What is Rhinoplasty?

Rhinoplasty is a rhinoplasty method in which various implant materials are used as the main method, and the shape of the nose is raised or raised. In the past, rhinoplasty as an indication for saddle rhinoplasty is no longer in line with the current situation. The reason why there are so many patients now is that the nose is not high enough, not upright, and not perfect. Therefore, rhinoplasty should be the main indication of surgery for those with a flat nose or flat nose. According to statistics, rhinoplasty may be one of the most commonly performed plastic surgery. Rhinoplasty is also a very mature cosmetic surgery. The operation is relatively simple, safe, low risk, and easy to accept.

Basic Information

English name: augmentation rhinoplasty
Visiting department: Plastic surgery

Common symptoms: The nose is flat and the nose is flat
Contagious: no

Indications for rhinoplasty

At least 18 years old, healthy, nose developed, and surgery may be considered in the following cases.

1. Saddle nose deformity caused by congenital or trauma.

2. The bridge of the nose is not low, but the curve of the back of the nose lacks beauty.

3. The nose is smaller than other facial organs.

Rhinoplasty contraindications

1. Suffering from various intranasal diseases with obvious symptoms are not suitable for surgery. However, if the intranasal lesions are slight or examined by an otolaryngologist, surgery is considered acceptable if it is not affected by rhinoplasty.

2. People with infections on the nose, face or other nearby areas.

3. Soft tissues on the nose, especially incomplete skin tissues, such as skin scars, should be carefully decided on surgery.

4. People with mental illness, mental disorders, and have high expectations for the results of surgery.

Selection of rhinoplasty materials

Biological tissue material

Autologous bone-rhinoplasty is one of the earlier materials used in rhinoplasty. Its main advantage is that it is easy to survive after transplantation, and no rejection occurs. Autologous bone tissue for rhinoplasty is mostly taken from the ribs. Rhinoplasty of the autogenous bone has problems such as poor elasticity of the bone tissue and difficulty in shaping. Therefore, the appearance of the postoperative body is not very natural, and the autogenous bone is inconvenient to obtain. Cutting will cause second pain and even complications And other consequences. Bone resorption can also occur in the long run, causing external morphological changes that are difficult for the recipient to accept. Has been used less for rhinoplasty. However, for the correction of complex nasal deformities or severe saddle noses, autogenous bone grafts are sometimes required.

2. Non-biological materials

There are mainly silica gel, expanded polytetrafluoroethylene (ePTFE), hydroxyapatite, etc. At present, the most commonly used are silica gel and expanded polytetrafluoroethylene. Solid silicone nasal prosthesis is a solid polymer formed by high temperature vulcanization. It has certain elasticity and hardness. There are "L" and willow-shaped solid silicone prostheses. The operation is simple and easy, and the price is relatively low. The silicone materials used for plastic rhinoplasty in plastic surgery hospitals are doctors' personalized prostheses based on nose sculpting of patients, and the shape after surgery is naturally realistic. Expanded polytetrafluoroethylene (ePTFE for short), the nose shape is naturally realistic after operation; however, the material is expensive and the requirements for the surgeon are high.

3. Injection material

Hyaluronic acid is currently commonly used and is relatively safe. Hyaluronic acid is also called hyaluronic acid. It is an indispensable component in the skin tissue structure of organisms. As a part of body tissue, it has good histocompatibility. Although hyaluronic acid injection rhinoplasty has the limitation of being absorbed by the human body, it has advantages such as no operation, quick effect, high safety, no stiff sensation, etc. It is easy to be accepted by cosmetic doctors.

Rhinoplasty incision design

There are many choices for rhinoplasty. Usually rhinoplasty doctors will choose according to the patient's conditions and their habits, but generally the following are the most common:

Incision of nasal column

An incision is made on the edge of the nasal column near the nostril. After the incision is healed, almost no marks can be seen. According to the needs of the surgery and the hobby of the surgeon, this incision can be on the left or right, and the right side is mostly used. This incision has the advantages of less trauma and convenient operation when the stent is implanted.

2. Anterior midline vertical incision of nasal column

After the operation, a straight line mark is left in front of the nasal column. Some people are more obvious. Some people need to look carefully to see it. It is rarely used at present.

