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Nostril asymmetry: comparing size, sill height, and columella

This is page 4 of cases on nostril asymmetry: comparing size, floor height, and columella. Review surgical records and before-and-after photos for cases 55–72 of 302.

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Why infection recurs after rhinoplasty: treatment of inflammation and staged reconstruction — Before-and-after comparison
Before-and-after comparison

Why infection recurs after rhinoplasty: treatment of inflammation and staged reconstruction

In a patient presenting with mucosal perforation and contracture deformity caused by implant infection, inflamed tissue was debrided and irrigated, followed by staged septal reconstruction.

Postoperative record

Why clicking sounds and shape changes occur in the nasal tip after trauma, and reconstruction with rib cartilage — Before-and-after comparison
Before-and-after comparison

Why clicking sounds and shape changes occur in the nasal tip after trauma, and reconstruction with rib cartilage

For a patient who experienced nasal tip deformity and asymmetry of the nasal bone and nostrils following everyday trauma, autologous rib cartilage reconstruction and lateral osteotomy were performed to establish a stable structure.

Preoperative condition · Postoperative record

How to perform reconstruction when multiple revision surgeries leave no nasal cartilage behind — Before-and-after comparison
Before-and-after comparison

How to perform reconstruction when multiple revision surgeries leave no nasal cartilage behind

This is a case where the septum was damaged and both lower lateral cartilages were removed following multiple rhinoplasties. The support structure was reconstructed using autologous rib cartilage, concurrently correcting the upturned nose, deviated columella, and nasolabial angle.

Preoperative condition · Postoperative record

Why saddle nose and nasal valve stenosis occur after repeated revision rhinoplasty, and how total reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why saddle nose and nasal valve stenosis occur after repeated revision rhinoplasty, and how total reconstruction is performed

This is a case where the nasal bones, septum, and keystone area were damaged after repeated surgeries, causing nasal obstruction due to nasal valve stenosis. Autologous rib cartilage was used to reconstruct the nasal support structure and nasal valve, while correcting bridge depression and asymmetry.

Preoperative condition

Why cartilage shows through after multiple rhinoplasties and how to restore the mucosa and structure — Before-and-after comparison
Before-and-after comparison

Why cartilage shows through after multiple rhinoplasties and how to restore the mucosa and structure

A case where autologous rib cartilage was used to reinforce soft tissue, reconstruct nasal structure, and perform functional surgery to improve mucosal thinning, lateral cartilage show-through, and nostril asymmetry resulting from repeated surgeries.

Preoperative condition · Postoperative record

Why the nose keeps deviating after multiple surgeries and methods for septal cartilage reconstruction — Before-and-after comparison
Before-and-after comparison

Why the nose keeps deviating after multiple surgeries and methods for septal cartilage reconstruction

To resolve persistent septal damage, nasal deviation, and nostril asymmetry following repeated surgeries, the central support pillar was entirely reconstructed using autologous rib cartilage.

Preoperative condition · Postoperative record

An uneven nasal bridge after a dermal graft: causes and implant-free reconstruction — Before-and-after comparison
Before-and-after comparison

An uneven nasal bridge after a dermal graft: causes and implant-free reconstruction

A case where a previously placed dermal graft had caused an uneven nasal bridge, alongside an unresolved bulbous nose and nostril asymmetry, which were corrected by completely removing the existing dermis and performing a comprehensive reconstruction using autologous rib cartilage.

Preoperative condition · Postoperative record

Septal perforation and nasal tip cartilage show-through after repeated rhinoplasties: how reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Septal perforation and nasal tip cartilage show-through after repeated rhinoplasties: how reconstruction is performed

A case where autologous rib cartilage was used for full septal reconstruction alongside dermis grafting to address repeated surgical history, septal perforation, and thinned nasal tip skin.

Preoperative condition · Postoperative record

Why foreign material from illicit injections remains after removal and how to correct an upturned nasal tip — Before-and-after comparison
Before-and-after comparison

Why foreign material from illicit injections remains after removal and how to correct an upturned nasal tip

Due to residual foreign material from past illicit injections, an upturned nose and excessive nostril show persisted; the remaining foreign material was completely removed, and tip rhinoplasty using autologous rib cartilage was performed alongside radix adjustment.

