Rhinoplasty materials: There are two kinds of materials used in rhinoplasty, one is autologous tissue and the other is artificial plastic material. The materials for nose bridge plastic surgery are mostly silicone rubber and Gore-tex, and the materials for nose head plastic surgery are mostly cartilage and expanded polytetrafluoroethylene. The commonly used material is cartilage or dermal fat extracted from autologous tissue, namely ear or nasal septum. Silicone rubber has always been the most widely used artificial plastic material, but the frequency of using expanded polytetrafluoroethylene has increased recently.
Operation method: the incision of rhinoplasty is generally located at the edge of the columella near the nostril, and no incision marks can be seen on the outside. The material is inserted into the periosteum forming space along the nasal bone, and then a filler made according to the characteristics of the nose is implanted. There is no need to remove stitches after operation, because the suture is a hand suture that does not leave scars and disappears. If nasal tip plastic surgery is needed afterwards, the operation will continue. According to the specific situation, there are also cases where cartilage and tissue are corrected according to personal wishes after the nasal structure is completely exposed.
Postoperative care: within 24 hours after operation, your face will swell, and you will feel nose pain and dull pain. Doctors will use drugs to control these discomforts. On the first day after operation, it is best to lie in bed (except going to the toilet) and hold your head high.
On 1 day after operation, you will find that the swelling and bruising around the eyes begin to peak on the second and third days after operation. Cold compress will relieve some swelling and make you feel better. The swelling usually disappears gradually 2-3 weeks after operation.
It is common to have some bleeding in the first few days after the operation. You will feel stuffy nose for a few weeks after operation, and the doctor will ask you not to blow your nose during this time.
Note: Although there are no inoperable cases, patients with chronic sinusitis or dyspnea due to severe nasal congestion should make a careful decision after thorough and detailed diagnosis. The characteristic of rhinoplasty is that you need to stuff something into your nose. The filling amount can be simply understood as the difference between the original nose height and the expected nose height. The elasticity of nasal skin is limited, and excessive rhinoplasty will make the nasal skin too thin, so the safe range that nasal skin can bear must be fully considered when rhinoplasty is performed.
Design before rhinoplasty
Pre-design requirements for rhinoplasty: different designs are adopted for different beauty seekers.
The design before rhinoplasty is related to the effect of the whole operation. Rhinoplasty includes the improvement of the bridge of the nose, the tip of the nose and the alar, and different methods should be adopted for different beauty seekers. For example, some need to pad the back of the nose and some need to pad the tip of the nose, so it is necessary to trim the shape and thickness of the prosthesis properly. In addition, the level of implantation must be under the fascia of nasal dorsum to ensure that the prosthesis does not shift.
Design requirements before rhinoplasty 2: Carve suitable filling materials.
The most wonderful design step before rhinoplasty is to carve the rhinoplasty prosthesis, which requires high requirements, not only to carve the perfect external contour (reflecting the effect after rhinoplasty), but also to carve the bottom surface that fits the beauty seeker's nose very well, so that it can completely fit the nasal bone after placement, so as to reduce the possibility of the prosthesis coming out.
Design requirements before rhinoplasty 3: Combine the facial proportion of beauty seekers.
The nose is the "sensitive" part of facial contour. Only a harmonious proportion can leave no trace on the bridge of the nose after rhinoplasty, otherwise a nose that is high enough but not suitable enough will only make people's eyes lock on the abrupt nose. The proportion of face, the nature of prosthesis and the skin of nasal tip determine that the maximum value of this "elevation" is-4 mm.
Design requirement 4 before rhinoplasty: fully consider the nasal skin of beauty seekers.
Generally speaking, the more obvious the nose bridge collapse, the more obvious the rhinoplasty effect. The nose skin is slack, and the rhinoplasty effect is good; On the contrary, if your nose skin is tight, your nose is big and thick, and your pores are thick, and it is easy to get oil, then the effect of rhinoplasty will not be very good. Everyone has their own specific situation, and the surgical effect is not the same. The most important thing is to remember that the reference object of comparison is your own "past", not someone else's "present", and the nose that suits you best is the most beautiful. Such as alar reduction and alar plasty.
Nasal alar reduction
Nasal alar reduction surgery mainly aims at improving nasal defects such as alar hypertrophy and alar width. When the alar is wide, it is mostly because the skin of the alar is redundant. To cut off the skin under the alar, suture the incision to narrow the alar, which can make the nostrils look very long. The incision is left at the junction of nose and cheek.
If the alar is not too wide, the auxiliary column can be inserted into the columella, and cartilage transplantation can be done at the tip of the nose, so that the tip of the nose will stand up and the alar will be reduced without other operations.
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. There is another person with a wide nose and nostrils. In general, partial resection of the nasal root and nostril reduction can be carried out cautiously.