This is page 2 of the case archive for Septal damage and cartilage deficiency: assessing remaining structures in revision rhinoplasty. Explore surgical notes and before-and-after photos for cases 19–36 of 122.
View before-and-after cases ↓Comprehensive rhinoplasty guide
For a patient whose septum had collapsed after repeated surgeries, causing internal nasal valve stenosis and inferior turbinate adhesions, we performed septal reconstruction with autologous rib cartilage, osteotomy reversal, and adhesiolysis.
Preoperative condition
Nostril asymmetry, over-osteotomy, and a collapsed septum resulting from prior alar reduction were corrected using a skin graft, osteotomy reversal, septal reinforcement with autologous rib cartilage, and rhinitis surgery.
Preoperative condition
Following four prior rhinoplasties, septal and lower lateral cartilage defects and nasal bone erosion were addressed by treating a chronic foreign body reaction, performing total reconstruction with autologous rib cartilage, and placing a nostril skin graft.
Preoperative condition
For a male patient presenting with a collapsed septum, severe nasal obstruction, and a drooping tip, autologous rib cartilage septal reconstruction, septal extension, and rhinitis surgery were performed.
Preoperative condition
A clinical case in which a septum damaged from two previous surgeries and chronic nasal obstruction were restored using autologous rib cartilage reconstruction, septoplasty, rhinitis surgery, and bulbous tip correction.
Preoperative condition
A severely deviated and damaged septum following previous surgery with a silicone implant and donor rib cartilage was reinforced and reconstructed using autologous rib cartilage, completing the nasal line through septal extension and nasolabial angle correction.
Preoperative condition
After double-jaw surgery weakened the septum, the nose became lower and wider; we reinforced it through septal reconstruction with autologous rib cartilage and completed a smooth profile using a customized silicone implant.
Preoperative condition
In a nose where the anterior septum was severely damaged by Medpor, foreign materials were removed, and septal reconstruction using autologous rib cartilage, silicone implant replacement, nasal sill reduction, and functional nasal surgery were performed.
Preoperative condition
After two prior surgeries, a septum collapsed to the right, a depressed alar wing, and a mucosal defect were corrected through autologous rib cartilage septal reconstruction, perichondrium grafting, and re-carving of the silicone implant.
Preoperative condition
In a case of ongoing nasal obstruction with a weakened, deviated septum following multiple surgeries, structural integrity and nasal breathing were improved through septal reconstruction using autologous rib cartilage, lateral osteotomy, septoplasty, and turbinoplasty.
Preoperative condition
In a case where a 15×10 mm septal perforation and cartilage damage occurred after previous surgery, the perforation was closed with a skin graft and structural support was restored by reconstructing the septum with autologous rib cartilage.
Preoperative condition
For Artecoll semi-permanent filler on the nasal bridge, a damaged septum, an upturned nasal tip, and nostril asymmetry, foreign material was completely removed, followed by septal reconstruction using autologous rib cartilage and alar rim lowering.
Preoperative condition
For capsular contracture, septal damage, and asymmetric nasal bones following previous surgery, the implant and capsule were removed, and septal reconstruction, lateral osteotomy, and nasal bridge augmentation with autologous rib cartilage were performed.
Preoperative condition
In a patient with limited skin elasticity and mucosal adhesion following multiple nasal surgeries along with alar and philtrum reductions, we performed septal reconstruction with autologous rib cartilage, nasolabial angle correction, columellar extension, and nasal synechia adhesiolysis.
Preoperative condition
In a case where residual artificial dermis from a previous procedure formed a dorsal hump and weakened the septal support, the artificial dermis was dissected and removed, lateral osteotomy and dorsal hump reduction were performed, the nasal tip was reconstructed using autologous rib cartilage, and the silicone implant was replaced.
Preoperative condition
A case where the septal support was largely lost from previous surgeries, resulting in nostril asymmetry. The central support was reconstructed with autologous rib cartilage, and the nasal tip was elevated with dermis and cartilage grafts.
Preoperative condition
A case where a septal defect and filler-induced deformity were identified after five prior surgeries. Following filler removal, the septum was reconstructed with autologous rib cartilage, and the nasal tip was reinforced using existing deep temporal fascia.
Preoperative condition
We removed foreign materials from illegal injections in the nasal bridge, completely reconstructed the cartilage-depleted septum using autologous rib cartilage, and performed dermal grafting on the thinned skin.
Preoperative condition
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