1, when the alar is not too wide, it can be inserted into the auxiliary column in the nasal columella. When cartilage transplantation is done on the tip of the nose, the tip of the nose will stand up and the alar will shrink, so no other operation is needed. Therefore, whether it is necessary to reduce the alar should be evaluated and judged after the nose tip standing operation.

2. alar resection is mainly suitable for orientals or blacks. It is a method to reduce the alar when the nasal base is too wide or the nostrils are too large. When the alar is wide, it is mostly because the alar skin is redundant. We need to cut off the skin under the alar and sew up the incision to narrow the alar, which will make the nostrils look very long. The incision is left at the junction of nose and cheek, and the scar is not obvious.

3. If the alar is wide and the nostril is wide, partial resection of alar base and nostril reduction can be performed cautiously. The incision is located at the base of alar and the lower part of alar sulcus. Under local anesthesia, part of the full-thickness tissue of the alar base was properly removed, and then the nostril was rotated inward to narrow and sutured intermittently in layers. The length of scar visible after operation is generally less than 1CM.

4. If the alar margin is wide, the free alar margin can be partially removed, and the incision can be stitched on the inner surface of the alar after trimming.

5. If the nostril is not big, the alar is too thick or the upper part of alar groove is too full, you can make a skin incision along the front edge of the lateral foot of alar cartilage, peel off the skin and the alar cartilage below, remove the swollen soft tissue on the cartilage surface, and then appropriately remove the upper and outer parts of alar cartilage; Then, in the nostril, cut off a rhombic vestibular skin and nasal mucosa on the inner side of the base of the alar, and cut off excess adipose tissue. Finally, the incision on the edge of the nostril is sutured with the incision on the inner side of the base of the alar. The length of scar visible after operation is generally less than 1CM.

6, nose hypertrophy

People commonly call garlic nose with a big nose, including:

Two kinds of deformities, namely, hypertrophy of the tip of the nose and excessive width and thickness of the alar, are 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 nasal tip hypertrophy can be used:

V-shaped skin incision was made along the anterior edge of lateral and medial alar cartilage, and nasal cartilage was 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, you can use:

Make a skin incision at the edge of nostril along the front edge of the lateral foot of alar cartilage, and use small scissors to separate the skin from the alar cartilage below through the incision. Pull the alar cartilage out of the incision as far as possible with a small hook, cut off the soft tissue on the cartilage surface, and then cut off the upper and lower parts of the 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.

therapeutic process

As for the operation of reducing the alar, rhinoplasty experts pointed out that it is not complicated, that is, a butterfly incision is made along the alar edge to separate the skin and expose the alar.

Cartilage: cut the alar cartilage at the fornix, re-suture, then remove the excess connective tissue and fat under the skin, and finally suture. Clinically, the procedure of alar reduction surgery is as follows:

Process 1. Incision of the nostril edge along the medial alar cartilage and the anterior edge of the lateral foot.

The second step is to separate the skin from alar cartilage through incision.

Process 3: Trim the adipose tissue on the surface of alar cartilage, and then remove most of the upper and lateral parts of alar cartilage, leaving only a piece of ┴-shaped cartilage in the middle and edge.

Process 4: suture the incision, pay attention to oral antibiotics for 5-7 days after alar reduction, and take out stitches for 5-7 days after operation. Don't touch the wound with water before taking out stitches. The swelling will be relieved after 1 week, and it will be basically relieved after 1 month, with the best effect after 3-6 months. Avoid bumping your nose for a month to prevent deviation. Nasal plastic surgery