What kind of nose tip looks good?
A natural and beautiful nose tip is based on a harmonious proportion, not what the local absolute value is.
Regarding nose tip protrusion, aesthetics pays attention to a golden section line. You can make a vertical line along the free edge of the upper lip to divide the line between the tip of the nose and the alar into two parts. At present, the convex part A = 50 ~ 60% AB is the best, over 70%, the nose tip is too high, and below 50% is insufficient.
Asians have weak alar cartilage development, insufficient nose tip protrusion, flared alar, short columella, improper shape and inclination of inferior lateral cartilage. Therefore, Asians usually have a blunt tip of the nose, a vague outline of the tip of the nose, a fleshy nose, and a mound of temperament, which is not atmospheric enough.
Therefore, in Asian rhinoplasty, it is often necessary to increase the prominence of the tip of the nose.
Pre-surgical
The following are several common surgical methods to increase nasal tip protrusion:
Because the tip of the nose is determined by the interaction between the supporting (stent) structure of the tip of the nose and the covered skin and soft tissue, it is necessary to treat the soft tissue and stent structure separately during the operation:
For example:
Head trimming: If the big nose is caused by vault hypertrophy or boxed vault, the lower lateral cartilage should be separated from the upper lateral cartilage in the intercondylar junction area for head trimming, and then the nasal tip should be narrowed by cross-vault suture and intercondylar suture.
The nasal columella support is a solid and powerful pillar of the nasal floor. Strengthening the support of nasal columella can make the subsequent nasal tip suture more free, and can also change the display of nasal columella.
The medial foot suture is the first suture, which can be used to correct the asymmetry of the medial foot, reduce the abduction of alar cartilage, control the width of nasal columella, and sew at the foot root to adjust the abduction.
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? The farther away from the highest point of vault, the tighter the tension and the more obvious the protrusion increases.
? Inter-fornix suture method can reduce the separation angle of fornix, shorten the distance of nasal tip, refine the inferior leaflet of nasal tip and increase the protrusion.
Lateral foot support graft and alar contour graft are usually placed before nasal tip adjustment and columella support transplantation, which can change the direction of alar arch and/or stabilize alar arch.
If the above suture technique and graft have been used, and if the tip of the nose is not prominent enough, a suitable plate-shaped graft of the tip of the nose can be placed.
Let's take a look at several situations in which nose tip protrusion increases:
Careful operation, continuous observation during operation and correct nursing after operation all affect the success or failure of nasal tip surgery. However, in the postoperative recovery period, as the edema of the skin mask subsided, the outline of the initially hidden graft would become clearer and clearer, and the nose tip protrusion would become clearer and clearer. It takes 6~ 12 months to show the true nose shape, so be patient during the recovery period.