Alar base implants augmentation 假体垫鼻基底
别名
富贵手术、贵族手术、 鼻基底假体
项目介绍
鼻基底，就是鼻与上唇相连的基底部分，其分为鼻小柱基底、鼻翼基底和鼻孔基底；假体垫鼻基底，采用手术方式，分离鼻基底，把三角形假体/月亮型假体，植入基底部位，以此把鼻基底垫起来，同时可使面中部丰满起来。
项目特色
改善突嘴，有效提升面中部的立体感，实现减龄效果
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
想达到面中部丰满者； 面中部凹陷、凸嘴，不愿行正颌截骨前移术者； 上下颌牙齿关系咬合正常，而仅仅是上颌骨发育不足的患者。
关注度
⭐⭐⭐✩✩
安全度
⭐⭐⭐⭐✩
复杂度
⭐⭐⭐✩✩
项目优点
能够解决面部凹陷问题，提升面中部的立体感； 有效使面部看上去更饱满一些； 可从视觉上缓解鼻基底与嘴巴的高度落差，使嘴巴看起来不会太凸，让面中部的曲线更有弧度。
项目缺点
由于鼻基底术后，一般患者鼻孔会张开，显得鼻孔变大，因此建议和隆鼻术同时进行
禁忌人群
局部有感染病灶以及经常反复鼻出血者； 鼻部皮脂腺丰富或有酒糟鼻的患者； 精神状态不稳定或对填充材料有疑虑者； 有过敏体质者； 正在发育阶段未满18周岁的爱美者； 复杂性鞍鼻者； 面部松弛引起的鼻唇沟加深者（建议通过面中部提升来解决问题）。
留疤
无
治疗时长
30分钟-1小时
麻醉方式
局麻
治疗周期
单次
操作方式
手术
效果持续
10年以上
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
无痛
术前必读
- 术前两周内，请勿服用含有阿司匹林的药物，因为阿司匹林会使得血小板凝固的功能降低；
- 有高血压和糖尿病的患者，应该在初诊时向医生告知病情，以便应诊医生确认手术方案；
- 术前确定身体健康，无传染性疾病或其他身体炎症；
- 术前不要化妆；
- 女性要避开月经期
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:
- 保持切口清洁，漱口；
- 保持术区干燥，不沾水；
- 半卧位休息；
- 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:
- 忌辛辣刺激性食物，多吃水果、蔬菜，注意补充蛋白质；
- 减少面部活动，严禁用手碰触手术切口；
- 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:
- 保持伤口清洁，防止感染；
- 拆线后24小时内伤口不能沾水；
- 不可用力揉搓伤口，可涂抹祛疤软膏淡化疤痕；
- 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:
- 术后1个月内，忌食辛辣、易过敏食物及烟酒；
- 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，可见手术效果，但不是最终效果，需耐心等待恢复。
护理方法:
- 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:
- 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
Mid-face Augmentation Paranasal Augmentation
Procedure Detail
The alar base plays an important role in the overall appearance and proportion of the nose. The alar base is a complex three-dimensional shape, with intimate relationships with the medial cheek, nostril, columella, and upper lip. mid-face augmentation (silicone), two pieces of silicone implants are used. These two small implants are inserted into the nostrils and/or under the philtrum to elevate the level of base structure of the nose.
Features
Improves the sunken mid-face, protruded mouth, and deep laugh lines by elevating the basement of the nose structure
Benefits
Corrects the angle of the upper lip, elevates the tip of the nose, and minimizes laugh lines.
Recommended
Alar base retraction
Suitable Candidate
Recommended for people who want have sunken mid-face and protruded mouth compared to their nose basement creating an unbalanced profile view
Popularity
⭐⭐⭐✩✩
Safety
⭐⭐⭐⭐✩
Complexity
⭐⭐⭐✩✩
Pros
Achieve more elegant and sophisticated profile line from nose line to lips, creates a synergistic effect giving a harmonized profile view line
Cons
This Mid-face Augmentation is commonly performed along with the rhinoplasty
Unsuitable Candidate
Those with local infection and frequent epistaxis; those with abundant nasal sebaceous glands or with rosacea; those with unrealistic expectation; those with allergies; those who are under 18 years of age; Complicated saddle nose; deepened nasolabial folds caused by facial laxity (it is recommended to solve the problem by lifting the middle of the face).
