1. Does the operation hurt?
Compared with other rhinoplasty methods, autogenous costal cartilage is more painful in rhinoplasty, which is mainly caused by bone harvesting. Take costal cartilage, generally make an incision about 6 cm long on the inner side of the lower part of the right chest, cut the skin and subcutaneous layer by layer, separate the muscles to expose costal cartilage, and then peel it off with orthopedic instruments to cut the desired cartilage block. The operation is carried out under local anesthesia. If the anesthesia effect is not ideal, the patient will feel very painful. Good anesthesia will make things better. After the operation, the chest wound is painful, and deep breathing, coughing and bending over will cause pain, but it is generally tolerable. After about 3 days, I got better obviously, and I was able to straighten up slowly. It takes about 1 hour to take out the cartilage and cure the wound in layers, and the whole operation takes 2-3 hours. If the operation is not successful, it will take longer.
2, surgical effect
Through clinical observation, it is found that after costal cartilage transplantation, as long as the wound heals smoothly, the cartilage absorption is still difficult to see from the appearance. Therefore, there will be no late quality change in autogenous costal cartilage augmentation rhinoplasty. In addition, the safety of autogenous costal cartilage augmentation rhinoplasty is still relatively high, and lidocaine hydrochloride anesthetic will be given before the operation. Therefore, the operation is carried out under anesthesia, and patients generally do not have too obvious pain.
The effect of autogenous costal cartilage augmentation rhinoplasty is very ideal, and it has good compatibility with human tissues, without any side effects, and the nose looks more harmonious after operation. Therefore, autogenous costal cartilage augmentation rhinoplasty is a kind of rhinoplasty worthy of choice. However, it should be noted that to do autogenous costal cartilage augmentation rhinoplasty, an experienced doctor must be selected in a professional hospital to ensure the effect of the operation.
In a word, autogenous costal cartilage augmentation rhinoplasty is a good rhinoplasty operation, which not only won't leave scars, but also has a very easy operation process, so it is worth choosing.
3. Precautions for operation
The sculpture of the prosthesis is the key to the success of the operation. After choosing a good model of rhinoplasty prosthesis, the sculpture should be carefully carried out according to the nose shape of the beauty seeker, the most important of which is to conform to the nasal bone shape of the patient. When the sculpture is finished, the prosthesis will not slide down when it is placed outside the nose, and its length and tip should not exceed the golden point, and the length of the nose column of the prosthesis should not exceed the demand.
At present, one nostril margin incision is generally not used in the choice of rhinoplasty incision, which is not convenient to separate the cavity fully, and it is not easy to divide the cavity straight and easy to deflect. It is also not recommended to make a butterfly incision at the tip of the nose because there are exposed scars. At present, the latest incision design is to make an incision along the inner edge of both nostrils, and at the same time separate the nasal columella upward and downward, so that the separated cavity gland is full and straight, and there is no possibility of prosthesis deviation after operation.
There is another skill in carving the prosthesis. When the prosthesis needs to be filled high and the model of rhinoplasty is thick and hard, the prosthesis model can be cut into fish rolls with a blade, that is, the inner side of the prosthesis is cut horizontally and vertically but not cut off, so that the prosthesis can stick together freely and it is not easy to slide down. There is an empirical question whether to choose a willow prosthesis or an L-shaped prosthesis when choosing a rhinoplasty prosthesis. In the past, if the root of the nose was raised, the tip of the nose was not considered, and the willow prosthesis was generally used. However, after some willow prostheses were placed for a period of time or months or a year, the prosthesis would decline and the effect was not satisfactory. Therefore, at present, for those who only need to raise the root of the nose, L-shaped rhinoplasty prosthesis is also used, which can avoid the above disadvantages of rhinoplasty with willow prosthesis.
4. Postoperative care
1. After prosthesis rhinoplasty, lie flat as much as possible and raise your head and back, which is beneficial to reduce swelling and pain. Local ice compress can effectively reduce pain. After five days after surgery, local hot compress should be used to help you recover;
Second, after prosthesis rhinoplasty, apply antibiotic ointment to the wound. If there is a small amount of oozing blood, gently rub it off with a sterile cotton ball. Never touch the wound with unclean things to avoid pollution.
3. If the wound has accumulated blood scabs, it can be gently washed away with 3% hydrogen peroxide, then washed with normal saline, coated with a small amount of ointment, or sprinkled with anti-inflammatory powder to keep the wound dry and wait for self-healing;
Fourth, ban smoking and alcohol after rhinoplasty, and don't eat spicy food;
5. After nasal augmentation, you should minimize activities, especially facial activities, lie flat and rest, and avoid taking off your glasses frequently.