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Nostril asymmetry: comparing size, sill height, and columella

This is page 6 of cases on nostril asymmetry: comparing size, floor height, and columella. Review surgical records and before-and-after photos for cases 91–108 of 302.

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Why the nose becomes upturned and shortened after illegal injection procedures, and how foreign body removal and reconstruction are performed — Before-and-after comparison
Before-and-after comparison

Why the nose becomes upturned and shortened after illegal injection procedures, and how foreign body removal and reconstruction are performed

A case where purulent foreign material injected into the nasal bridge during an illegal procedure was removed, contracted skin was released, and an upturned nasal tip and bridge line were reconstructed using autologous rib cartilage and a silicone implant.

Preoperative condition · Postoperative record

Nasal bridge depression and nostril asymmetry after multiple rhinoplasties: causes and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Nasal bridge depression and nostril asymmetry after multiple rhinoplasties: causes and reconstruction methods

A case where nasal bridge depression caused by skin necrosis and severe septal damage were improved with septal reconstruction using autologous rib cartilage, cartilage and acellular dermal matrix grafts, and submucosal resection of the inferior turbinate.

Preoperative condition · Postoperative record

Why nostrils appear triangular in an upturned nose, and how to correct nostril shape — Before-and-after comparison
Before-and-after comparison

Why nostrils appear triangular in an upturned nose, and how to correct nostril shape

To address an upturned nose, excessive nostril show, and a high radix resulting from multiple rhinoplasty procedures over an extended period, nostril-lowering surgery with composite cartilage and skin grafting was performed alongside functional nasal surgery.

Preoperative condition · Postoperative record

Why replacing a cartilage nasal tip with an L-shaped silicone implant causes problems — Before-and-after comparison
Before-and-after comparison

Why replacing a cartilage nasal tip with an L-shaped silicone implant causes problems

A case where a previously replaced L-shaped silicone implant was removed, the nasal tip was reconstructed with autologous rib cartilage, and the nasal bridge was replaced with an I-shaped implant to correct an upturned nose and a tilted columella.

Preoperative condition · Postoperative record

Chronic foreign body reaction causing a blunt, widened nasal bridge: causes and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Chronic foreign body reaction causing a blunt, widened nasal bridge: causes and reconstruction methods

This is a revision rhinoplasty case in which a septum damaged from prior double jaw surgery and a chronic foreign body reaction in the nasal bridge were identified, followed by irrigation, capsule removal, and septal reconstruction using autologous rib cartilage.

Preoperative condition

Why the alae become pinched and the tip collapses after nasal tip inflammation, and methods for reconstruction — Before-and-after comparison
Before-and-after comparison

Why the alae become pinched and the tip collapses after nasal tip inflammation, and methods for reconstruction

A case of improving right alar pinching and depression caused by repeated surgeries and nasal tip inflammation using autologous rib cartilage septal reconstruction, nostril elongation, and a skin graft.

Postoperative record

Why a bulbous nose, wide nasal base, and drooping tip occur together and how to create a slimmer nasal line — Before-and-after comparison
Before-and-after comparison

Why a bulbous nose, wide nasal base, and drooping tip occur together and how to create a slimmer nasal line

A case in which nasal tip plasty with autologous rib cartilage, lateral osteotomy, nasal floor reduction, and nasolabial angle correction were performed together to correct a blunt bulbous nose, wide nasal base, and crooked nasal bridge.

Preoperative condition · Postoperative record

Why the nose looks spread after nose filler without dissolving it, and how to create a slim line — Before-and-after comparison
Before-and-after comparison

Why the nose looks spread after nose filler without dissolving it, and how to create a slim line

For a nasal bridge that became wide and crooked after filler injections, accompanied by a dorsal hump and bulbous tip, a combined procedure was performed consisting of lateral osteotomy, tip elevation using autologous rib cartilage, hump rasping, nasal sill reduction, and rhinitis surgery.

Preoperative condition · Postoperative record

Why the nasal bridge sinks and widens after implant removal, and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge sinks and widens after implant removal, and how to reconstruct it

Depression and widening of the nasal bridge, along with a crooked nose and bulbous tip that developed after implant removal, were refined through structural nasal reconstruction using autologous rib cartilage, nasal bridge augmentation with a silicone implant, tip refinement, and correction of the nasolabial angle.

