When the nose is low and the alar is slightly wide, only rhinoplasty can achieve the natural effect of narrowing the alar;
A person with a wide nose needs a narrow nose to make the whole nose smaller and mature.
In general, the outermost nostril does not exceed the vertical line of the inner canthus, otherwise the alar will be enlarged.
Surgical procedure for alar reduction:
A, before the operation, the coagulation function should be routinely checked, and the nasal deformity caused by the disease should be treated first to eliminate the pathogen. People with local nasal infection should also be treated first.
B, surgery is best performed after the patient is an adult, because the repair is too early, and after the facial development, the repaired nose may be deformed again.
C. The skin and soft tissue of patients with severe nasal collapse are sunken upwards. In this case, the operation must be performed in stages. First separate the nose, move it to the normal position, and then implant the filler.
D, intraoperative sterilization must be strict, if there is infection, the filler will be necrotic.
E. Before placing the filler, attention should be paid to the separation level, cavity size and symmetry. The cavity formed after separation should be suitable for the placement of fillers, not too tight or too loose.
F, according to the shape and size of the collapsed parts such as the bridge of the nose, place appropriate fillers, then sew the wound and fix the nose shape. Penicillin should be injected after operation to prevent infection.