Scar
No
Treatment Time
30 min-1 hr
Anesthesia Method
Local anesthesia
Treatment Course
Single time
Procedures Technique
Surgery
Sustainability
10 years and above
Recovery Period
1-3 months
Qualification
Practitioner in medical aesthetics or plastic surgeon
Pain Scale
No pain
Before the Procedure
- Do not take drugs containing aspirin within two weeks before the operation, because aspirin will reduce the function of platelet coagulation.
- Patients with hypertension and diabetes should inform the doctor of the condition at the first visit so that the doctor can confirm the operation program.
- Make sure that you are healthy and free from infectious diseases or other body inflammations before surgery.
- Do not make up before surgery.
- Women should avoid menstrual periods.
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:
- Keep the incision clean and rinse your mouth.
- Keep the operation area dry and free from water.
- Rest in a semi-recumbent position.
- Oral antibiotics for 3-5 days.
4-6th days
Recovery tips:
After the swelling gradually subsided, the bruises basically disappeared.
Aftercare methods:
- Avoid spicy and irritating foods, eat more fruits and vegetables, get supplementing protein.
- Reduce facial movements and strictly no touching the surgical incision with your hands.
- Ensure that the surgical site is clean to prevent infection.
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:
- Keep the wound clean to prevent infection.
- The wound should not be wet within 24 hours after removing the suture.
- No rubbing, apply scar removal ointment to lighten the scar.
- 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:
- Within 1 month after the operation, avoid eating spicy foods, no smoking and no alcohol.
- Do not make exaggerated expressions after the operation.
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:
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:
- 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.
FAQ 常见问答题
Implants can be added to the nasal ala to correct alar contour, while implants placed in the columella can aid in augmenting tip projection, altering tip rotation or reshaping the columella itself. In general, space-occupying implants are better tolerated than those that provide structural support. Small pieces silicone implants are inserted into the nostrils and/or philtrum, creating an aesthetic profile line of the columella. This surgery gives a “two-jaw surgery” similar effect but performed in a much simpler way.
假体垫鼻基底一般采用，两侧月亮型或飞燕型假体充填，其目的是为了缓冲，上颌牙槽骨过突造成的台阶，把直角台阶缓冲成一定坡度，从而能够解决面部凹陷和改善凸嘴的问题，使面部看上去更饱满一些。
The surgical incision is normally at the upper gingiva, which will leave no scar externally.
假体垫鼻基底手术开口通常分为两类：1.在口腔内开口，一般开两个小切口，术后痕迹基本看不到；2.在鼻翼与面部交界处做切口，手术完全恢复后不会留下明显疤痕。
The texture of the material is very close to the nasal body tissue, and it is easier to fit the nasal bone, and the postoperative effect is beautiful and natural.
假体垫鼻基底，其材质手感十分接近正常鼻体组织，比较容易和鼻骨贴合，术后效果美观自然；如果自己不透露秘密，旁人是很难察觉出来的。
The result is satisfactory for paranasal area to give more convex appearance to mid-face. It helps lessening the nasolabial fold but not removing them.
因为如果通过假体垫鼻基底，非但不能缓解此症状，而且会使眼袋下方的泪沟加深，因此不建议进行假体垫鼻基底手术，建议通过面中部提升来解决问题。
If the patient is looking for replacement of atrophic losses that occur with aging and sagging skin, treating mid-face with implant is a much more suitable choice.
不能；鼻唇沟和鼻翼基底，虽属于同一区域，但层次并不同，成因也不同；一般来说，假体垫鼻基底在一定程度上，可以稍微使鼻唇沟变浅一点；通常是鼻翼基底凹陷不太深，同时鼻唇沟也不深的情况；但如果鼻翼基底凹陷很深，同时伴有比较严重的鼻唇沟皱褶的话，假体垫鼻基底手术基本对鼻唇沟无用
The paranasal augmentation is usually combined with the rhinoplasty but it can be solely performed without rhinoplasty as well. When mid-face augmentation is performed along with the rhinoplasty, it creates a synergistic effect giving a harmonized profile view line. This surgery is recommended for whoever wants to look more sophisticated and to achieve more elegant profile view.
假体垫鼻基底后，在一定程度上，可以改善突嘴，弥补上颌骨、颧骨发育缺陷，使有凹陷感的面部更饱满，结合鼻整形同时进行，可有效提升面中部的立体感，改善面中部凹陷，实现减龄效果。
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