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Nostril asymmetry: comparing size, sill height, and columella

This is page 8 of the case archive for Nostril asymmetry: comparing size, sill height, and columella. Explore surgical notes and before-and-after photos for cases 127–144 of 302.

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Why the nose looks crooked after dorsal hump surgery, and how septal reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why the nose looks crooked after dorsal hump surgery, and how septal reconstruction is performed

A crooked nose and deviated septum that developed after dorsal hump correction were improved by removing the existing donor rib cartilage, reconstructing the septum with autologous rib cartilage, and performing submucosal resection of the inferior turbinate.

Postoperative record

Why nasal obstruction returns after rhinitis surgery and how structural correction is performed — Before-and-after comparison
Before-and-after comparison

Why nasal obstruction returns after rhinitis surgery and how structural correction is performed

With a history of nasal filler injection and rhinitis surgery, a widened and crooked nasal bridge and nasal obstruction were improved through septoplasty, inferior turbinectomy, and nasolabial angle adjustment.

Preoperative condition · Postoperative record

Why nostrils become visible and nasal bridge volume is lost after multiple surgeries — Before-and-after comparison
Before-and-after comparison

Why nostrils become visible and nasal bridge volume is lost after multiple surgeries

A case of nasal reconstruction using recycled autologous rib cartilage combined with donor rib cartilage and skin grafts to correct an upturned nasal deformity and asymmetry caused by repeated surgeries.

Preoperative condition

Why contracture and nasal obstruction develop together after multiple rhinoplasties, and how reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why contracture and nasal obstruction develop together after multiple rhinoplasties, and how reconstruction is performed

A case involving a patient who experienced septal cartilage damage, an upturned nasal tip, and severe nasal obstruction after 8 surgeries over 15 years, where the septum was reconstructed using autologous rib cartilage and reinforced with dermis.

Preoperative condition · Postoperative record

Why nasal threads and fat grafting fail to create a defined line: foreign body removal and rib cartilage reconstruction — Before-and-after comparison
Before-and-after comparison

Why nasal threads and fat grafting fail to create a defined line: foreign body removal and rib cartilage reconstruction

A case where foreign material was removed after dissatisfaction with thread lifting and fat grafting alongside a deviated septum, creating a straight bridge line with autologous rib cartilage and relieving nasal obstruction.

Preoperative condition

Why dorsal humps and crooked noses often cause nasal obstruction, and how to address them with combined correction — Before-and-after comparison
Before-and-after comparison

Why dorsal humps and crooked noses often cause nasal obstruction, and how to address them with combined correction

A case combining a dorsal hump, crooked nose, and hypertrophic rhinitis addressed with osteotomy, hump reduction, septoplasty, and submucosal resection of the inferior turbinates.

Preoperative condition · Postoperative record

Why grafted dermis repeatedly absorbs, and how to reconstruct the nose — Before-and-after comparison
Before-and-after comparison

Why grafted dermis repeatedly absorbs, and how to reconstruct the nose

A case in which nasal deformity and septal damage caused by repeated dermal grafting and absorption were corrected through structural reconstruction with autologous rib cartilage and recycling of existing dermis.

Preoperative condition · Postoperative record

Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected — Before-and-after comparison
Before-and-after comparison

Why a dorsal hump and a long nose often accompany nasal obstruction, and how they are corrected

A case involving a history of nose thread lifting, a dorsal hump, a long nose, and rhinitis symptoms, corrected with osteotomy, hump rasping, septoplasty, and inferior turbinate resection.

Preoperative condition

Why a thick columella and upturned nasal tip develop, and how autologous rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why a thick columella and upturned nasal tip develop, and how autologous rib cartilage reconstruction is performed

A case of an upturned nose with septal damage and contracture deformity from repeated surgeries, where the septum and lower lateral cartilages were reconstructed using autologous rib cartilage along with columellar width correction.

Preoperative condition · Postoperative record

Aged nasal implants and nasal pain: key points to evaluate in revision rhinoplasty — Before-and-after comparison
Before-and-after comparison

Aged nasal implants and nasal pain: key points to evaluate in revision rhinoplasty

A case in an older patient with a 50-year history of repeated surgeries, nasal pain, and a crooked nose deformity, where the previous cartilage causing the pain was removed and the nose was reconstructed using donor rib cartilage.

Preoperative condition · Postoperative record

Revision rhinoplasty approach addressing both a drooping tip and nasal obstruction — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty approach addressing both a drooping tip and nasal obstruction

For a drooping tip, dorsal depression, and nasal obstruction that developed after multiple surgeries, septal extension using donor rib cartilage, dermal grafting for the depressed area, and septoplasty were performed.

Preoperative condition

Structure and correction methods for a short and upturned nose — Before-and-after comparison
Before-and-after comparison

Structure and correction methods for a short and upturned nose

This case involved a small, upturned nasal tip, excessive nostril show, and rhinitis. Using partially calcified autologous rib cartilage, we performed septal extension, submucosal resection of the inferior turbinates, and nasolabial angle correction.

Preoperative condition · Postoperative record

Planning implant-free rhinoplasty using autologous rib cartilage in patients with allergic tendencies — Before-and-after comparison
Before-and-after comparison

Planning implant-free rhinoplasty using autologous rib cartilage in patients with allergic tendencies

This is a revision rhinoplasty case where autologous rib cartilage was chosen instead of a silicone implant due to the patient's allergic constitution and concerns about inflammation. Drooping tip and a crooked nose were corrected through septal extension, bridge augmentation, and cartilage repositioning.

Preoperative condition

Rhinoplasty and chin augmentation considering facial proportions — Before-and-after comparison
Before-and-after comparison

Rhinoplasty and chin augmentation considering facial proportions

For a bulbous nasal tip, retracted columella, and a receding chin, septal extension using septal cartilage and donor rib cartilage was combined with a chin implant to refine the facial profile.

Preoperative condition · Postoperative record

Nasal correction considering philtrum length and alar asymmetry — Before-and-after comparison
Before-and-after comparison

Nasal correction considering philtrum length and alar asymmetry

For an elongated-looking philtrum and asymmetrical alae, filler was removed, followed by septal extension using autologous rib cartilage, nasal sill reduction, and septal and rhinitis surgery.

Preoperative condition · Postoperative record

Correction approach considering height and proportions for a small nose — Before-and-after comparison
Before-and-after comparison

Correction approach considering height and proportions for a small nose

For a small, upturned nose with a wide tip, foreign material from nasal bridge filler was removed, followed by lateral osteotomy, silicone implant placement, lowering the columella, and nasolabial angle correction.

Preoperative condition

Nasal structure of an artificial-looking nose after surgery and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Nasal structure of an artificial-looking nose after surgery and reconstruction methods

For a high radix, upturned tip, and nasal obstruction caused by septal deviation, donor rib cartilage extension, tip cartilage repositioning, and inferior turbinate resection were performed.

Preoperative condition

Correction approach considering both a large nose and facial proportions — Before-and-after comparison
Before-and-after comparison

Correction approach considering both a large nose and facial proportions

For a large nose with a dorsal hump and a drooping tip, harmony was achieved through lateral osteotomy, nasal tip correction using autologous rib cartilage, nasal sill reduction, and autologous facial fat grafting.

Preoperative condition · Postoperative record

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