别名
自体软骨垫鼻基底

项目介绍
鼻基底，就是鼻与上唇相连的基底部分。鼻基底分为鼻小柱基底、鼻翼基底。也有的细分为鼻小柱基底、鼻翼基底和鼻孔基底。自体软骨垫鼻基底，就是取耳软骨或鼻基底填充术，目的经过垫鼻基底，使得面中部丰满起来。

项目特色
自体软骨垫鼻基底能够解决面部凹陷和改善凸嘴的问题

功效
改善突嘴，垫鼻基底，面中部凹陷矫正

适合人群特征
鼻基底凹陷

适合人群
面中部凹陷，单纯通过隆鼻改善不了者； 鼻小柱上唇夹角呈锐角，呈“突嘴“状者。

关注度
⭐⭐⭐⭐✩

安全度
⭐⭐⭐⭐✩

复杂度
⭐⭐⭐⭐⭐

项目优点
改善单纯隆鼻无法解决的面中部凹陷问题； 可以同时改善突嘴、减轻鼻唇沟； 手术效果明显，一次手术即可达到明显的效果； 自体软骨效果好，不用担心假体移位或排异

项目缺点
手术较复杂，对医生审美和技术要求相对较高，不容易掌握； 对面部松弛引起的鼻唇沟加深效果不佳； 适应症选择得当，而且要掌握好度，否则会适得其反，导致鱼嘴样畸形，使面中部太过立体、刚毅； 填充鼻翼两侧，可能使鼻孔被拉的特别大，鼻基底手术最好和鼻子手术一起做。

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
30分钟-1小时

麻醉方式
局麻/睡眠麻醉

治疗周期
单次

操作方式
手术

效果持续
持久

恢复时间
3-6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. .术前检查，包括血常规加免疫四项、血压、肋软骨的三维CT检查。确定身体健康，无传染性疾病或其他身体炎症；
2. 患有高血压和糖尿病的患者，应该在初诊时向医生告知病情，以便应诊医生确认整形手术和术后治疗方案；
3. 患者的面部不能够带有任何的细菌，所以患者绝对不能患上毛囊炎和痤疮以及急性眼炎等疾病。在隆鼻的前一天，患者需要洗澡，并且洗干净面部的油脂，使细菌减少，而且患者还需要清洁鼻腔和剪鼻毛；
4. 女性避开月经期；
5. 术前两周内，请勿服用含有阿司匹林的药物，因为药物会使得血小板凝固的功能降低；
6. 手术一般采用全麻，术前需要空腹

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. 保持切口清洁，漱口；
2. 保持术区干燥，不沾水；
3. 半卧位休息；
4. 口服抗生素3-5天。

4-第6天
恢复提示:
肿胀逐渐消退后，瘀血基本消失。

护理方法:

1. 忌辛辣刺激性食物，多吃水果、蔬菜，注意补充蛋白质；
2. 减少面部活动，严禁用手碰触手术切口；
3. 保证手术部位清洁，防止感染。

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. 术后1个月内，忌食辛辣、易过敏食物及烟酒；
2. 术后不要做夸张的表情。

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. 术后鼻部尽量避免，外力碰撞、挖鼻孔等活动

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. 手术三个月内，避免强力推压碰撞鼻部。

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.