Feel the nose getting bigger. How to reshape it? Is there a difference between narrowing the nose and narrowing the alar?
Suggestion: Hello. Nose reduction is to reduce the size of the nose and reduce the components of the nose such as nasal bones and cartilage. To reduce the size of the nose, cut them off to reduce the height. By reducing the size of cartilage, a part of cartilage can be removed or the structure can be changed. Rhinoplasty is generally more complicated than rhinoplasty. People commonly call nose hypertrophy "garlic nose", including: nose tip hypertrophy and nose wing too wide and thick, mostly congenital. The reason of hypertrophy is that the skin is thicker, there are more subcutaneous tissues, and the cartilage scaffold is hypertrophy, which is easy to bulge out. The nose is bulky and clumsy, so there are not a few people who ask for trimming. Nose reduction is feasible. For patients with nasal tip hypertrophy, a V-shaped skin incision can be made along the front edge of the lateral foot and the medial foot of the alar cartilage, and the nasal cartilage can be separated sharply through the incision. Pull the alar cartilage out of the incision as far as possible with a small retractor to cut off the adipose tissue on the cartilage surface. Then, most of the upper and lateral parts of the cartilage are removed, leaving only an L-shaped cartilage at the center and edge. If the alar is too wide or too thick, we can make a skin incision along the front edge of the lateral foot of alar cartilage, and then use small scissors to separate the skin from the alar cartilage below, try to pull alar cartilage out of the incision with a small hook, cut off the soft tissue on the cartilage surface, and then cut off the upper and lower parts of cartilage. Then, in the nostril, a diamond-shaped vestibular skin and nasal mucosa were removed at the inner side of the alar base. If the alar is thick, you can cut off the excess adipose tissue with small scissors through the incision. Postoperative complications mainly include: unsatisfactory correction and asymmetric nostril size. Nose shaping is difficult. Because of the congenital dysplasia of the nose, it is difficult to correct it satisfactorily by suture alone. For this reason, sometimes a small piece of silica gel or expanded polytetrafluoroethylene can be filled at the tip of the nose to form a well-shaped tip.