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Nostril asymmetry: comparing size, sill height, and columella

This is page 5 of cases on nostril asymmetry: comparing size, floor height, and columella. Review surgical records and before-and-after photos for cases 73–90 of 302.

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Why nostril asymmetry and a drooping tip develop: reconstruction combining different cartilages — Before-and-after comparison
Before-and-after comparison

Why nostril asymmetry and a drooping tip develop: reconstruction combining different cartilages

To correct congenital nostril asymmetry and a drooping nasal tip, residual filler and foreign material were removed, and septal extension was performed using both donor rib cartilage and septal cartilage.

Preoperative condition · Postoperative record

Why the nose looks crooked and the columella tilts to one side, and how to correct it — Before-and-after comparison
Before-and-after comparison

Why the nose looks crooked and the columella tilts to one side, and how to correct it

A mobile silicone implant, a tilted columella, and a crooked nasal bridge were corrected through the removal of the existing implant and foreign material, lateral osteotomy, and septal reinforcement using autologous rib cartilage.

Postoperative record

Why a dorsal hump can reappear and nostrils become visible after hump reduction — Before-and-after comparison
Before-and-after comparison

Why a dorsal hump can reappear and nostrils become visible after hump reduction

Correction of a residual dorsal hump and excessive nostril show 17 years after hump surgery using residual filler removal, lateral osteotomy, and autologous rib cartilage septal extension.

Preoperative condition · Postoperative record

Why the columella retracts and the nasal tip becomes bulbous years after rhinoplasty, and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

Why the columella retracts and the nasal tip becomes bulbous years after rhinoplasty, and how to reconstruct it

Columellar retraction and bulbous tip deformity after previous dorsal hump reduction and osteotomy were corrected through septal extension with autologous rib cartilage, columellar cartilage grafting, and lateral osteotomies.

Preoperative condition · Postoperative record

Why nostrils narrow after illegal injections by unlicensed practitioners, and methods for removal and reconstruction — Before-and-after comparison
Before-and-after comparison

Why nostrils narrow after illegal injections by unlicensed practitioners, and methods for removal and reconstruction

In a patient who developed nostril stenosis and a drooping tip from illegal injections administered by an unlicensed practitioner 20 years ago, we removed the foreign material and reconstructed the septum and lower lateral cartilage using autologous rib cartilage to improve the nasal shape.

Preoperative condition

Why the nose looks bulbous and spread out, and how to correct the nasolabial angle and columella — Before-and-after comparison
Before-and-after comparison

Why the nose looks bulbous and spread out, and how to correct the nasolabial angle and columella

A wide, blunt nasal bridge, drooping nasal tip, and retracted columella were corrected into a slim, three-dimensional profile using septal extension with autologous rib cartilage, nasolabial angle correction, and nostril sill reduction.

Preoperative condition · Postoperative record

Nose with remaining filler and threads: how much can rib cartilage reconstruction achieve after removal? — Before-and-after comparison
Before-and-after comparison

Nose with remaining filler and threads: how much can rib cartilage reconstruction achieve after removal?

To improve nasal bridge asymmetry and a blunt nasal shape resulting from nose filler and thread-lifting procedures, the foreign materials were removed, and tip support structures were established using donor rib cartilage and septal cartilage.

Preoperative condition · Postoperative record

Why the columella droops severely into an arrow nose, and rib cartilage reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why the columella droops severely into an arrow nose, and rib cartilage reconstruction methods

For a patient presenting with a severely drooping columella, an arrow nose, and nostril asymmetry after previous surgeries, autologous rib cartilage septal extension and lower lateral cartilage repositioning were performed to improve tip drooping and asymmetry.

Preoperative condition · Postoperative record

Why nostril asymmetry and an upturned tip remain after alar reduction and how to correct them — Before-and-after comparison
Before-and-after comparison

Why nostril asymmetry and an upturned tip remain after alar reduction and how to correct them

A revision rhinoplasty case where nostril asymmetry, an upturned nasal tip, and an implant step-off visible after alar reduction were corrected through structural reconstruction with autologous rib cartilage, silicone implant replacement, and nasolabial angle correction.

