Who is suitable for total rhinoplasty, and how to introduce total rhinoplasty

Full Rhinoplasty is suitable for:

1. Partial or total defects caused by infection in the nasal area.

2. Partial or total nasal defects caused by various congenital malformations, such as severe saddle nose.

3. Partial or total defects caused by nasal trauma (including human and animal bites).

4. Burns (including open flame burns, hydrothermal burns and chemical burns) cause nasal defects or nasal scars.

5. Nasal tumors (including large areas of black moles, hemangiomas, etc.) need to be surgically removed or the nasal defects caused by the lumps have been removed.

Those with most or all defects of the external nose and healthy tissues in the donor area such as the forehead, upper arm or forearm.

1. There are extensive scars around the nasal defect area;

2. Patients with systemic diseases who cannot tolerate anesthesia and surgery;

3. There is uncontrolled inflammation in the nasal defect area or paranasal sinuses.

1. Born deformity: Due to the influence of the mother, a small number of beauty lovers are born with an incomplete nose or a severe saddle nose.

2. Pathology: Nasal defects will be caused when large black moles, hemangiomas, and unknown swollen objects around the nose are removed.

3. External factors: When the infection is caused by burns, scalds or trauma to the nose, it will lead to partial (or full) defects in the nose, or the nose will be left with obvious ugly scars after recovery.

Because the nose is located in the middle of the face and is higher than the plane of the face, it has a tetrahedral structure, so it has an important aesthetic role in the face. And because it is the beginning of the respiratory tract, it plays the role of warming and humidifying and filtering cold air. Therefore, when the nasal shape is damaged, the patient has a strong desire to repair the nasal shape.

Since ancient times, surgeons have performed total rhinoplasal reconstruction, such as the Indian flap method and the Italian tube method.

Usually the so-called total rhinoplasty, our nose, from the root of the nose to the bridge of the nose, to the tip of the nose, to the alar of the nose, all of the columella, we have to recreate a nose with a tapered structure through surgery, including the lining of the nose, the cartilage bracket and the outer back cover, so structurally speaking, including the nose tip, columella, nasal alar, nasal bridge, nasal cartilage on the side of the nose must be reconstructed, which is called total rhinoplasty.

It is recommended that patients must choose a professional and regular hospital when undergoing total rhinoplasty, and do a good job of corresponding care after surgery.

Most or all of the external nasal defects, forehead, upper arm or front trouser arm, etc.

1. There are extensive scars around the nasal defect area;

2. Patients with systemic diseases who cannot tolerate anesthesia and surgery;

3. There is uncontrolled inflammation in the nasal defect area or paranasal sinuses.

Rhinoplasty is also the first rhinoplasty technique that some people are born with a broken nose, or the nose is missing due to burns, accidents or various circumstances, can be repaired and restored through rhinoplasty. It is used as the nose in the middle of the face and is the most prominent place, so it is easy to get injured in normal times. Nowadays, people's living standards are gradually improving, and everyone is more and more concerned about their beauty, so rhinoplasty is anesthetized throughout the whole process, and generally does not feel pain, and the postoperative patient will not leave a scar and no longer affect the face.

The color and thickness are more perfect, and I hope that people with missing noses can make up for the lack by reconstruction. Let's talk about the indications and post-operative care.

Indications: Partial or total defects of the external nasal, healthy tissues in the donor area such as forehead, upper arm or forearm. Contraindications:

Patients with systemic diseases who cannot tolerate anesthesia and surgery; presence of uncontrolled inflammation in the area of nasal defect or paranasal sinuses; There is extensive scarring around the periphery of the nasal defect. Therefore, in addition to implanting L-shaped cartilage or bone scaffold as support, gypsum stents should be fixed outside the reconstructed nose for two months and in the nostrils for one month, and the friction and damage of the reconstructed nose should be avoided for half a year after surgery to prevent scar shrinkage after retrauma.

1. In some prosthetic rhinoplasty, the prosthesis is protruding due to improper operation. For example, the shape and height of some postoperative procedures are not ideal, or the implant is skewed or translucent. Because these surgical marks are too obvious, the failure of the operation is directly declared.

2. Deflection due to prosthesis movement. The implant is not accurately placed between the nasal bone and the periosteum, or the periosteum is detached too little or too narrow, or the implant is deformed or distorted.

In fact, many people think that the most important thing in the facial features is this nose. It doesn't matter if the eyes are small, but this nose is relatively collapsed or has a hooked nose and other noses always feel that the appearance of the face is greatly reduced. So there are a lot of surgeries on the nose.

Now it's endless. Some people even choose to go to the hospital for a total rhinoplasty surgery. It's a fool to sing about this new nose, and we should pay more attention to this post-operative care at this time.

After all, this care is a big part of the success or failure of the operation. So, what are the care methods after this total rhinoplasty?

It is really important to take care of this post-operative care, but many people don't care much about it, and this is a wrong decision and opinion, so you must pay more attention to it.

1. After waking up under general anesthesia, change to a semi-recumbent position or head position to facilitate blood circulation and promote the subsidence of swelling. Do not shout loud words and other activities with rich facial expressions to prevent the vascular anastomosis from rupturing.

2. Closely observe the blood circulation of the reconstructed nose. The color, temperature, capillary response and swelling of the flap were observed every 2 hours for 3 days after surgery.

3. Pay attention to observe whether there is hematoma between the reconstructed nose and the metastatic flap. If there is not much bleeding after 48 hours after surgery, the drainage strip can be removed and the dressing can be changed again.

4. Prevent colds, increased nasal secretions will pollute the profile, such as sneezing will cause nasal wounds to dehiscence.

The postoperative care of total rhinoplasty is mainly as follows:

1.After nasal surgery, you should apply a cold compress, about five days to hold your head up, and when lying down, you should also stack 2 or 3 pads under your back, and keep lifting it diagonally to help reduce swelling quickly.

2.Take your medication as prescribed, and don't take it on your own. Aspirin or cold remedies containing aspirin, B vitamins may cause bleeding and should never be taken.

3.If the swelling is not completely reduced, it may look a little deformed and a little swollen. This is normal and there is no need to worry.

4.If there is bleeding on the inside of the nose, gently wipe it.

5.Scabs or wounds on the inside of the nose cannot be forcibly ripped off or touched with hands.