3. Flying Swallow Incision

It is to make incisions at the edges of the bilateral nasal column and the nostril, and cut through at the bottom of the nasal column. This incision can lift the nasal columnar flap with the pedicle at the nose end, and then perform subcutaneous peeling to form a subcutaneous tunnel. This incision has the advantages of easy straightening of the tunnel and convenient operation when the stent is implanted. Moreover, using this incision approach, the nose tip can be shaped at the same time.

Nursing after rhinoplasty

1. Pay attention to protect the surgical area after rhinoplasty, especially within one month, do not shake the prosthesis by hand, do not hit the surgical area, but it does not matter which side the sleeping face is on, it will not cause the prosthesis to skew due to the sleeping face of.

2. Don't eat spicy and irritating food after operation. Do not drink or smoke within one week.

3. Take antibiotics and other related drugs on time every day as directed by your doctor.

4. Do not apply water to the surgical incision area before removing the suture. You can apply some erythromycin ointment daily and use a sterile cotton swab.

5. Appropriate cold compressing surgery area can be used within 72 hours after surgery, and appropriate hot compressing area can be used after 72 hours after surgery, but you must pay attention not to apply it for too long in a single time to avoid frostbite or burns; do not use ice when cold Apply directly to the block.

6. Follow up on time and remove the stitches.

Rhinoplasty surgery precautions

1. Preoperative precautions

(1) Be psychologically prepared. Choose a reliable medical unit or doctor to perform the operation, so that you are full of confidence and security in the operation, eliminate fear, calm down, and actively cooperate with the doctor to achieve a beautiful wish. Never blindly consult a doctor to avoid adverse consequences.

(2) Fully understand the common sense of rhinoplasty, read related books, it is best to interview people who have already undergone surgery, and understand the entire process of surgery.

(3) There must not be any (with bacterial) lesions in the front part of the operation: such as folliculitis, edema, acne, acute ophthalmia, sinusitis, rhinitis, nasal vestibule, etc.

(4) To prevent infection, it is best not to perform surgery during menstruation.

(5) It is best to take a bath the day before surgery. Before going to the operating table on the day of surgery, wash the dirt and grease on the face with soap to minimize the number of bacteria. You should also clean the nasal cavity before surgery. Before the operation, there are other diseases in the body, which cause low resistance, and it is easy to cause infection and affect wound healing.

(6) Patients with hypertension and diabetes should inform the doctor in detail at the initial diagnosis so that the doctor can confirm the plastic surgery and postoperative treatment plan.

(7) Make a routine physical examination before surgery to make sure that you are healthy and free of infectious diseases or other physical inflammation.

(8) Do not take medicines containing aspirin within two weeks before plastic surgery, because the medicine will reduce the function of platelet coagulation.

(9) Men should quit smoking for one week in advance.

2. Postoperative precautions

(1) Keep the wound dressing clean. Do not touch the wound with water before removing the suture, and touch the water 2 days after removing the suture.

(2) The gauze stuffed in the nasal cavity was removed 2 hours after the operation, and a small amount of bleeding was wiped off with a sterile cotton swab.

(3) The swelling of the skin around the nose within 3 days is obviously within the normal range, and gradually subsides in the future. You cannot rub your nose, do not bump your nose, avoid colds, and runny nose.

(4) Take a semi-recumbent position to facilitate blood circulation, facilitate nasal hemorrhage, drainage of effusion, and reduce swelling. Remove the nasal patch for 3 days and remove the nasal clip for one week.

(5) Avoid external force around the nose within one month after operation, and it is also inappropriate to wear frame glasses to prevent displacement of the prosthesis.

(6) Disassemble the thread strictly according to the date written by the doctor. Generally, 6-7 days should not be taken early.

(7) Avoid spicy foods, ginseng and other blood supplements.

(8) Take antibiotics as prescribed by your doctor.

(9) The swelling is obvious 2 to 3 days after the operation, which is a normal reaction. Generally, it becomes more natural in about 10 days. Recovery progress is slow, it takes about 2 to 3 weeks.