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Rhinoplasty scars and adhesions: distinguishing external indentations from internal nasal tissue

This is page 3 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 37–54 of 70.

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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

Remaining structures and reconstruction methods after alar reduction — Before-and-after comparison
Before-and-after comparison

Remaining structures and reconstruction methods after alar reduction

Nostril asymmetry, a bulbous nasal tip, and nasal obstruction caused by excessive alar reduction were improved by combining autologous rib cartilage septal extension, alar reconstruction, and rhinitis surgery.

Preoperative condition

Upturned nose and nasal obstruction: how to reconstruct structural support with rib cartilage — Before-and-after comparison
Before-and-after comparison

Upturned nose and nasal obstruction: how to reconstruct structural support with rib cartilage

For an upturned nose and severe nasal obstruction caused by septal cartilage loss following silicone implant removal, we performed total septal reconstruction using rib cartilage, nostril lowering, and internal nasal valve reconstruction.

Preoperative condition

Revision rhinoplasty for a long nose and a wide, flat nasal bridge — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty for a long nose and a wide, flat nasal bridge

A long nose, wide nasal bridge, mucus pooling, and nasal obstruction resulting from multiple prior surgeries were corrected using lateral osteotomy, autologous rib cartilage grafting, and septoplasty.

Preoperative condition

Corrective approaches for nasal obstruction and asymmetry after lateral osteotomy — Before-and-after comparison
Before-and-after comparison

Corrective approaches for nasal obstruction and asymmetry after lateral osteotomy

A case in which nasal bone depression and nasal valve stenosis causing nasal obstruction following lateral osteotomy were addressed through lateral bone mobilization, nasal valve reconstruction, and dorsal augmentation with autologous rib cartilage.

Preoperative condition

Revision rhinoplasty methods for asymmetry after dorsal hump reduction — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for asymmetry after dorsal hump reduction

A case correcting keystone damage, saddle nose deformity, and nostril asymmetry caused by excessive dorsal hump removal, using lateral osteotomy and autologous rib cartilage septal reconstruction.

Preoperative condition

Surgical planning that examines both the desired nasal shape and current anatomy — Before-and-after comparison
Before-and-after comparison

Surgical planning that examines both the desired nasal shape and current anatomy

A case of correcting a retracted columella and nostril asymmetry after repeated surgeries using a donor rib cartilage graft and scar tissue excision. The patient wished to maintain the existing silicone implant without altering the nasal dorsum.

Preoperative condition · Postoperative record

Supportive structures in a contracted nose and revision rhinoplasty using autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Supportive structures in a contracted nose and revision rhinoplasty using autologous rib cartilage

For a contracted nose and a sharply upturned nasal tip that developed after multiple surgeries, septal reconstruction with autologous rib cartilage, removal of inflammatory tissue from the nasal tip, and nostril lowering were performed.

Preoperative condition

How to correct a crooked nose and nostril asymmetry together — Before-and-after comparison
Before-and-after comparison

How to correct a crooked nose and nostril asymmetry together

This is a case of a crooked nose, nostril asymmetry, and depressive dimpling from scar adhesions following repeated surgeries and alar reduction. Nasal reconstruction using autologous rib cartilage and implant replacement were planned, and changes achieved through columellar repositioning and lower lateral cartilage rearrangement were documented.

Preoperative condition

Nostril correction methods considering crooked nose, upturned nose, and nasal obstruction — Before-and-after comparison
Before-and-after comparison

Nostril correction methods considering crooked nose, upturned nose, and nasal obstruction

For nasal tip deviation, an upturned tip, and nasal obstruction caused by intranasal mucosal adhesion following previous surgery, we performed septal extension using donor rib cartilage, nostril lowering, and mucosal adhesion release.

Preoperative condition

How to correct nasal obstruction and nostril asymmetry together — Before-and-after comparison
Before-and-after comparison

How to correct nasal obstruction and nostril asymmetry together

In a revision rhinoplasty case involving intranasal mucosal synechiae, a deviated septum, and nostril asymmetry, we removed the Gore-Tex implant, performed septal reconstruction and extension with autologous rib cartilage, along with alar rim extension and silicone implant replacement.

Preoperative condition

How to correct an upturned nose and overly curved bridge after repeated surgeries — Before-and-after comparison
Before-and-after comparison

How to correct an upturned nose and overly curved bridge after repeated surgeries

In a nose with septal damage, an upturned nose, and a high radix after 5 surgeries, the filler and silicone implant were removed, followed by septal reconstruction and extension using autologous rib cartilage and placement of a new silicone implant.

Preoperative condition

Revision rhinoplasty planning considering nasal tip skin condition and necrosis risk — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty planning considering nasal tip skin condition and necrosis risk

This is a case of septal damage, an upturned nose, and nasal tip skin depression after multiple previous surgeries. Using a closed approach to preserve blood supply, we performed septal reconstruction with autologous rib cartilage along with cartilage and dermal grafts.

Preoperative condition · Postoperative record

Columellar retraction and contracted nose: Anatomy and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Columellar retraction and contracted nose: Anatomy and reconstruction methods

A case of severe columellar retraction and septal cartilage damage following inflammation and implant removal, corrected with autologous rib cartilage septal reconstruction, deviated septum correction, and composite grafting.

Preoperative condition

Structure and reconstruction methods for a contracted nose after MRSA infection — Before-and-after comparison
Before-and-after comparison

Structure and reconstruction methods for a contracted nose after MRSA infection

A contracted nose with cartilage damage caused by MRSA infection was reconstructed using a closed approach with autologous rib cartilage septal reconstruction and extension, osteotomy, and lower lateral cartilage correction.

Preoperative condition · Postoperative record

Revision rhinoplasty for a contracted nose and nasal tip skin depression — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty for a contracted nose and nasal tip skin depression

For severe nasal tip skin depression and contracture deformity that developed after infection treatment, remaining Gore-Tex in the glabella was removed, followed by autologous rib cartilage septal reconstruction and dermis-cartilage reinforcement.

Preoperative condition · Postoperative record

Correction methods considering the shape of contracted and upturned noses — Before-and-after comparison
Before-and-after comparison

Correction methods considering the shape of contracted and upturned noses

In a male patient who developed contracture deformity, an upturned nose, and nasal obstruction after repeated surgeries, septal reconstruction and extension using autologous rib cartilage along with nostril lowering were performed via a closed approach.

Preoperative condition · Postoperative record

How to reconstruct a nose upturned from contracture using autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

How to reconstruct a nose upturned from contracture using autologous rib cartilage

Following multiple nasal surgeries and inflammation that led to contracture, an upturned nasal tip, and nostril asymmetry, autologous rib cartilage was used to extend and reconstruct the septum, creating the dorsal hump line requested by the patient.

Preoperative condition

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