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Nostril asymmetry: comparing size, sill height, and columella

This is page 2 of cases on nostril asymmetry: comparing size, floor height, and columella. Review surgical records and before-and-after photos for cases 19–36 of 302.

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Why the columella retracts and the alar rim looks pinched after rhinoplasty, and how autologous rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why the columella retracts and the alar rim looks pinched after rhinoplasty, and how autologous rib cartilage reconstruction is performed

In a patient presenting with columellar retraction and a pinched right alar rim following rhinoplasty with silicone and donor rib cartilage, the existing materials were removed and reconstruction of the septum and alar cartilage was performed using autologous rib cartilage.

Postoperative record

Why nasal obstruction persists despite multiple surgeries: Correcting nasal valve stenosis and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Why nasal obstruction persists despite multiple surgeries: Correcting nasal valve stenosis and nostril asymmetry

A case of persistent nostril asymmetry and nasal valve stenosis after multiple surgeries, addressed by removing existing implants, performing septoplasty and turbinoplasty, and reconstructing the structure with rib cartilage and a skin graft.

Preoperative condition · Postoperative record

Why the nostrils look severely uneven on both sides: cartilage reconstruction and skin graft correction — Before-and-after comparison
Before-and-after comparison

Why the nostrils look severely uneven on both sides: cartilage reconstruction and skin graft correction

Congenital asymmetry, along with a residual crooked nose and nostril asymmetry from a previous rhinoplasty, was stabilized using lower lateral cartilage reconstruction, internal nostril skin grafting (free composite graft), and septal reconstruction.

Preoperative condition · Postoperative record

Why nasal obstruction worsens after rhinoplasty: How septal reconstruction and osteotomy reversal are performed — Before-and-after comparison
Before-and-after comparison

Why nasal obstruction worsens after rhinoplasty: How septal reconstruction and osteotomy reversal are performed

Nostril asymmetry, over-osteotomy, and a collapsed septum resulting from prior alar reduction were corrected using a skin graft, osteotomy reversal, septal reinforcement with autologous rib cartilage, and rhinitis surgery.

Preoperative condition · Postoperative record

Why internal nasal structures collapse after multiple rhinoplasties and total reconstruction with rib cartilage — Before-and-after comparison
Before-and-after comparison

Why internal nasal structures collapse after multiple rhinoplasties and total reconstruction with rib cartilage

Following four prior rhinoplasties, septal and lower lateral cartilage defects and nasal bone erosion were addressed by treating a chronic foreign body reaction, performing total reconstruction with autologous rib cartilage, and placing a nostril skin graft.

Preoperative condition · Postoperative record

Why the septum deviates severely and becomes damaged, and how rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why the septum deviates severely and becomes damaged, and how rib cartilage reconstruction is performed

A severely deviated and damaged septum following previous surgery with a silicone implant and donor rib cartilage was reinforced and reconstructed using autologous rib cartilage, completing the nasal line through septal extension and nasolabial angle correction.

Postoperative record

Contracted nose: How contracted tissue removal and autologous rib cartilage reconstruction are performed — Before-and-after comparison
Before-and-after comparison

Contracted nose: How contracted tissue removal and autologous rib cartilage reconstruction are performed

In a nose that became upturned and crooked due to contracture following implant surgery, fibrotic tissue was removed, the nasal tip was reconstructed with autologous rib cartilage, the columella was lowered, and the silicone implant was replaced.

Postoperative record

Why one nostril shows more from the front and how to reconstruct the nasal tip — Before-and-after comparison
Before-and-after comparison

Why one nostril shows more from the front and how to reconstruct the nasal tip

To correct nasal tip deformity and asymmetrical nostril show, the nasal tip was supported with donor rib cartilage and septal cartilage, accompanied by right alar rim lowering and a customized silicone implant placement.

Preoperative condition · Postoperative record

Why Medpor causes loss of the anterior septum: removal and autologous rib cartilage reconstruction — Before-and-after comparison
Before-and-after comparison

Why Medpor causes loss of the anterior septum: removal and autologous rib cartilage reconstruction

In a nose where the anterior septum was severely damaged by Medpor, foreign materials were removed, and septal reconstruction using autologous rib cartilage, silicone implant replacement, nasal sill reduction, and functional nasal surgery were performed.

