Which is better, L-shaped prosthesis or willow-shaped prosthesis?
In fact, the answer to the question of which is better, the L-shaped prosthesis or the willow-shaped prosthesis, is obvious. At present, the hospital has basically not used L-shaped prosthesis for rhinoplasty. The reason is that L-shaped prosthesis has a series of sequelae. When the L-shaped prosthesis is made, there are prostheses on the bridge of the nose, the tip of the nose and the columella of the nose. When the prosthesis oppresses the nose for a long time, it will lead to contracture, whitening, numbness and hardening of the nose skin. After a long time, the tip of the nose will burst, leading to infection and nasal ulceration. Therefore, except for short L-shaped prostheses, willow-shaped prostheses are generally used, and the nose, nose and nose columella are shaped with cartilage.
Difference between l-shaped prosthesis and willow-shaped prosthesis
1, length and shape of L-shaped prosthesis and willow-shaped prosthesis
L-shaped prosthesis is long and angular, and L-shaped prosthesis is long, which raises the nose from the root of nose to the tip of nose as a whole. L-shaped prosthesis can conform to the shape of our nose because of its angular shape, although it will have immediate effect after rhinoplasty. However, in the long run, a downward force will be formed at the tip of the nose, with great tension. Over time, it may lead to the whitening and redness of the alar, leading to the abrasion of the alar skin.
The willow prosthesis is shorter, and the hornless willow prosthesis is shorter than the L-shaped prosthesis, and its shape is I-shaped. The willow prosthesis is located in two-thirds of the back of the nose, from the root of the nose to the upper part of the tip of the nose. Willow prosthesis does not act on the tip of the nose, and the tip of the nose adopts autologous cartilage. The willow prosthesis does not touch the tip of nose, which can reduce the occurrence of capsule contracture and prevent the prosthesis from penetrating. In fact, willow leaves also belong to L-shape, except that willow leaves cut off L's legs and then repaired them into willow-shaped prostheses.
2. The difference between L-shaped prosthesis and willow-shaped prosthesis: rhinoplasty effect.
The short-term effect of L-shaped prosthesis can be seen from the effect of rhinoplasty. L-shaped prosthesis acts on nasal root, nasal dorsum and nasal tip, and there is a certain degree between them, and the short-term effect is acceptable. However, the clinical data in the later period show that the phenomenon of pig nose is easy to occur after capsular contracture.
The effect of willow prosthesis combined with cartilage is safer. The augmentation rhinoplasty effect of willow prosthesis only works from the nasal root to the upper part of the tip of the nose, and the tip of the nose is not stressed, that is, it is not * * *, even if there is capsular contracture, it will not affect the tip of the nose. Usually experienced doctors will use willow-shaped expansion materials with autologous cartilage, which can not only shape the nose as a whole, but also give consideration to the safety of rhinoplasty.
What about the slippage of L-shaped prosthesis?
After rhinoplasty, girls found that the L-shaped silicone slipped, so they could see a doctor for treatment. If it is confirmed that the L-shaped silicone prosthesis has moved after face-to-face consultation with the doctor, they need to cooperate with the doctor to separate and take out the prosthesis, choose a position close to the cartilage and implant a shorter L-shaped silicone prosthesis, so that the L-shaped silicone prosthesis can be stabilized and the safety will be higher.
How to prevent the decline of L-shaped prosthesis
1. In the selection of rhinoplasty materials, I-type swelling materials are preferred to prevent the decline of L-type prosthesis. The swelling and soft autogenous cartilage can be preferred, because swelling is easy to combine with its own tissue, while autogenous cartilage is closer to the feel of its own bones and nasal bones, and it is easy to establish blood circulation. In this way, the phenomenon that the L-shaped prosthesis slides down due to material defects can be eliminated.
2, reasonable separation and implantation cavity doctors should not separate the nasal cavity too shallow, so as to avoid the risk of slipping caused by silicone rhinoplasty.
3. Master the correct implantation level. When performing silicone rhinoplasty, the doctor should determine the surgical plan and fix the prosthesis on the cartilage that is not easy to be displaced to avoid slippage after silicone rhinoplasty.