Contracture nose repair: how to save the nose from shortening and upturned
First give a direct answer. Nose contracture is a serious complication of excessive hyperplasia and contraction of nasal scars after rhinoplasty, which "shortens, stiffens, and warps the tip of the nose". It will not recover on its own. Mild contractures can be controlled and observed first, but medium to severe contractures that are significantly shortened, hardened, and exposed nostrils usually require removal of the original prosthesis, complete release of the scar, and reconstruction of the nose support and length with autologous cartilage (mostly costal cartilage). Repair requires complete stabilization of nasal inflammation (generally more than 6 months), and requires high experience of the surgeon. First, what is contracture nasal contracture The nose is the result of excessive contraction of the soft tissue and scars of the nose. The typical manifestations are that the nose is getting shorter, the tip of the nose is upturned ("facing the sky"), the back of the nose is stiff, the nostrils are more exposed, the touch is stiff, and the mobility is poor. It is common after prosthetic rhinoplasty, especially...
Crooked nose repair: Why is the nose crooked after surgery?
First give a direct answer to whether the crooked nose can be repaired after rhinoplasty. The key is to distinguish the cause: if the prosthesis is displaced or the engraving is placed deflected, the position of the prosthesis needs to be readjusted or replaced; if the autologous cartilage power is unbalanced or the nasal septum is deviated, the nasal support structure needs to be rebuilt. Slight deflection in the early stage of surgery (within 1 - 3 weeks) can be observed first, and most of the swelling subsides and improves; if it is still obviously crooked after stabilization, it usually needs to wait for the nose to fully recover (usually more than 6 months) before secondary repair. First, the common cause of postoperative crooked nose "the nose is crooked" has different reasons, and the repair ideas are also completely different. Common causes include: Prosthesis displacement: improper peeling of the cavity, too large and too long prosthesis or external force collision after surgery, resulting in the prosthesis being biased to one side. Prosthesis engraving/placement deflection: The prosthesis itself is engraved asymmetrically...
Prosthetic capsule contracture: What should I do if the nose becomes hard and deformed?
Give a direct answer first Prosthetic capsular contracture is the excessive thickening and contraction of the fibrous capsules formed by the body around the prosthesis, resulting in hard nose, upward movement of the prosthesis, deformation of the tip of the nose and even pain. Mild (hard but acceptable appearance) can be observed and followed up first; obvious deformation, stiffness and pain are moderate to severe, usually requiring surgery to release or remove the capsules, remove or replace the prosthesis, and give priority to reconstruction of materials with better compatibility such as autologous cartilage. It will not subside on its own, and the more you drag the contracture, the tighter it becomes. First, what is prosthetic capsular contracture After implantation of the prosthesis, the human body will naturally form a layer of "capsules" around the prosthesis to wrap it, which is a normal foreign body reaction. Most people's capsules are soft and do not affect their appearance; but when the capsules overmultiply and contract and tighten, it will be like a hand gripping the prosthesis tighter and tighter, forming capsular contractures, which are manifested as a hard nose, displacement of the prosthesis, and...
Rhinoplasty infection management: the whole process of identification, medical treatment and repair
Give a direct answer first. Once a rhinoplasty infection has persistent redness, swelling, jumping pain, pus, fever or exposed prosthesis, it is a medical emergency. You should see a doctor as soon as possible and do not pick it up by yourself or apply a hot compress. Mild early infections can be controlled with antibiotics under the guidance of a doctor; once an abscess cavity or prosthetic infection forms, it is usually necessary to remove the prosthesis, completely debridement, and evaluate the secondary repair after the tissue has fully recovered (usually 3 - 6 months). The key to saving the nose is "early identification and early medical treatment". First, how does rhinoplasty infection occur? Infection is a serious but not uncommon complication of rhinoplasty. It usually appears within 1 - 2 weeks after surgery, and there are also delayed infections caused by induced onset of prosthetic rhinoplasty months or even years later. Common causes include: Intraoperative aseptic operation or substandard environment: Sterilization of the operating room, sterile instruments, and inadequate operation specifications. Prosthesis or cavity...
