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

This is page 6 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 91–108 of 122.

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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

Methods for correcting nasal deformities associated with cleft lip and palate — Before-and-after comparison
Before-and-after comparison

Methods for correcting nasal deformities associated with cleft lip and palate

A case in which asymmetry, a right maxillary bone defect, and nostril floor depression resulting from cleft lip and palate were corrected by reconstructing the septum and lower lateral cartilage and augmenting the nasal floor bone using autologous rib cartilage.

Preoperative condition

How to remove mesh and reconstruct a contracted nose — Before-and-after comparison
Before-and-after comparison

How to remove mesh and reconstruct a contracted nose

In a patient presenting with post-inflammatory nasal contracture and nasal obstruction, unexpected mesh and residual donor rib cartilage found in the nasal tip were removed. The entire septum and both lower lateral cartilages were then reconstructed using autologous rib cartilage.

Preoperative condition

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

Closed correction method for a crooked nose and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Closed correction method for a crooked nose and nostril asymmetry

In a patient with a persistent crooked nose, nostril asymmetry, a wide nasal dorsum, and nasal obstruction after a prior rhinoplasty, autologous rib cartilage septal reconstruction, osteotomies, and inferior turbinate resection were performed without an implant.

Preoperative condition

Correcting a crooked nose and nostril asymmetry while considering breathing — Before-and-after comparison
Before-and-after comparison

Correcting a crooked nose and nostril asymmetry while considering breathing

Following prior filler and rhinoplasty, the patient experienced a persistent crooked nose, nostril asymmetry, and breathing difficulty; we performed filler removal, septal reconstruction and extension using autologous rib cartilage, and inferior turbinate resection.

Preoperative condition

Rhinoplasty approach examining the structure of a bulbous nasal tip — Before-and-after comparison
Before-and-after comparison

Rhinoplasty approach examining the structure of a bulbous nasal tip

In a patient presenting with a bulbous, drooping tip and symptoms of a deviated septum after previous rhinoplasty, septal reconstruction with autologous rib cartilage, lateral osteotomy, and turbinoplasty were performed via a closed approach.

Preoperative condition

Surgical plan for revision rhinoplasty with septal perforation — Before-and-after comparison
Before-and-after comparison

Surgical plan for revision rhinoplasty with septal perforation

In a patient with a history of past surgeries, septal perforation, and saddle nose deformity, septal reconstruction and extension using autologous rib cartilage, alar lowering, and direct closure were performed via a closed approach.

Preoperative condition

Revision rhinoplasty methods for a contracted nose and retracted columella — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for a contracted nose and retracted columella

To correct an upturned nose, retracted columella, and nasal obstruction caused by contracture after multiple surgeries, stem cell therapy was performed followed by closed septal reconstruction using autologous rib cartilage, lowering the columella, and osteotomy.

Preoperative condition

Nasal structures and reconstruction methods for a contracted nose after repeated surgeries — Before-and-after comparison
Before-and-after comparison

Nasal structures and reconstruction methods for a contracted nose after repeated surgeries

Following a history of 6 surgeries with cartilage resorption, contracture, and columellar retraction, the structure was corrected through total septal reconstruction using fresh autologous rib cartilage.

Preoperative condition

How to correct contracture deformity after multiple rhinoplasties — Before-and-after comparison
Before-and-after comparison

How to correct contracture deformity after multiple rhinoplasties

To improve an upturned nose and cartilage damage resulting from contracture after implant inflammation, stem cell therapy was performed, followed by closed septal reconstruction with autologous rib cartilage, removal of dorsal fibrous tissue, and partial use of a silicone implant.

Preoperative condition

The anatomy of post-traumatic nasal obstruction and its correction methods — Before-and-after comparison
Before-and-after comparison

The anatomy of post-traumatic nasal obstruction and its correction methods

In a patient presenting with septal fracture, nasal obstruction, and tip deviation resulting from trauma, septal correction and extension using donor rib cartilage, dorsal reinforcement with dermis, and osteotomy were performed via an implant-free, closed approach.

Preoperative condition

How to correct an upturned nose and nostril show together — Before-and-after comparison
Before-and-after comparison

How to correct an upturned nose and nostril show together

To correct an upturned nose, nostril show, and pinched alae resulting from multiple previous surgeries, I reconstructed the damaged septum and lower lateral cartilages using autologous rib cartilage, and performed nostril lowering and osteotomy through a closed approach.

Preoperative condition

Reconstruction method for an upturned and crooked nose after repeated surgeries — Before-and-after comparison
Before-and-after comparison

Reconstruction method for an upturned and crooked nose after repeated surgeries

Following multiple rhinoplasties, the patient presented with an upturned nasal tip, septal damage, protruding columellar cartilage, and nasal obstruction. Tip reconstruction using autologous rib cartilage, septoplasty, and submucosal resection of the inferior turbinate were performed through a closed approach.

Preoperative condition

Reconstruction methods for a contracted nose accompanied by nasal obstruction — Before-and-after comparison
Before-and-after comparison

Reconstruction methods for a contracted nose accompanied by nasal obstruction

This is a case of a contracted nose and nasal obstruction following multiple surgical procedures. After silicone implant removal and stem cell therapy, nasal tip and septal reconstruction using autologous rib cartilage and an inferior turbinoplasty were performed through a closed approach.

Preoperative condition

Revision rhinoplasty for nostril asymmetry and a flared nose — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty for nostril asymmetry and a flared nose

Following a history of double-jaw surgery and rhinoplasty, the anterior nasal spine had been resected, resulting in nostril asymmetry and nasal obstruction. The septum and lower lateral cartilages were reconstructed using autologous rib cartilage, along with silicone implant exchange and nasal sill reduction.

Preoperative condition

A staged correction method for a severely upturned contracted nose — Before-and-after comparison
Before-and-after comparison

A staged correction method for a severely upturned contracted nose

After total removal of implants due to inflammation left a severely upturned contracted nose, the septum and lower lateral cartilage were reconstructed using autologous rib cartilage and the skin was stretched via a closed approach.

Preoperative condition

Revision rhinoplasty methods for alar and nostril asymmetry — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty methods for alar and nostril asymmetry

Alar and nostril asymmetry and tip drooping after three prior surgeries were corrected via a closed approach using autologous rib cartilage septal reconstruction, septal extension, and septoplasty.

Preoperative condition

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