The three sets of schematic diagrams basically represent the concept and viewpoint of rhinoplasty that Wu understands and respects, all of which come from practical experience and medical principles and have been verified by clinical practice. I believe that after reading it, you will be more aware of the framework principle of rhinoplasty and will recognize that this is the correct method.

1) Prosthetic rhinoplasty ≠ Comprehensive rhinoplasty

Many people will equate total rhinoplasty with rhinoplasty, thinking that the nose is not good-looking, and rhinoplasty is enough. In fact, rhinoplasty is far from being as simple as raising the bridge of the nose, and it usually needs careful transformation. The nose is located at the golden section of the face, which can instantly change the proportion of people's five senses and visual effects. Nasal plastic surgery is the core technology in nasal plastic surgery, so nasal plastic surgery is related to success or failure. Comprehensive rhinoplasty refers to rhinoplasty with two or more different materials, and "rhinoplasty+autologous nasal septum cartilage+autologous ear cartilage" has become a classic operation. Bulging is used to shape the bridge of the nose and the root of the nose; The nasal septum is used to raise and lengthen the tip of the nose, and correct the nose facing the sky and the flat alar; In order to obtain satisfactory nasal tip curvature, the auricular cartilage was finally trimmed. The combination of swelling and autologous cartilage solves the defect that autologous cartilage can not meet the requirements of rhinoplasty beam because of limited materials, so swelling+nasal septum+auricular cartilage rhinoplasty is the golden operation in comprehensive rhinoplasty at present. Total rhinoplasty has changed the limitation of single rhinoplasty beam and nose tip in traditional rhinoplasty, and expanded the scope of rhinoplasty from the local part of the nose to the whole nose, so that you really have a natural and elegant nose.

2) Prosthetic rhinoplasty alone cannot solve the problem of poor nose shape.

The nose is a three-dimensional structure. A handsome nose must have beautiful nose back, nose root, nose tip, nose wing and nostrils! For people with good nose shape, but flat nose back and nose root, implanting prosthesis can solve the problem. If the nose is flat or facing the sky, it will be dangerous to correct it by placing a thick prosthesis. This is because: First, the traditional L-shaped silicone is used for rhinoplasty. Because silica gel is a foreign body, it can't fuse with nasal tissue (the relationship between silica gel and tissue is just like the relationship between glass and glass, and there is no connection between them). When silica gel slides under the skin, it will exert pressure on the skin and make the skin at the tip of the nose thinner. Secondly, a corner of the L-shaped silica gel is placed on the tip of the nose, and the skin at the tip of the nose bears the greatest pressure. Long-term compression will make the skin thin and ischemic, and the skin at the tip of the nose will become fragile, which will easily lead to "rotten nose" and wear of nasal prosthesis. Third, the cartilage of the nasal tip is suspended and the supporting force is poor. Putting the prosthesis on the cartilage of the tip of the nose is like building a house in sand, which has limited improvement on the tip of the nose and even destroys its original shape.

3) Autologous cartilage augmentation rhinoplasty is the best choice for nasal tip plastic surgery.

The safest choice to correct the shape of nasal tip is to reconstruct the cartilage scaffold of nasal tip with autologous cartilage. The cartilage of the nasal tip is suspended and its supporting force is poor. Putting the prosthesis on the cartilage of the tip of the nose is like building a house in sand, which has limited improvement and even destroyed the original shape of the tip of the nose. The correct and safe way is to insert a "support rod" made of nasal septum cartilage between alar cartilage (there is a partition between two nostrils, and there is a cartilage called nasal septum cartilage in it, which is relatively straight and can be made into a "support rod", so that the tip of the nose can be raised and extended in a straight line). The alar cartilage is sewed on the upper section of the support rod, and the lower end of the support rod abuts against the maxilla, giving strong support to the alar cartilage and raising the cartilage frame of the nasal tip. The advantages are as follows: ① Not only the tip of the nose is raised, but also the shape of the nostril has changed from the original round shape to a beautiful drop shape; ② The stress point is on the maxilla instead of the skin of the nasal tip, so there is no danger of skin rupture of the nasal tip; (3) The implanted autologous cartilage is integrated with the surrounding tissues, just like the combination of steel bars and cement to form concrete. There is no relative movement between the skin and cartilage, no friction on the skin at the tip of the nose, no danger of skin rupture, no worries, and the nose formed is natural.