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Surgical methods of tip rhinoplasty

Rhinal tip plastic surgery is suitable for patients with rounded or flat nose tips, excessively high nose tips, cleft nasal tip, hidden cleft nasal tip, aquiline nose, etc.

The surgical method of tip tipplasty is:

1. Open tip tipplasty incision design and anesthesia: General anesthesia is used for the operation. Design a bilateral nostril rim incision, from the medial side to the middle and lower side of the columella, and the lateral side to the outside of the starting point of the alar groove.

2. Separation: The skin edges on both sides of the open tip tipplasty incision are sutured with traction lines to expose the surgical area. The nose tip, nose alar, nasal columella, and nasal dorsum are bluntly separated under the fascia in sequence. After surgery, patients from other hospitals must completely remove the nasal prosthesis implanted in the previous surgery. Carefully free the middle and lateral crura of the nasal alar cartilage on both sides. The range of separation must be large enough to fully expose the nasal cartilage, and facilitate the rearrangement and tension-free fit of the cartilage and skin and soft tissue after surgery, making it less likely to cause distortion, skew, etc., and the shape of the nose tip will be more natural.

3. Tissue removal: Appropriately remove the excess subcutaneous fat on the alar groove and its inner side. Be careful not to trim the skin of the alar groove too thin, and do not damage the subcutaneous soft tissue in the center of the nose tip to avoid affecting blood supply. Patients with a humped nose should have their hump removed and smoothed.

4. Treatment of cartilage and silicone prostheses: Pull the bilateral curvatures and medial corners of the alar cartilage toward the center and suture 1 to 2 stitches in a mattress style to reduce the angle and distance between the bilateral fornixes and simultaneously lift them. The forward protrusion of the cartilage. The sculpted "L"-shaped silicone nasal prosthesis is placed into the subfascial space of the dorsum of the nose.

5. Free auricular cartilage transplantation: Take the cartilage from one side of the concha cavity, trim it into a shield shape, and place it in front of the nasal tip and columella of the silicone prosthesis. The top of the cartilage should be appropriately sloped to make the tip of the nose more natural. The auricle donor area is packed and packed with pressure.