[Rhinoplasty specialized Wannabe Plastic Surgery] All about rhinoplasty, the second series of writing.

I have addressed about the concepts of rhinoplasty in our last blog and talked about who might be the right candidates for short and flat nose surgery and etc. If you missed the last writing,  you can click the link down below and check out the writing first. 


Previous writing

Today we are going to go more deeper about what are the techniques being used in hump nose surgery and what kind of implants will be used in each individuals' case.   

•  Hump nose surgery 

 The first step of hump nose rhinoplasty is to resect the septal cartilage and the upper nasal bone precisely where it is protruded on the nasal bridge.  Technically, the surgery requires removal of the dorsal hump with a sharp cut along the bridge of the nose and brining in the nasal bones later with osteotomies.  Depending on how much the nasal hump is protruded may demands two or three different additional surgeries simultaneously.

One of the common corrective surgeries among hump nose surgery is severely deviated nose type.  And this typically requires the following process for revision.Whilst operation, there may be a feasible chance to approach the blood vessels on the side of nostrils or tear duct since the procedure includes osteotomy of nasal bone.If this happens, you may experience intense swelling and some possible complications so what is important to require to perform the operation is the surgeon's experience and hand techniques.Also, in case the tip of nose is droopy and downward such as an arrow nose, elevate the septum on the tip of nose or correcting the shape of nose by using septal cartilage as columella of nose.Lifting the downward nose tip to make it looked well proportion with other features in the face must be carefully considered of the nasolabial angle. 


3. Kinds of implant being used for rhinoplasty :  oneself implants, which are septal cartilage and ear cartilage

I am assuming that when searching or googling about rhinoplasty in the internet, You might be seen many of these words, septal cartilage and ear cartilage.And maybe you may already happened to consult by a doctor saying that you would need your ear cartilage for surgery whatsoever but then from the other clinic you would heard that it is not necessary to use ear cartilage.  Well, confusion stroke at you and started to make you blind and deaf so you would be in chaos moment."Whom am I supposed to follow?" . You know exactly what are the ear cartilage and septal cartilage and what they are used for but you need a clear answer from an expert like what are the difference between those two implants.  That is why I am going to instruct you what they are and what other artificial implants can be used for rhinoplasty. 

• Septal cartilage and ear cartilage  

Basically those two cartilage mentioned as above are the most preferred material used by surgeons for rhinoplasty.  First of all, the septal nasal cartilage is quadrilateral in form, thicker at its margins than at its center and completes the division between the nostrils in front.The septal cartilage, its characteristic is quite firm so as a result to that this material is often being used as collumela of a nose by inserting between the greater cartilage.  Ear cartilage is consist of elastic cartilage same as the alar cartilage. Interestingly, its shape is already curvy and crooked.  Therefore, this may be a perfect complimentary ingredient to adjust the height of nose by placing it on the tip of nose.Just because using the septal cartilage for surgery means the surgery will not going to require ear cartilage.  In the same context, using ear cartilage that does not mean the septal cartilage is no longer to need for the procedure.Both septal and ear cartilage are possible to run parallel together and more importantly to create such ideal nose shape, their functional supplement may be requisite for surgery as well.   Depending on personalized plan for rhinoplasty, the surgical site, and the shape for each individuals' can change whether to choose which one of them will be used in surgery but mostly it depends on the surgeon's choice.That is the biggest reason every time you stepped by clinics for consultation you would heard different things from different doctors. 

4. Artificial implants: Silicon, Gore-tex, and Medpore

• Silicon 

Silicon has the longest history of itself as being used common materials among others medical implants for reconstructive rhinoplasty.It can easily be formed such pretty shape of nose along with low cost advantage.In addition, the medical silicon have been used recently is the most safest synthetic implants among other kinds based on the approval by FDA in U.S.A for its safety.  Hence, many of plastic surgeons use silicon for breasts augmentation. However, there were unlicensed doctors had used "industry silicon" imprudently in the past.  That is why many of us might have negative perception of silicon as "Side effects". I think the adverse effect is the matter of how you use the material properly.  And the possible case when patients have side effect after surgery implanted silicon is probably their skin is too thin and the surgeon may proceed the procedure knowing that the surgical site taken on where the thin layer of skin existed. 

• Gore-tex 

Gore-tex have been using as substitute materials for artificial blood vessel, artificial heart valve and etc. since 1980. The most advantage things of Gore-tex are it has quite suitable for human tissue.  It is better in integrating with the underlying tissues which gives a more natural look to the nose. Post the surgery, the tissue growth is more integrated with the Gore-Tex, helping it to be attached to the nasal structure.  

• Medpore 

Medpore, as known as an artificial bone is another implant material we could use.  It has been widely used for rhinoplasty, transplanting on forehead and chin, and also for reconstructing orbital fracture surgery regarding it has heavy intensity then other implant kinds. It has limitation of gathering for rhinoplasty so the septal cartilage may replace as substitute material.  

This is all I prepared for you guys and we have been looking for the basic concepts of rhinoplasty and the surgical method for each different type of nose. 

In rhinoplasty, the septal cartilage or ear cartilage may be used and synthetic materials may be used for case by case.  Plus, what we all scared from surgery is the same which are "side effect" and "revision".  
 

In my opinion, depending on using inappropriate implants or wrong surgery by unskilled doctor cause those two main problems.  

To prevent ourselves from any realizable adverse effect or unnecessary surgery is to find the certified specialized in plastic surgery hospital and consult with experienced doctors in this field.  

Especially, for those who has severe deviated nose or hump nose, the surgery requires more complicated techniques by specialist's detail.  

Here in Wannabe Plastic Surgery, we have everything what you are looking for, highly skilled specialized doctors for eye and nose surgery and we have equipped the most advance medical pre-operative examination devices.  All of our staffs are always prepared for serving our patients with modesty attitude.  We treat our patients as one of our family members because we are all connected in Wannabe. 

If you need a consultation for plastic surgery regarding any questions, do not hesitate to contact the direct number to our clinic.  

The details of clinic's opening hour and the way to have one and one consultation on the phone will be addressed nicely on the official website.  

Thank you for spending your time to read this and hopefully I helped you to understand what is rhinoplasty and what kind of surgery may be good for you. 

Thank you. 

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