This is page 2 of the case archive for Rhinoplasty scars and adhesions: distinguishing skin indentations from internal nasal structures. Explore surgical notes and before-and-after photos for cases 19–36 of 70.
View before-and-after cases ↓Comprehensive rhinoplasty guide
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
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
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
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
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
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.
Preoperative condition
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
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
In an urgent condition where the silicone implant was on the verge of extruding just beneath the nasal tip skin, the implant was removed, and nasal tip reconstruction with autologous rib cartilage and dermal graft reinforcement was performed.
Preoperative condition
For nostril asymmetry and stenosis following alar and philtrum reduction, septal reconstruction and extension using autologous rib cartilage, Z-plasty, and dermal grafting were performed.
Postoperative record
To address left nostril stenosis and cartilage damage after alar reduction, septal and alar reconstruction using autologous rib cartilage was performed alongside an intranasal rotational flap.
Preoperative condition
Implant show-through at the nasal tip and chronic rhinitis symptoms following an old silicone implant placement were addressed through implant removal, reconstruction of the septum and nasal tip cartilage, and rhinitis surgery.
Postoperative record
Upturned nostrils and implant show-through following Silitex insertion were improved by completely removing the implant, elevating the nasal tip with autologous rib cartilage, replacing the bridge implant with silicone, and performing facial fat grafting.
Preoperative condition
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
A case in which intranasal mucosal adhesions, nasal obstruction, and a widened nasal deformity following double-jaw surgery were corrected using synechia adhesiolysis, donor rib cartilage, and septal cartilage.
Preoperative condition
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
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
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
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