Preoperative condition · Postoperative record

Why we look at the facial axis first when correcting a nose with facial asymmetry — Before-and-after comparison
Before-and-after comparison

Why we look at the facial axis first when correcting a nose with facial asymmetry

A crooked nose, influenced by facial asymmetry, a history of orbital fracture, and facial contouring surgery, was corrected to align with the central facial axis, along with clearing existing filler and refining a drooping tip and the nasolabial angle.

Postoperative record

Why an upturned nose and unilaterally pinched nostril occur, and how implant-free reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why an upturned nose and unilaterally pinched nostril occur, and how implant-free reconstruction is performed

An upturned nose and pinched nostril caused by multiple prior surgeries were corrected after removing artificial dermis, performing implant-free bridge augmentation with donor rib cartilage and septal cartilage, and using a skin-cartilage composite graft on the right nostril.

Preoperative condition · Postoperative record

Why a septum collapsing to one side causes a crooked nose and blocked breathing, and how to reconstruct it with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why a septum collapsing to one side causes a crooked nose and blocked breathing, and how to reconstruct it with autologous rib cartilage

After two prior surgeries, a septum collapsed to the right, a depressed alar wing, and a mucosal defect were corrected through autologous rib cartilage septal reconstruction, perichondrium grafting, and re-carving of the silicone implant.

Preoperative condition · Postoperative record

Changes caused by semi-permanent bridge filler and septal reconstruction after removal — Before-and-after comparison
Before-and-after comparison

Changes caused by semi-permanent bridge filler and septal reconstruction after removal

For Artecoll semi-permanent filler on the nasal bridge, a damaged septum, an upturned nasal tip, and nostril asymmetry, foreign material was completely removed, followed by septal reconstruction using autologous rib cartilage and alar rim lowering.

Preoperative condition · Postoperative record

Contracture causing the nose to harden and shorten after previous surgery: why it occurs and how it is reconstructed — Before-and-after comparison
Before-and-after comparison

Contracture causing the nose to harden and shorten after previous surgery: why it occurs and how it is reconstructed

For capsular contracture, septal damage, and asymmetric nasal bones following previous surgery, the implant and capsule were removed, and septal reconstruction, lateral osteotomy, and nasal bridge augmentation with autologous rib cartilage were performed.

Preoperative condition · Postoperative record

Why nostrils narrow and breathing becomes difficult after philtrum reduction, and how to correct it — Before-and-after comparison
Before-and-after comparison

Why nostrils narrow and breathing becomes difficult after philtrum reduction, and how to correct it

For leftward nasal asymmetry, deviation, and breathing discomfort caused by narrowed nostrils following philtrum reduction, lateral osteotomy, nasolabial angle correction, and nostril skin grafting were performed.

Preoperative condition · Postoperative record

Reasons for a high radix and upturned nasal tip and correction methods — Before-and-after comparison
Before-and-after comparison

Reasons for a high radix and upturned nasal tip and correction methods

For a high radix, upturned nasal tip, and columellar and nostril asymmetry from a previous surgery, the implant was replaced, tip derotation was performed using autologous rib cartilage, and lower lateral cartilage correction was carried out.

Preoperative condition · Postoperative record

Why cartilage extrudes through the nasal mucosa and methods for restoration and reconstruction — Before-and-after comparison
Before-and-after comparison

Why cartilage extrudes through the nasal mucosa and methods for restoration and reconstruction

Cartilage protruding through the nasal mucosa was removed and the area restored with perichondrium, damaged lower lateral cartilage and a drooping tip were reconstructed using autologous rib cartilage, and the implant was replaced with customized silicone.

Preoperative condition · Postoperative record

When tip skin is lacking after alar and philtrum reduction, how to determine the elevation limit — Before-and-after comparison
Before-and-after comparison

When tip skin is lacking after alar and philtrum reduction, how to determine the elevation limit

In a patient with limited skin elasticity and mucosal adhesion following multiple nasal surgeries along with alar and philtrum reductions, we performed septal reconstruction with autologous rib cartilage, nasolabial angle correction, columellar extension, and nasal synechia adhesiolysis.

Preoperative condition · Postoperative record

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