Surgical method
During the operation, the fascia on the back of the nasal bone is stripped, and then the nasal bone and cartilage are carved according to the medical aesthetics, the requirements of the operator and the skills of the doctor, or the carved nasal bracket is directly implanted to achieve the desired effect. Finally, sew the skin back to its original position.
At present, most rhinoplasty operations form an incision with a length of about 1 cm on the inner side of the nostril edge at the junction of the nasal columella and the alar, and a spacious cavity is separated under the fascia of the nasal dorsum or/and the periosteum of the nasal bone through this incision, and then the prosthesis is carved according to the requirements of patients and the skills of doctors, or the already carved prosthesis is directly implanted.
Some complicated operations often need to make an incision on the columella, and an inconspicuous scar will be left on the columella after operation.
Extended data:
There are two main methods of rhinoplasty, transplantation and implantation.
Transplantation: tissue transplantation, which mainly fills the nose with bone and cartilage tissue.
Autologous bone 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. Currently, it is 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.