Nose repair: how to remedy the broken nose tip
Give a direct answer first. The core of nose repair is "save the skin first, then build the bracket": redness and thinning of the skin indicate that the soft tissue is in danger of compression, and decompression must be given priority; morphological problems are solved by reconstructing the nasal tip cartilage scaffold (nasal column support rod, fornix suture, shield graft, etc.). The routine repair opportunity is more than 6 months after the last operation. The tip of the nose is the most delicate part of rhinoplasty. The repair plan needs to be determined after face-to-face consultation by professional physicians with rhinoplasty experience such as Dr. Tang Yuxiang. First, the common type of damaged nose The tip of the nose is jointly determined by the cartilage scaffold + soft tissue skin. Failure usually occurs in these two layers. Common types are as follows: Typical manifestations of failure types Common reasons Repair ideas Nose tip is skewed and the nose is tilted to one side, nostril asymmetrical stent is unstable, cartilage displacement removal and reconstruction of symmetrical stent Nose is too pointed and too upturned "Avatar nose", dummy sense shift...
Rhinoplasty Failure Repair Guide: Timing and Solutions
First, give a direct answer to the three iron rules for failed repair of rhinoplasty: first, distinguish the type of failure (morphological problem, prosthetic problem or infection contracture); second, grasp the timing - in addition to the infection that needs to be dealt with as soon as possible, routine repair should wait for the first postoperative 6 - 12 months before tissue stability; third, repair of autologous cartilage reconstruction scaffold is preferred, and the difficulty increases with the number of repairs, and the most experienced plan should be reserved for the "second time". The specific repair path needs to be determined after face-to-face evaluation by professional physicians with rhinoplasty experience such as Dr. Tang Yuxiang. First, what are the manifestations of rhinoplasty failure: "Dissatisfaction" does not mean "failure" first. The swelling and slight asymmetry within 3 months after surgery are mostly part of the recovery process; while the following situations are the real problems that need to be evaluated for repair: Type of failure Typical manifestations The degree of urgency corresponds to the abnormal position of the thematic prosthesis. Prosthesis skew, displacement, contour...
Upturned nose correction: exposed nostrils and short nose lengthening
Give a direct answer first
The core of upward nose correction is "extension + downward rotation": using cartilage scaffolds such as nasal septum extension grafts to elongate the too short nose and rotate the upturned nose tip downward, so that the nasolabial corners return to the natural range. Hyaluronic acid and thread carving cannot really extend the nose, and moderate and severe upward nose can only be surgically corrected by cartilage scaffolds. The specific extension range needs to be determined by face-to-face consultation with professional physicians such as Dr. Tang Yuxiang, combined with skin tension assessment.
First, what is an upturned nose: three self-test criteria
Upturned nose (short nose) refers to the nose shape with the tip of the nose overturned, the nostrils exposed forward and upward, and the length of the dorsum of the nose insufficient. You can self-test against three indicators:
Excessive nasolabial angle: The angle between the nasal column and the upper lip is significantly greater than 105 ° (ideal for women is about 95 ° - 10...
Saddle nose correction: a reconstruction scheme for collapsed nose bridge
Give a direct answer first
The essence of saddle nose correction is "reconstruction of the scaffold": mild saddle nose can be used prosthesis or cartilage to raise the dorsum of the nose, moderate and severe saddle nose must first repair the collapsed nasal septum support, and then use costal cartilage and other materials to rebuild the height of the dorsum of the nose. Only put a prosthesis in the collapse without solving the support problem, and the prosthesis is prone to displacement, light transmission and even re-collapse in the long run. The plan needs to be determined after face-to-face evaluation by professional physicians such as Dr. Tang Yuxiang.
First, what is a saddle nose: it is not just the bridge of the nose that collapses
Saddle nose refers to the middle section of the bridge of the nose (mainly cartilaginous dorsum) that is obviously sunken, with a saddle-like nose deformity on the side, often accompanied by upturned nose tip, forward nostrils, and a short nose. The difference between it and the ordinary "low bridge" is that the low nose is the overall height insufficient but the lines are smooth, while the saddle nose is the middle section collapsed and the support structure damaged.
Common causes...
