On the day of the operation, a small amount of bloody liquid will flow out of the nasal incision, blood scabs will form on the edge of the nostril, and the nose tip and nasal dorsum will be slightly swollen. 2-3 days after operation, the nasal and facial pain basically disappeared, but the swelling became more and more obvious, the swelling around the eyes and face was serious, and the outline of the external nose was unclear. 3-6 days after operation, the swelling gradually subsided, the color of congestion around the eyes gradually turned from red to yellow, and there was still tenderness at the tip and back of the nose. If there is congestion in the conjunctiva of the eye, the congestion basically disappears at this time. 1~2 weeks later, most people's redness and swelling gradually subsided, and facial congestion was absorbed, but the nose shape was unnatural, and the wound had completely healed and the pain was gone.
Therefore, most people's swelling basically subsided after rhinoplasty 1-2 weeks, and it may take 3-6 months to fully recover. The recovery time is closely related to the personal physique of patients with rhinoplasty, so it is necessary to cooperate with the doctor's treatment and strengthen their own nursing.
Rhinoplasty is a surgical method to raise the nose bridge with low concavity by using special materials. It is also the most common and mature operation in plastic surgery. The incision of the operation is generally selected in the columella or nostril, and the incision is sutured after the material is implanted. It is to reshape the nose through surgery, which is one of the most common operations in cosmetic surgery. Nasal plastic surgery can increase or decrease the size of the nose; Change the shape of the back or tip of the nose; Narrowing the nostril and changing the angle between the nose and the upper lip can also correct some congenital or post-traumatic deformities.
When the nose changes from low to high, it is necessary to bury a certain thickness of filler in the tissue of the nose. This filling is called a prosthesis. Prosthesis is made of materials that are harmless to human body, have no rejection, do not deteriorate for a long time, have certain elasticity, are easy to shape and take out.
In the early cosmetic surgery, people used paraffin, tortoise shell, fish bones and animal bones for rhinoplasty. Practice has proved that these materials will produce various adverse reactions after being implanted into human body, so they have been abolished. Later, German doctors used ivory for rhinoplasty, which achieved good results and once attracted people's attention. However, ivory is rarely used because of its excellent texture, time-consuming processing and difficult source.
After World War II, with the development of chemical industry, people gradually paid attention to synthetic materials. At first, some people used synthetic resin material for rhinoplasty, but this material was quickly eliminated because of its brittle and hard texture, easy fracture and light transmission. Later, people gradually turned their attention to flexible silicone products. At first, industrial black silica gel was used, but because of the color problem, the injection method was backward and the postoperative effect was not ideal. Mixed liquid injection and liquid silica gel injection were once popular, but in the end they were eliminated because the surgical effect was not ideal and the stimulation to human tissues was not good.
DMPR of silicon system is used in the world. The material is harmless to human body, easy to process and shape, soft and firm in texture, and does not deteriorate for a long time, so it is an ideal filling material for cosmetic surgery. Hospitals all over the world make various silicone models of rhinoplasty according to doctors' habits, and then modify the models according to the specific conditions of each patient, and directly use them for surgery after strict disinfection.
Surgical materials
Whether it is congenital or caused by disease or trauma, people have been looking for suitable materials to cushion it.
There are two main methods of rhinoplasty, transplantation and implantation.
Transplantation: tissue transplantation, which mainly fills the nose with bone and cartilage tissue.
Autologous tissue
Autologous bone tissue rhinoplasty is one of the earliest materials used for rhinoplasty. Its main advantages are easy survival after transplantation and no rejection. Autologous bone tissue used for rhinoplasty is mostly taken from ilium, skull, ribs and fibula. Autologous bone has some problems, such as poor elasticity of bone tissue and difficult to shape. So the postoperative appearance is not very natural. Moreover, it is inconvenient to obtain autologous bone and the bone source is limited. Cutting will also cause secondary pain and even complications. In the long run, bone absorption will occur, which will lead to changes in appearance, which is difficult for patients to accept. It has been used less. However, for the correction of complex nasal deformity or severe saddle nose, autologous bone transplantation may still be needed.
Autologous cartilage tissue
Autologous cartilage tissue is the most commonly used tissue in rhinoplasty. Its main characteristics are: no blood vessels, survival by tissue fluid, no stimulation to tissue after implantation, long-term maintenance of original volume and cell morphology, easy carving into the required size and shape, and natural and realistic postoperative appearance. Like autologous bone tissue, autologous cartilage tissue transplantation may also be absorbed and deformed.
Autologous fascia tissue
Fascia is hardly absorbed, but it will be compressed and thinned, and its volume will be reduced (about 20%). If used alone, it may require multiple operations. It is mostly used to wrap cartilage or artificial materials, which can reduce cartilage absorption and make the appearance natural and smooth. The earliest site was fascia lata, mostly superficial temporal fascia, and the surgical trace was small.
Autologous dermis/dermal fat
After transplantation, it is absorbed too much and rarely used. It is mainly used for patients with secondary rhinoplasty. It can also be used like fascia tissue. The cutting part is hidden, mostly under the coccyx and in the hip fold.