This is page 2 of the case archive for Weak tip support cases: differences between remaining cartilage and reconstruction. Explore surgical notes and before-and-after photos for cases 19–36 of 41.
View before-and-after cases ↓Comprehensive rhinoplasty guide
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 of nasal tip drooping, a pinched look, and tip spreading after nasal filler injection and silicone rhinoplasty 7 years ago. Foreign materials and the silicone implant were removed, and the nasolabial angle was corrected while reinforcing tip support.
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
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
To resolve persistent nasal obstruction, a crooked nose, and a retracted columella following a prior surgery, complete reconstruction using autologous rib cartilage and septoplasty were performed.
Preoperative condition · Postoperative record
To resolve chronic inflammation, an upturned nose, and redness of the nasal bridge that persisted after previous surgeries, artificial materials were removed, and structural reconstruction using autologous rib cartilage was performed along with nasal valve surgery.
Preoperative condition
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
To correct congenital nostril asymmetry and a drooping nasal tip, residual filler and foreign material were removed, and septal extension was performed using both donor rib cartilage and septal cartilage.
Postoperative record
Columellar retraction and bulbous tip deformity after previous dorsal hump reduction and osteotomy were corrected through septal extension with autologous rib cartilage, columellar cartilage grafting, and lateral osteotomies.
Preoperative condition
A case where an upturned nose and a retracted columella caused by cartilage loss from previous surgeries were naturally restored using autologous rib cartilage for lower lateral cartilage reconstruction and septal extension.
Preoperative condition
To correct a traumatic nasal bone fracture and a deviated nasal tip, closed reduction and autologous rib cartilage septal extension were performed without an implant, with plans to adjust the nasal bridge height after an observation period.
Postoperative record
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
A case of nasal reconstruction using recycled autologous rib cartilage combined with donor rib cartilage and skin grafts to correct an upturned nasal deformity and asymmetry caused by repeated surgeries.
Preoperative condition
An upturned nose accompanied by loss of the septum and damage to the lower lateral cartilages from excessive cartilage harvesting was restored through septal reconstruction with autologous rib cartilage and alar cartilage reconstruction using the previous ear cartilage.
Postoperative record
For an upturned nose and severe nasal obstruction caused by septal cartilage loss following silicone implant removal, we performed total septal reconstruction using rib cartilage, nostril lowering, and internal nasal valve reconstruction.
Preoperative condition · Postoperative record
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