.
Preoperative condition
This case presented facial asymmetry accompanied by a nose deviated to the right, a bulbous nasal tip, and a dorsal hump. Osteotomy and septal repositioning were planned, and notes taken immediately after surgery record changes in the deviation and the drooping tip.
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
This is a case of a patient concerned about a dorsal hump, a drooping tip, and a crooked nasal bridge. Considering the patient's existing bridge height and thick skin, the plan was adjusted during surgery to shape the nasal bridge by filling in the deficient areas with autologous rib cartilage.
Preoperative condition
This is a case where excessive septal cartilage harvest led to a deviated septum, nasal obstruction, and an upturned, crooked tip, which were corrected by reconstructing the septum with autologous rib cartilage, removing scar tissue, and repositioning the lower lateral cartilages.
Preoperative condition
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