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Septal damage and cartilage deficiency: evaluating residual structures in revision rhinoplasty

This is page 4 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 55–72 of 122.

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Why the nasal tip gets pinched and the columella retracts: how Medpor removal and reconstruction are performed — Before-and-after comparison
Before-and-after comparison

Why the nasal tip gets pinched and the columella retracts: how Medpor removal and reconstruction are performed

A case correcting a pinched nose caused by Medpor discovered after three surgeries and cartilage defects, through foreign material removal and full reconstruction of the alar cartilages and septum using autologous rib cartilage.

Preoperative condition

How to reconstruct a nose with weakened septal cartilage without implants — Before-and-after comparison
Before-and-after comparison

How to reconstruct a nose with weakened septal cartilage without implants

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

Nasal bridge depression and nostril asymmetry after multiple rhinoplasties: causes and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Nasal bridge depression and nostril asymmetry after multiple rhinoplasties: causes and reconstruction methods

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

Why the nose deviates and the nasal tip turns bulbous after two-jaw surgery, and how to create a dorsal hump line with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why the nose deviates and the nasal tip turns bulbous after two-jaw surgery, and how to create a dorsal hump line with autologous rib cartilage

A case where a septum damaged after two-jaw surgery was reconstructed with autologous rib cartilage, combined with lateral osteotomy and columella lowering, improving a crooked nose and bulbous tip.

Preoperative condition

Chronic foreign body reaction causing a blunt, widened nasal bridge: causes and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Chronic foreign body reaction causing a blunt, widened nasal bridge: causes and reconstruction methods

This is a revision rhinoplasty case in which a septum damaged from prior double jaw surgery and a chronic foreign body reaction in the nasal bridge were identified, followed by irrigation, capsule removal, and septal reconstruction using autologous rib cartilage.

Preoperative condition

Why a wide nasal bridge and upturned nasal tip develop, and how rib cartilage reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why a wide nasal bridge and upturned nasal tip develop, and how rib cartilage reconstruction is performed

For a wide nasal bridge and an upturned nasal tip resulting from repeated surgeries and nasal bridge thread-lifting procedures, foreign material was removed, lateral osteotomy was performed, and septal reconstruction was carried out by recycling existing autologous rib cartilage and supplementing with donor rib cartilage.

Preoperative condition

Why bulbous and flared tips persist after revision rhinoplasty: How reconstruction is performed using autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why bulbous and flared tips persist after revision rhinoplasty: How reconstruction is performed using autologous rib cartilage

To restore septal support weakened by prior surgery and address a bulbous, flared nasal tip, we performed septal reconstruction and septal extension using autologous rib cartilage.

Preoperative condition

Why nostril stenosis develops after alar reduction and philtrum reduction, and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

Why nostril stenosis develops after alar reduction and philtrum reduction, and how to reconstruct it

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

Why contracture and septal perforation occur after old Gore-Tex, and how reconstruction is performed — Before-and-after comparison
Before-and-after comparison

Why contracture and septal perforation occur after old Gore-Tex, and how reconstruction is performed

To resolve contracture, septal perforation, and cartilage loss that occurred after Gore-Tex surgery performed long ago, the septum was reconstructed using autologous rib cartilage and the perforation was closed.

Preoperative condition

Why the septum is damaged and rhinitis recurs after double jaw surgery — Before-and-after comparison
Before-and-after comparison

Why the septum is damaged and rhinitis recurs after double jaw surgery

We reconstructed the septum damaged by double jaw surgery using autologous rib cartilage, and combined rhinitis surgery, right alar reduction, and lateral osteotomy to create a straight bridge line.

Preoperative condition

Why Gore-Tex in the nasal tip causes issues and septal reconstruction using rib cartilage — Before-and-after comparison
Before-and-after comparison

Why Gore-Tex in the nasal tip causes issues and septal reconstruction using rib cartilage

A deviated nose, implant show-through, and pinched tip caused by silicone and nasal tip Gore-Tex were resolved by removing the Gore-Tex, reconstructing the septum with autologous rib cartilage, and correcting the nasolabial angle.

Preoperative condition

Why Medpor extrudes through the nasal mucosa, and how removal and reconstruction are performed — Before-and-after comparison
Before-and-after comparison

Why Medpor extrudes through the nasal mucosa, and how removal and reconstruction are performed

The extruded Medpor and damaged tissue protruding into the nasal cavity were removed, and the septum along with the missing lower lateral cartilage was reconstructed using autologous rib cartilage to treat asymmetry and inflammation.

Preoperative condition

Why the nasal bridge lowers and widens as artificial dermis is absorbed — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge lowers and widens as artificial dermis is absorbed

After identifying a lowered, widened nasal bridge and septal damage caused by artificial dermis absorption, I removed the residual dermis and reconstructed the septum with donor rib cartilage to restore bridge height.

Preoperative condition

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.

Preoperative condition

Why the nasal bridge looks red after revision rhinoplasty and methods for reconstruction — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge looks red after revision rhinoplasty and methods for reconstruction

Redness of the nasal bridge and a long nose that developed after two prior surgeries using autologous and donor rib cartilage were corrected through septal reconstruction with autologous rib cartilage, implant replacement, and nasal base correction.

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

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

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

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