别名
鼻小柱延长术

项目介绍
手术延长鼻小柱一般用于修正短鼻和低鼻，把鼻头向前和向下方延伸，实现鼻尖抬高和鼻尖延长。为了使鼻尖向下延伸，向前方抬高，鼻小柱延长使用的软骨有鼻腔内的鼻中隔软骨、耳软骨和胸部的肋软骨共三种，一般将鼻中隔软骨作为第一选择来使用。

项目特色
鼻中隔软骨很平有硬度，是用于作鼻小柱延长更为容易使用的材料。

功效
鼻型美化，鼻尖抬高，朝天鼻改善，鼻小柱延长

适合人群特征
鼻小柱短小，朝天鼻，短塌鼻，鼻尖下垂

适合人群
短鼻、低鼻和朝天鼻者； 希望通过手术方式改善鼻型者

关注度
⭐⭐⭐⭐✩

安全度
⭐⭐⭐⭐✩

复杂度
⭐⭐⭐⭐⭐

项目优点
重塑鼻尖软骨的立体几何框架，抬高鼻尖； 可同时矫正矮鼻、低鼻、朝天鼻的情况； 手术效果明显，一次手术即可达到明显的效果； 无需假体，不用担心假体移位或排异。

项目缺点
手术较复杂，对医生技术要求高； 如鼻中隔软骨不够，需要取肋软骨，会在胸部留下2cm左右疤痕。

禁忌人群
鼻组织周围有炎症者； 心、肝、肾等重要器官及血液、免疫系统有病变者； 对手术心理准备不足者； 月经期及哺乳期女性； 疤痕体质者

留疤
无

治疗时长
10-30分钟

麻醉方式
局麻/全麻

治疗周期
单次

操作方式
手术

效果持续
持久

恢复时间
1-3个月

操作人员资质
医疗美容科或整形科执业医师

疼痛感
轻度疼痛

术前必读

1. 无出血性疾病以及心肺肝肾等，重要器官活动性或进行性疾病；
2. 长期服用类固醇激素和阿司匹林等药物者，最好能在术前一周停用；
3. 如有以下鼻部情况者不建议手术：鼻部皮肤存在疖、毛囊炎等感染灶，急性鼻窦炎、过敏性鼻炎发作期、3个月内有急性鼻外伤史等；
4. 女性患者手术请避开月经期；
5. 因术后局部轻微肿胀可能延续数周，此时鼻部形态略欠自然，故手术安排时，请考虑在此段时间内，避开重要的社交场合

0-第3天
恢复提示:
肿胀比较明显，术后当天伤口会少量渗血，轻微疼痛。

护理方法:

1. 半卧位休息，术后第一天不要低头；
2. 保持术区清洁干燥，不沾水；
3. 术后短期内，不可吸烟。
4. 保持术区清洁干燥，不沾水。

4-第6天
恢复提示:
肿胀逐渐消退后，鼻部仍有不适感。

护理方法:

1. 拆线前避免切口沾水；
2. 忌辛辣刺激性食物，多吃水果、蔬菜，注意补充蛋白质；
3. 严禁用手碰触手术切口。

7天~7天拆线日 
恢复提示:
7天到院拆线（因为术式不同，需按医嘱到院拆线）。

护理方法:

1. 保持伤口清洁，防止感染；
2. 拆线后24小时内伤口不能沾水；
3. 不可用力揉搓伤口，可涂抹祛疤软膏淡化疤痕；
4. 注意饮食清淡，禁食辛辣刺激性食物。

8-第15天
恢复提示:
消肿速度较快，变化较大，淤青基本消失。

护理方法:

1. 手术部位避免刺激性接触，如高温、强压

16-第30天
恢复提示:
轻度肿胀，肿胀逐渐吸收，但不是最终效果，需耐心等待恢复。

护理方法:

1. 术后一个月内，避免碰撞鼻部

31-第90天
恢复提示:
肉眼外观形态恢复，效果明显。

护理方法:

1. 术后鼻部尽量避免，外力碰撞、挖鼻孔等。

温馨提醒
以上术后护理仅供参考。因个体差异、采用术式不同，恢复周期、拆线时间及护理方法均会有所不同。具体护理方案，建议遵医嘱执行。

Alias Name
Extended Columellar Strut-Tip Graft

Procedure Detail
The extended columella autologous cartilage graft is a reliable method to provide nasal tip projection and contour.

