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Thin nasal skin cases: distinguishing implant show-through from reinforcing materials

This is page 2 of the case archive for Thin nasal skin cases: distinguishing show-through from reinforcing materials. Explore surgical notes and before-and-after photos for cases 19–31 of 31.

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Why a crooked nose and irregular dorsum occur: implant removal and reconstruction methods — Before-and-after comparison
Before-and-after comparison

Why a crooked nose and irregular dorsum occur: implant removal and reconstruction methods

We removed the premaxillary ("cat") implant and irregularly placed ear cartilage from previous surgeries, then refined the crooked nose and radix line using a dermal graft, lateral osteotomy, and autologous rib cartilage septal extension.

Preoperative condition

When a silicone implant is about to push through the nasal tip skin: why it happens and how to reconstruct it — Before-and-after comparison
Before-and-after comparison

When a silicone implant is about to push through the nasal tip skin: why it happens and how to reconstruct it

In an urgent condition where the silicone implant was on the verge of extruding just beneath the nasal tip skin, the implant was removed, and nasal tip reconstruction with autologous rib cartilage and dermal graft reinforcement was performed.

Preoperative condition · Postoperative record

Why repeat rhinoplasty thins the nasal tip skin causing cartilage show-through, and how autologous dermis reinforcement helps — Before-and-after comparison
Before-and-after comparison

Why repeat rhinoplasty thins the nasal tip skin causing cartilage show-through, and how autologous dermis reinforcement helps

To resolve thinned nasal tip skin and cartilage show-through caused by repeated surgeries, retroauricular autologous dermis grafting, lateral osteotomy, and columellar elevation were performed.

Preoperative condition

Supportive structures and correction methods for a short and low nose — Before-and-after comparison
Before-and-after comparison

Supportive structures and correction methods for a short and low nose

A case of a 26-year-old male patient with a low, short nose, a dorsal hump, and nasal obstruction, treated with partial septal reconstruction, septal extension using autologous rib cartilage, and silicone implant placement.

Preoperative condition

The structure and correction methods for a bifid (cleft) nasal tip — Before-and-after comparison
Before-and-after comparison

The structure and correction methods for a bifid (cleft) nasal tip

For a patient with a bulbous, bifid nasal tip due to thin skin and prominent cartilage, we performed septal extension, partial removal of subcutaneous tissue, dermal graft reinforcement with ear cartilage grafting, and lateral osteotomy through a closed approach.

Preoperative condition

How to reconstruct the nose after silicone implant exposure and inflammation — Before-and-after comparison
Before-and-after comparison

How to reconstruct the nose after silicone implant exposure and inflammation

In a case presenting with silicone implant exposure accompanied by inflammatory granulation tissue, the existing implant and capsule were removed, and autologous rib cartilage was used to perform septal extension and reconstruct the lower lateral cartilage.

Preoperative condition

Correcting asymmetry and function in a small, upturned nose with thin skin — Before-and-after comparison
Before-and-after comparison

Correcting asymmetry and function in a small, upturned nose with thin skin

This is a revision case involving thin skin, an upturned nose, and nostril asymmetry following a prior surgery. The septum was reconstructed using autologous rib cartilage, combined with artificial dermis reinforcement, alar rim elongation, and septoplasty.

Preoperative condition

Revision rhinoplasty for silicone implant side effects and a wide nose — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty for silicone implant side effects and a wide nose

The existing silicone implant extending to the nasal tip was removed, the thinned tip skin was reinforced, and the profile was improved into a masculine straight line through autologous rib cartilage reconstruction and dorsal silicone replacement.

Preoperative condition

How to plan nostril lowering (alar rim grafting) in an upturned nose — Before-and-after comparison
Before-and-after comparison

How to plan nostril lowering (alar rim grafting) in an upturned nose

A case where a septum weakened by previous surgery was reinforced with donor rib cartilage, and nostril lowering was performed using an ear cartilage graft and lower lateral cartilage repositioning. The existing autologous gluteal dermis was reused at the nasal tip, and functional surgery for nasal obstruction was performed simultaneously.

Preoperative condition

How to correct a bulbous and wide nose — Before-and-after comparison
Before-and-after comparison

How to correct a bulbous and wide nose

A case addressing a bulbous, wide nasal tip, a flat bridge, and an impression of a protruding mouth. We adjusted the columella and nasolabial angle, and recorded the immediate postoperative changes in tip width and nostril asymmetry.

Preoperative condition

Is it possible to correct a philtrum reduction and remove autologous dermis? — Before-and-after comparison
Before-and-after comparison

Is it possible to correct a philtrum reduction and remove autologous dermis?

Nostril asymmetry, a crooked nose, and nasal bone defects that developed after a previous philtrum reduction and rhinoplasty were reconstructed using lateral osteotomy restoration, autologous rib cartilage, and a rotation flap.

Preoperative condition

How to correct an upturned contracted nose with autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

How to correct an upturned contracted nose with autologous rib cartilage

In a patient presenting with contracture, an upturned nose, and loss of lower lateral cartilages due to inflammation after previous surgery, we performed septal and alar cartilage reconstruction using autologous rib cartilage combined with stem cell therapy and alar rim lowering.

Preoperative condition

Revision rhinoplasty with autologous rib cartilage and columella correction for a long nose and dorsal hump — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty with autologous rib cartilage and columella correction for a long nose and dorsal hump

This is a case of a patient concerned about a nose that still looked long due to a residual dorsal hump and a drooping tip even after a previous surgery. The nasal bone and upper lateral cartilage were refined, the nasal tip and columella were corrected, and a thin silicone implant was placed to cover irregularities.

Preoperative condition

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