Preoperative condition · Postoperative record

Problems caused by excessive harvest of septal cartilage and methods for reconstruction — Before-and-after comparison
Before-and-after comparison

Problems caused by excessive harvest of septal cartilage and methods for reconstruction

In a patient whose septal cartilage had been excessively harvested during previous surgeries, leading to a shortened nasal tip and nostril asymmetry, the septum was solidly reconstructed using autologous rib cartilage to restore nasal length.

Preoperative condition · Postoperative record

Why donor dermis absorbs after multiple revision surgeries and how to reconstruct the septum — Before-and-after comparison
Before-and-after comparison

Why donor dermis absorbs after multiple revision surgeries and how to reconstruct the septum

For a patient who experienced partial absorption of donor dermis on the nasal bridge and septal damage after multiple revision surgeries, the donor dermis was removed, the septum was reconstructed with autologous rib cartilage, and the skin was reinforced with retroauricular dermis.

Preoperative condition · Postoperative record

Why the nasal bridge looks artificial and the nose becomes upturned, and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge looks artificial and the nose becomes upturned, and how to reconstruct it

After surgery with a silicone implant and donor rib cartilage, a chalk-like nasal bridge and excessive nostril show occurred. A natural line was reconstructed through septal extension using autologous rib cartilage and alar rim lowering.

Preoperative condition · Postoperative record

How the nose changes when donor rib cartilage is resorbed, and how autologous rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

How the nose changes when donor rib cartilage is resorbed, and how autologous rib cartilage reconstruction is performed

For a patient whose nasal tip had shrunk, whose alae appeared pinched, and whose nasal bridge developed scarring due to donor rib cartilage resorption, we performed alar reconstruction with autologous rib cartilage, septal extension, and cartilage and dermal graft reinforcement.

Preoperative condition · Postoperative record

Changes following nasal bridge skin necrosis after rhinoplasty and how reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Changes following nasal bridge skin necrosis after rhinoplasty and how reconstruction is performed

In a case with signs of nasal bridge skin necrosis and alar asymmetry after multiple rhinoplasties, the nasal bridge and nostril shape were reconstructed using autologous rib cartilage grafting, alar repositioning, and growth factor application.

Preoperative condition · Postoperative record

Why bulbous noses are difficult to correct and the reconstruction method after foreign material removal — Before-and-after comparison
Before-and-after comparison

Why bulbous noses are difficult to correct and the reconstruction method after foreign material removal

For a bulbous nose and drooping tip blunted by past nasal filler and thread-lifting procedures, the foreign material was removed, and the nasal line was refined using septal cartilage, donor rib cartilage, and a silicone implant.

Preoperative condition · Postoperative record

Why nasal tip cartilage shows through the skin and turns upward: reinforcement and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why nasal tip cartilage shows through the skin and turns upward: reinforcement and reconstruction methods

For a patient presenting with visible nasal tip cartilage and an upturned nose following previous surgery with a silicone implant and ear cartilage, we performed silicone implant removal, septal extension using autologous rib cartilage, fat grafting, and skin reinforcement with donor dermis.

Preoperative condition · Postoperative record

Why post-nasal drip and a drooping tip occur together, and how septal extension and functional surgery address them — Before-and-after comparison
Before-and-after comparison

Why post-nasal drip and a drooping tip occur together, and how septal extension and functional surgery address them

Post-nasal drip, a drooping tip, and a narrow columella were comprehensively improved through septal and inferior turbinate surgery, autologous cartilage septal extension, and alar reduction.

Preoperative condition · Postoperative record

Why rib cartilage calcification must be evaluated in advance and correction methods for crooked and short noses — Before-and-after comparison
Before-and-after comparison

Why rib cartilage calcification must be evaluated in advance and correction methods for crooked and short noses

After evaluating calcification in the autologous rib cartilage, the 8th rib cartilage was harvested to correct a crooked nose, short nose, and nostril show, while an inferior turbinate reduction was performed concurrently to improve breathing function.

Postoperative record

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