They offer a good alternative to revision surgery when there is only a small area to be filled out. The patient should be made aware of the fact that repeat injections are likely to be necessary to maintain the result. Generally, fillers are not suitable in the nasal tip and their use is best confined to the dorsum, where they should be injected just above the periosteum or perichondrium.
The key to success in nasal augmentation is to correctly analyse the cause of the deformity and then to choose the simplest effective option to correct the defect.
This may involve the use of one or more grafts as discussed above, preferably using natural tissue and sometimes with the assistance of a dermal filler for minor refinements. Joseph J. Contributions to Rhinoplasty. Berl Klin Wahnschr ; 46 Chu EA. Augmentation Rhinoplasty. March 3. The versatile cartilage autograft in reconstruction of the nose and face. Laryngoscope ; 95 : Sheen JH.
Achieving more nasal tip projection by the use of a small autogenous vomer or septal cartilage graft. Reconstr Surg ; 56 Hyung MS. Processed costal cartilage homograft in rhinoplasty. The Asian Medical Center Experience. Arch Otolaryngol Head Neck Surg ; 5. This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies.
Read our Cookies Policy. Home Augmentation rhinoplasty. Share This. Cosmetic rhinoplasty Cosmetic alteration to the nose may be undertaken for a variety of different indications. Figure 1: Reduction rhinoplasty.
Materials used in nasal reconstruction Throughout the 20th century, various alloplastic materials — as well as autologous grafts — were used for nasal reconstruction. Figure 3: Crushed septal cartilage. Figure 4a: Before augmentation with septal cartilage. Figure 4b: Crushed cartilage placed externally.
Figure 4c: Appearance after augmentation. Nasal augmentation with the use of Tutopatch Our preference for augmentation of the dorsum is to use rib cartilage. If you need a graft for your procedure, the cosmetic surgeon can often use extra cartilage from your own nose. If there is not enough cartilage, a synthetic graft might be used. Your cosmetic surgeon might narrow your nasal bones or reduce your alar base to narrow nostrils that are too wide.
The projection of the tip of the nose might also be reduced. Persian or European individuals are more likely to have a reduction rhinoplasty. Persians often have excess tissue at the tip of the nose, which creates a hooked or drooping appearance. These patients also tend to have a dorsal hump, which can easily be reduced during the procedure. With an augmentation rhinoplasty, your nasal bridge or the tip will be built up. This will give your nose a stronger profile so it will not droop.
The goal of this procedure is to build up your nose if it does not already have enough structure. That means that the cosmetic surgeon might use synthetic implants or grafts for this procedure. People who are Asian or African American are more likely to have an augmentation rhinoplasty to change the nose shape. An African American patient usually has weaker cartilage at the tip and a lower bridge.
To support the new structures, a graft is often needed. An Asian patient will usually have a lower amount of cartilage and smaller bones in the nose.
Because of how complex the nose is, you might also have a combination of the two procedures. For example, your bridge might be raised while a bulbous tip is reduced.
If this is the case, the aim of the operation would be to make your nose look right for you and to make you less self-conscious about it. So it is very important that you are clear in your mind what you dislike about your nose, and that you can explain this to your surgeon.
He or she will then be able to tell you what is surgically possible and what is not. Most people who dislike their nose have concerns about the bridge or the tip.
Other patients may choose to have rhinoplasty because of an injury to the nose, if the nose has been broken or bent by some kind of accident. Others may have breathing problems relating to the nasal airways, and will choose to have septoplasty.
In both of these cases, rhinoplasty would be considered to be reconstructive, whereas for the majority of nose operations the surgery is classed as cosmetic. Septoplasty can sometimes be carried out at the same time as the work to improve the appearance of the nose. You will meet your surgeon to talk about why you want surgery and what you want. The surgeon will make a note of any illnesses you have or have had in the past.
They will also make a record of any medication you are on, including herbal remedies and medicines that are not prescribed by your doctor.
Your surgeon will examine your nose, and may take some photographs for your medical records.
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