1. Cartilage transplantation method Make a nasal margin incision or an intra-cartilaginous incision in the nostril to expose alar cartilage and nasal cartilage, and cut off the cartilaginous side of alar or the caudal part of nasal cartilage as appropriate. The cut cartilage, after cutting and shaping, is sutured at the top of the vault to raise the tip of the nose, or the external ear cartilage can be cut for transplantation.
2. The lateral incision of bilateral columella was made by approaching the medial foot of bilateral alar cartilage, exposing the medial foot and alar cartilage vault, removing the soft tissue between the two medial feet, and then making mattress suture at the upper and lower ends, that is, closing the medial foot. This method can raise the tip of the nose by 2-3mm.
3. Wedge-shaped resection of alar base If the shape of the nasal tip is good, it is only slightly lower, and a wedge-shaped full-thickness tissue is removed from the alar base on both sides, so that the nostrils are adducted and the vault is raised, that is, the nasal tip is raised.
Nasal tip plastic surgery Part II: Ultra-high nasal tip correction
A proper protruding tip of the nose refers to the backward transition from the tip of the nose to the tip of the nose, which is a straight-line lifting process. If there is a large arc bulge, it is called ultra-high nose tip. After surgical correction, the effect is good. Incision between cartilage, retrograde separation of alar cartilage vault and caudal side. The most prominent part of the vault was cut off by full thickness, and the broken end was stitched. The surface layer of cartilage on both sides of the joint is cut intermittently in order to weaken it, and the nose tip is steep but not sharp. The excised part can also be located at the foot root of the medial alar cartilage, but the effect is not as good as that of the fornix.
Nasal tip plastic surgery part 3: blunt nasal tip correction
When looking up, the aesthetic standard nose tip is conical, whereas the blunt nose tip is obviously not beautiful. Some people go to a plastic surgeon and say, "Please give me a new pig nose". This statement shows that this kind of nose has reached the point where surgery is necessary. An incision was made in the alar margin of the nostril to completely expose the bilateral alar cartilage vault. Then cut 3-6 incisions on its surface, but don't cut. Remove the soft tissue between the medial feet of alar cartilage, and pull the two medial feet with mattress suture. If the nasal tip is low, the transplanted cartilage can be raised.
Nasal tip plastic surgery Part IV: Correction of hypertrophy of nasal tip
People commonly call this kind of nose "garlic nose". The reason is that the skin is thick, there are many subcutaneous tissues, and the cartilage scaffold is thick, which is easy to swell out. The correction of hypertrophic nasal tip is called tipreductlon operation, and the operation to treat this kind of nasal tip is the most challenging. The operation adopts marginal incision or cartilage incision. Fully expose and free alar cartilage and nasal cartilage, and cut off fibrous adipose tissue in all parts evenly. Remove the l/2-2/3 on the cartilaginous side of the alar, and rotate the lateral foot to the medial side and the cephalic side. At this point, you can see the alar adduction. The cartilage was cut off intermittently at the alar cartilage vault, and it could not be cut off. If the strengthened nostril or transverse nostril cannot become vertical, a wedge resection should be done at the base of the alar; If the tip of the nose is not high enough, you can put the cut cartilage on the surface of the vault and raise the tip of the nose.