This is page 3 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 37–54 of 122.
View before-and-after cases ↓Comprehensive rhinoplasty guide
A short, upturned nose caused by septal cartilage deficiency from a previous surgery was corrected with septal reconstruction using autologous rib cartilage, combined with chin filler removal and receding chin correction.
Preoperative condition
A septum weakened by Medpor inserted 10 years ago was completely removed and reconstructed using autologous rib cartilage, performed concurrently with septoplasty and inferior turbinate surgery.
Preoperative condition
Cartilage penetrating the mucosa and a septal perforation after multiple surgeries were corrected through total reconstruction with autologous rib cartilage and repair of the perforation using ear perichondrium.
Preoperative condition
The septal L-strut, thinned after three previous surgeries, was reinforced with autologous rib cartilage, and the crooked nose was reconstructed through lateral osteotomies and columellar lengthening.
Preoperative condition
For cleft lip- and palate-related asymmetry and alar deformities, septal reconstruction and dorsal augmentation were performed using autologous rib cartilage, along with alar reconstruction using ear cartilage and lateral osteotomy.
Preoperative condition
In a patient presenting with mucosal perforation and contracture deformity caused by implant infection, inflamed tissue was debrided and irrigated, followed by staged septal reconstruction.
Preoperative condition
This is a case where the septum was damaged and both lower lateral cartilages were removed following multiple rhinoplasties. The support structure was reconstructed using autologous rib cartilage, concurrently correcting the upturned nose, deviated columella, and nasolabial angle.
Preoperative condition
For an overly high "Pinocchio-like" deviated nose with septal damage, the silicone implant was removed, and autologous rib cartilage reconstruction, radix adjustment, and nasal sill reduction were performed.
Preoperative condition
This is a case where the nasal bones, septum, and keystone area were damaged after repeated surgeries, causing nasal obstruction due to nasal valve stenosis. Autologous rib cartilage was used to reconstruct the nasal support structure and nasal valve, while correcting bridge depression and asymmetry.
Preoperative condition
A case where a septum weakened and deviated to the left from a previous surgery was reconstructed with autologous rib cartilage. Addressing both nasal obstruction and an upturned nose, the nasal tip was elongated, and the depressed nasal dorsum and nasolabial angle were corrected.
Preoperative condition
A case where nasal bones, the nasal vault, and the septum were reconstructed using autologous rib cartilage to resolve collapsed nasal bones, nasal roof collapse, internal nasal valve stenosis, and pain caused by excessive osteotomy in a previous surgery.
Preoperative condition
To resolve persistent septal damage, nasal deviation, and nostril asymmetry following repeated surgeries, the central support pillar was entirely reconstructed using autologous rib cartilage.
Preoperative condition
A case where autologous rib cartilage was used for full septal reconstruction alongside dermis grafting to address repeated surgical history, septal perforation, and thinned nasal tip skin.
Preoperative condition
Following previous rhinoplasty, poor septal support led to a crooked nose, a drooping tip, and excessive nostril show. These concerns were addressed through septal reconstruction, lateral osteotomy, and tip support correction.
Preoperative condition · Postoperative record
We removed an old paranasal implant that had migrated into the nasal cavity and obstructed breathing, and completely reconstructed the damaged septum and lower lateral cartilages using autologous rib cartilage, improving both breathing function and nasal appearance.
Preoperative condition · Postoperative record
In a patient whose septal cartilage had been excessively harvested during previous surgeries, leading to a shortened nasal tip and nostril asymmetry, the septum was solidly reconstructed using autologous rib cartilage to restore nasal length.
Preoperative condition · Postoperative record
For a patient who experienced partial absorption of donor dermis on the nasal bridge and septal damage after multiple revision surgeries, the donor dermis was removed, the septum was reconstructed with autologous rib cartilage, and the skin was reinforced with retroauricular dermis.
Preoperative condition
For a drooping tip and retracted columella caused by septal cartilage damage following previous surgery with autologous rib cartilage and a silicone implant, the septum was reconstructed using autologous rib cartilage, the columella was restored, and the nasolabial angle was corrected.
Preoperative condition
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