Preoperative condition · Postoperative record

Why the nasal dorsum appears depressed and the tip looks bulbous after dorsal hump reduction, and how to correct it without implants — Before-and-after comparison
Before-and-after comparison

Why the nasal dorsum appears depressed and the tip looks bulbous after dorsal hump reduction, and how to correct it without implants

To improve a bulbous nasal tip, residual hump sensation, and asymmetry without silicone implants, autologous rib cartilage was used to elevate the nasal bridge and dorsal line, combined with cartilage repositioning, cartilage binding, and nasolabial angle correction.

Preoperative condition · Postoperative record

Why a wide nose often comes with nasal obstruction: Correction using osteotomy and autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why a wide nose often comes with nasal obstruction: Correction using osteotomy and autologous rib cartilage

For a wide nose, bulbous tip, crooked nose, and deviated septum, lateral osteotomy, autologous rib cartilage septal extension, bridge augmentation, septal and inferior turbinate surgery, and autologous fat grafting were performed.

Preoperative condition · Postoperative record

Why the nose turns up, the columella retracts, and the tip looks pinched: how composite correction is performed — Before-and-after comparison
Before-and-after comparison

Why the nose turns up, the columella retracts, and the tip looks pinched: how composite correction is performed

For an upturned nose, retracted columella, pinched tip, and nostril asymmetry following repeated surgeries, columellar reconstruction, pinched tip correction, septoplasty, and submucosal resection of the inferior turbinate were performed.

Preoperative condition · Postoperative record

Why the nasal tip looks spread out and lacks dimension, and how bulbous nose correction is performed — Before-and-after comparison
Before-and-after comparison

Why the nasal tip looks spread out and lacks dimension, and how bulbous nose correction is performed

To improve a wide nasal bridge, a blunt nasal tip, nostril asymmetry, and nasal obstruction, partial removal of subcutaneous tissue, lower lateral cartilage repositioning, cartilage suturing, and nasal tip height adjustment were performed in stages.

Preoperative condition · Postoperative record

Why a crooked nose and irregular dorsum occur: implant removal and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why a crooked nose and irregular dorsum occur: implant removal and reconstruction methods

We removed the premaxillary ("cat") implant and irregularly placed ear cartilage from previous surgeries, then refined the crooked nose and radix line using a dermal graft, lateral osteotomy, and autologous rib cartilage septal extension.

Preoperative condition

Why bulbous nose, nostril asymmetry, and nasal obstruction occur together, and how straight bridge line correction is performed — Before-and-after comparison
Before-and-after comparison

Why bulbous nose, nostril asymmetry, and nasal obstruction occur together, and how straight bridge line correction is performed

A case where a blunt, wide nasal tip, a columella tilted to the right, and nasal obstruction were refined into a natural straight bridge line through bulbous tip correction, nasolabial angle improvement, and septoplasty.

Preoperative condition · Postoperative record

Why rhinitis symptoms recur after surgery, and how to correct a crooked nose at the same time — Before-and-after comparison
Before-and-after comparison

Why rhinitis symptoms recur after surgery, and how to correct a crooked nose at the same time

Following prior surgery for rhinitis and a deviated septum, the patient experienced a recurrence of symptoms along with nasal deviation and nostril asymmetry, which were improved through autologous rib cartilage septal extension, lateral osteotomy, and mucosal synechia adhesiolysis.

Preoperative condition · Postoperative record

Why bulbous nose, short nose, and retracted columella appear together and how to build tip definition — Before-and-after comparison
Before-and-after comparison

Why bulbous nose, short nose, and retracted columella appear together and how to build tip definition

To correct a severe bulbous nose, short nose, and retracted columella, we performed anterior repositioning of the septal cartilage, septal extension using autologous rib cartilage, partial removal of soft tissue, and repositioning of the lower lateral cartilages.

Preoperative condition · Postoperative record

Medpor and foreign materials left inside the nose: Why they cause problems and how they are removed — Before-and-after comparison
Before-and-after comparison

Medpor and foreign materials left inside the nose: Why they cause problems and how they are removed

Although the patient believed she had only undergone alar reduction in the past, Medpor and non-absorbable foreign materials were discovered during surgery and completely removed. The nasal bridge and tip were then reconstructed using septal extension with autologous rib cartilage and lateral osteotomy.

Preoperative condition

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