A few days ago, a patient of 5 1 came to me for face-to-face consultation. She can be said to be the first person in China to try to do rhinoplasty. She made a simple rhinoplasty silicone at 1992. At that time, the domestic rhinoplasty trend was just emerging, and she was regarded as a "crab eater" who caught up with many trends.
Later, in 1997, the once popular "ivory rhinoplasty" was done. If this operation appears in today's textbooks, it can be called "antique-level" operation. Now it has disappeared, pushed to the beach of history by the "countercurrent" of new technology, and almost forgotten.
Later, on 20 13, she did "L-shaped silicone prosthesis+auricular cartilage rhinoplasty". Counting the rhinoplasty she came to me for this time, from 1992 to 202 1, she actually had nearly 30 years, and * * * had as many as four rhinoplasty operations. The history of plastic surgery is quite bumpy, and her nose was almost witnessed.
Nasal plastic surgery began in the19th century, then it was also called nasal cosmetic surgery. A Dieffenbach first described how to improve the beauty of the nose through surgery, and it gradually became popular in the west. Due to ethnic differences, most westerners' noses are overdeveloped, showing a wide and thick cartilage structure, so most of the early westerners' nose plastic surgery was hump rhinoplasty.
Rhinoplasty is mainly popular in the East. In the east, there are many problems, such as flat nose root, wide nose wing and insufficient nose tip protrusion. The operation is mainly based on filling, and the key to rhinoplasty is to stick various supporting materials on the low nose bridge. So we tried a series of filling materials.
/kloc-At the beginning of the 9th century, people began to use gold as a filler. In the past hundred years, people have developed and used many foreign materials, such as ivory, paraffin, glass and so on. , followed by porous high density polyethylene (Medpor), polytetrafluoroethylene and hydroxyapatite. Because of high postoperative complications or low safety, most of these materials have gradually stopped using.
Like my 5 1 year-old patient, "ivory rhinoplasty" was popular in the early 20th century. A German doctor used this operation, and the effect was very good. In addition to the above-mentioned common shortcomings, ivory also has problems such as high price, long processing time and complicated technology, which is not suitable for ordinary people to use. And based on animal protection and medical ethics, ivory transplantation should also be abandoned.
When I was in my twenties, I began to want to be beautiful and beautiful. At that time, plastic surgery had just begun, and then I chose 1992 to do my nose first, but I didn't do it well.
Five or six years later, a friend told me that a doctor made a good nose, so I did it again, but I didn't do it well the second time. At that time, the medical level was really poor, and then I made it out of that ivory. Every winter, my nose runs, but I can't feel it.
More than ten years have passed, and I have been coming, and I am still struggling with my nose. Later, I was very satisfied after finding Dr. Zhang's fat pump, and then I kept paying attention to it, so I got to know that "mom's nose is Yu Jiangang".
I want to go to the hospital to have my nose done this time, because my nose is very serious now, so I must improve my nose. This is the fourth time to get a nose job. I was very careful, responsible and friendly when I was interviewed by the dean, and I was very satisfied with the plan he gave me, so I decided to do it.
Preoperative situation: it can be clearly seen from the photos that the lady's nose is facing the sky (nasal capsule contracture), and her nose is exposed too much from a positive perspective; The oblique (45) and lateral (90) photos show that the nose length is short, the tip of the nose is upturned, the nasolabial angle is too large, the bottom of the nose is depressed, and the whole middle face is depressed.
Surgical plan: "costal cartilage nasal repair+nasal bottom filling", in which costal cartilage is used to lengthen and shorten the nose and shape the tip of the nose; Replace the nose bridge prosthesis, remove the capsule, raise the bottom of the nose and lift the middle face.
Since the development of rhinoplasty, various materials have been constantly updated. At present, the commonly used materials are silica gel, expanded body and autologous cartilage. Although the application of artificial materials is more and more extensive, it is still one of the ideal methods for rhinoplasty to use "autologous cartilage+artificial materials" for nose synthesis and open surgery.
Silica gel has good biocompatibility and biological stability, and is easy to shape. Once there are complications, it is easy to take them out. The implanted silica gel will not be absorbed by tissues, and it is flexible, moderate in hardness and not easy to bend and deform.
Expanded polytetrafluoroethylene (PTFE) is an inert expanded polymer, which consists of many PTFE nodules. There are tiny fibers interwoven in all directions, and it has an ultra-micro porous structure. These micropores allow tissues to grow, braking them and being accepted by the body's immune system.
Autologous cartilage has good biological tolerance, strong anti-infection ability and easy survival; Good elasticity, easy carving and low incidence of adverse reactions; There is no rejection, it has a certain biological strength, and it can also be used as a supporting structure.
Generally speaking, the wheel of history is rolling in, and it is bound to be innovative in technology, concept and aesthetics. Although the "crab eaters" who walk in front may step on the pit and lie down, without their "dare to be the first", there would be no such hot fashion trend of medical beauty.
Imagine how beautiful and moved those who dare to stand on the cusp of the trend and try early? The initial love is often the purest, and their initial pursuit is only "beauty", which has nothing to do with others.