Preoperative condition · Postoperative record

Why a nose becomes short and upturned with a retracted columella, and how autologous rib cartilage reconstruction works — Before-and-after comparison
Before-and-after comparison

Why a nose becomes short and upturned with a retracted columella, and how autologous rib cartilage reconstruction works

A case where an upturned nose and a retracted columella caused by cartilage loss from previous surgeries were naturally restored using autologous rib cartilage for lower lateral cartilage reconstruction and septal extension.

Preoperative condition · Postoperative record

Nasal bone fractures: When cosmetic surgery can be combined and how to stage the procedure — Before-and-after comparison
Before-and-after comparison

Nasal bone fractures: When cosmetic surgery can be combined and how to stage the procedure

To correct a traumatic nasal bone fracture and a deviated nasal tip, closed reduction and autologous rib cartilage septal extension were performed without an implant, with plans to adjust the nasal bridge height after an observation period.

Preoperative condition · Postoperative record

Why contracture and a crooked nose occur after repeated revision rhinoplasty, and how they are corrected — Before-and-after comparison
Before-and-after comparison

Why contracture and a crooked nose occur after repeated revision rhinoplasty, and how they are corrected

A case of improving an upturned tip, crooked nose, and nostril asymmetry that developed after four prior nasal surgeries and filler injections, using foreign material removal, septal extension with autologous rib cartilage, and silicone implant supplementation.

Preoperative condition · Postoperative record

Why the nasal tip gets pinched and the columella retracts: how Medpor removal and reconstruction are performed — Before-and-after comparison
Before-and-after comparison

Why the nasal tip gets pinched and the columella retracts: how Medpor removal and reconstruction are performed

A case correcting a pinched nose caused by Medpor discovered after three surgeries and cartilage defects, through foreign material removal and full reconstruction of the alar cartilages and septum using autologous rib cartilage.

Postoperative record

Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it — Before-and-after comparison
Before-and-after comparison

Why a nose can look crooked again after dorsal hump correction and how osteotomy revision corrects it

A case where a crooked nasal bone and drooping bulbous tip remaining after previous dorsal hump correction were straightened through lateral osteotomy, septal extension using autologous rib cartilage, hump rasping, and rhinitis surgery.

Preoperative condition · Postoperative record

Why nostrils show excessively in an upturned nose, and how to correct nasal tip position — Before-and-after comparison
Before-and-after comparison

Why nostrils show excessively in an upturned nose, and how to correct nasal tip position

A clinical case improving excessive nostril show, a wide nasal bridge, and an upturned nose deformity through lower lateral cartilage repositioning, nasal tip repositioning, dorsal hump rasping, and inferior turbinate resection.

Preoperative condition · Postoperative record

Why long-standing contracted noses and crooked noses occur together, and how reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why long-standing contracted noses and crooked noses occur together, and how reconstruction is performed

A case correcting a contracted nose, crooked nose, and pinched nostrils that developed after repeated surgeries, using silicone implant and scar tissue removal, nasal tip reconstruction with autologous rib cartilage, alar reconstruction with ear cartilage, and dermal grafting.

Preoperative condition · Postoperative record

Why the nose looks bulbous and long after alar reduction, and how to correct it — Before-and-after comparison
Before-and-after comparison

Why the nose looks bulbous and long after alar reduction, and how to correct it

A case where a bulbous nasal tip, drooping arrow nose, and weakened septum—occurring after alar reduction and implant surgery 12 years prior—were corrected through septal reconstruction with autologous rib cartilage, nasal shortening, and septoplasty.

Preoperative condition · Postoperative record

How to reconstruct a nose with weakened septal cartilage without implants — Before-and-after comparison
Before-and-after comparison

How to reconstruct a nose with weakened septal cartilage without implants

A case where a septum weakened by excessive harvest was reinforced with autologous rib cartilage, and the nasal structure was reconstructed without artificial implants using lateral osteotomy along with diced cartilage and dermis grafts.

Preoperative condition · Postoperative record

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