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
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Safety
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Complexity
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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.