Features
With a columellar strut, a strong piece of cartilage is harvested usually from the inside of the nose and placed in between the medial crura.

Benefits
Gives the tip the support that it needs, helps maintain proper tip projection.

Recommended
Under-projecting tip with over-projecting dorsum, short columellar.

Suitable Candidate

Short nose, flat nose and upturned nose; those who wish to improve the nose shape through surgery.

Popularity
⭐⭐⭐⭐✩

Safety
⭐⭐⭐⭐✩

Complexity
⭐⭐⭐⭐⭐

Pros
Reshape the three-dimensional geometric frame of the cartilage of the nose tip, raise the tip of the nose; It can simultaneously correct the short nose, flat nose, and upturned nose; The surgical effect is obvious, and the obvious result can be achieved in one operation; No prosthesis is required, and there is no need to worry about prosthesis displacement Or rejection.

Cons
The operation is more complicated and requires high technical skill for the doctor; if the nasal septal cartilage is not enough, costal cartilage needs to be taken, which will leave a scar about 2 cm on the chest.

Unsuitable Candidate
Those with inflammation around the nasal tissue; those with heart, liver, kidney, blood and immune system disease; those psychological not prepared; women with menstruation and lactating; those with scar hyperplasia.

Scar
No

Treatment Time
10-30 mins

Anesthesia Method
Local/ general anesthesia

Treatment Course
Single time

Procedures Technique
Surgery

Sustainability
Permanent

Recovery Period
1-3 months

Qualification
Practitioner in medical aesthetics or plastic surgeon

Pain Scale
Medium

Before the Procedure

1. No hemorrhagic disease, heart, lung, liver and kidney, etc..
2. Those who take steroids and aspirin for a long time, it is best to stop one week before surgery.
3. Surgery is not recommended for those with the following nasal conditions: folliculitis and other infections on the nasal skin, acute sinusitis, allergic rhinitis episodes, history of acute nasal trauma within 3 months, etc..
4. For female patients, please avoid the menstrual period.
5. Because the local swelling may last for several weeks after the operation, the shape of the nose is slightly unnatural at this time, so when scheduling the operation, please consider avoiding important social occasions during this period of time.

0-3rd days
Severe swelling period from 0 days to 3 days Recovery Tips:
The swelling is more obvious, and the wound will have slight bleeding and mild pain on the day after surgery.

Aftercare methods:

1. The nasal cavity gauze can be taken out within 1-2 days after the correction of the crooked nose.
2. After the operation, antibiotics are used to prevent wound infection.
3. Within 7 days after the operation, try to avoid water on the surgical site.
4. Ensure that the surgical site is clean to prevent infection.

4-6th days
Recovery tips:
After the swelling gradually subsides, there will still be discomfort on the nose.

Aftercare methods:

1.  Avoid water on the incision.
2. Avoid spicy food, eat more fruits and vegetables, and supplementing more on protein.
3. It is strictly forbidden to touch the surgical incision with your hands.

7th days
7 days for the stitches to be removed. Recovery Tips:
7 days to remove sutures at the hospital (because of different surgical methods, do it according to doctor’s advice).

Aftercare methods:

1. Keep the wound clean to prevent infection.
2. The wound should not be wet within 24 hours after removing the suture.
3. No rubbing, apply scar removal ointment to lighten the scar.
4. Pay attention to light diet, spicy food.

8-15th days
8 to 15 days swelling period. Recovery tips:
The recovery rate is faster, the change is obvious, and the bruise basically disappears.

Caring methods:

1. Avoid direct contact such as high temperature and strong pressure at the surgical site.

16-30th days
Recovery tips:
Mild swelling, the swelling is gradually absorbed, and the result can be seen, but it is not the final yet. You need to wait patiently for recovery.

Aftercare methods:

1. Try to avoid any external force collision on nose, nostril picking and other activities.

    

31-90th days
Stable period from 31 days to 180 days Recovery tips:
The result can be seen more obviously.

Aftercare methods:

1.  Try to avoid external force collision with nose within 3 months

Reminder
The above postoperative care is for reference only. Due to individual differences and different surgical procedures, the recovery cycle, suture removal time and aftercare methods will be different. The specific plan is to follow the doctor’s advice.