Dermal Graft Rhinoplasty 自体真皮隆鼻
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- Dermal Graft Rhinoplasty 自体真皮隆鼻
别名
真皮隆鼻、自体真皮瓣隆鼻、真皮条隆鼻
项目介绍
自体真皮隆鼻是利用取自自身脐周和臀沟的自身真皮组织,进行隆鼻;由于真皮组织有一定的厚度和韧性,可以替代硅胶或膨体,来达到增加鼻背高度,自体真皮成活后就如同自己的鼻梁组织一般,完全是身体的一部。
项目特色
取决于自体的可替代硅胶或膨体的隆鼻方式,有效增加鼻背的高度。
功效
面部立体,鼻型美化,隆鼻,提鼻梁
适合人群特征
低鼻,短鼻,鼻小柱短小
适合人群
鼻部外形欠佳者; 对硅橡胶假体发生过排斥反应者; 之前做过隆鼻手术,因各种原因导致失败者; 鼻部需要改动的范围较大,用其他材料容易导致并发症者; 主观上要求用自身材料做鼻整形者
关注度
⭐⭐⭐⭐⭐
安全度
⭐⭐⭐⭐⭐
复杂度
⭐⭐⭐✩✩
项目优点
真皮组织完全来源于自体,不排异、没有异物感,成活以后真皮瓣就会和周围的组织融合,形成真正的鼻背组织; 术后效果逼真自然,触感真实,同时避免假体隆鼻可能出现的手感发硬、鼻尖发红、鼻背发亮等问题; 由于假体排异、感染造成的隆鼻失败,可以通过自体真皮隆鼻来改善,舒缓受损的鼻背皮肤。
项目缺点
如果单纯用真皮隆鼻,鼻部高度可以出来,但是长度和立体感有限; 隆鼻的高度无法实现太高,如果高度要求较高,一般需要2次手术
禁忌人群
有心脑血管疾病、肝脏疾病、糖尿病、凝血功能异常及功能受损者; 长期或正在服用抗凝药物、扩血管药、皮质类激素等药物者; 鼻部及其周围皮肤有感染灶者; 有心理障碍、期望值过高以及对鼻部轮廓要求过于苛刻者; 月经期和哺乳期女性。
留疤
无
治疗时长
1.5-3小时
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
- 术前术区皮肤避免有感染病灶;
- 手术时请避开月经期;
- 术前不化妆,彻底清洁面部,剪鼻毛和清洁鼻腔;
- 术前两周内,请勿服用含有阿司匹林的药物,要停止吸烟2周;
- 患有高血压和糖尿病的患者,应该在初诊向医生告知病情,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,若近日感冒未愈,愈后再行手术。
0-第3天
恢复提示:
该时期是术后症状最严重的时期,术后当天伤口会有持续轻微疼痛感。
护理方法:
- 术后严禁用手碰触手术切口,并避免切口沾水;
- 尽量减少活动,防止植入体位置移动;
- 应用抗生素3-5天预防感染。
4-第6天
恢复提示:
消肿较快,轻度肿胀,淤青吸收,形态效果明显,不是最终效果,等组织恢复,肿胀完全吸收。
护理方法:
- 一周内禁烟酒及辛辣刺激性食物;
- 拆线前手术部位不能沾水
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30天
恢复提示:
持续消肿期,术后效果基本清晰,但仍有肿胀。
护理方法:
- 注意保持鼻腔清洁,不要让鼻子受外力撞击;
- 术后1个月内忌食辛辣、易过敏食物及烟酒
31-第90天
恢复提示:
可正常生活饮食,术后问题已无大碍。
护理方法:
- 术后鼻部尽量避免外力碰撞、挖鼻孔等,有任何问题请及时到院复诊。
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
Self-Tissue Rhinoplasty, Autologous Tissue Rhinoplasty
Procedure Detail
The dermis is harvested from the hip area and mainly used to protect and complement the skin thickness. Compared to foreign implants, fascia and dermis are autologous tissues (your own tissues) and therefore they relatively have minimal side effects. Fascia and Dermis are suitable for patients who have a sensitive skin or thin skin as these materials create a natural and soft result.
Features
Augmentation rhinoplasty using a folded pure dermal graft has many advantages and is a very useful surgical option in patients who have an aversion to the use of artificial implants.
Benefits
Elevate the nose bridge and tip, beautiful, defined nose.
Recommended
Short nose, Flat nose.
Suitable Candidate
Revise the nose structure, improve nose shape, and to “aesthetically” improve the shape and dimensions of nose with bigger amount of natural source.
Popularity
⭐⭐⭐⭐⭐
Safety
⭐⭐⭐⭐✩
Complexity
⭐⭐⭐✩✩
Pros
No rejection: It comes from own, no rejection; Formation: After survival, the dermal flap fuses with the surrounding tissue to form a true nasal dorsal tissue. Natural: The effect is realistic and natural. At the same time, it can avoid the problems of hardness and redness of the nose tip.
Cons
The prosthesis is hard and there are risks such as light transmission, unstable and exposure of the prosthesis; very rare but the possibility of rejection is there.
Unsuitable Candidate
People with cardiovascular and cerebrovascular diseases, liver diseases, diabetes, abnormal blood coagulation and functional impairment; those who have been taking anticoagulants, vasodilators, corticosteroids and other drugs for a long time; those who have infections in the nose and surrounding skin; People with psychological disorders, unrealistic expectations; women during menstruation and breastfeeding.
Scar
No
Treatment Time
1.5-3 hr
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
Mild
Before the Procedure
- No infection on the skin of the operation area.
- Avoid the menstrual period during the operation.
- No makeup before surgery, thoroughly clean the face, trim nose hair and clean the nasal cavity.
- Do not take drugs containing aspirin within two weeks before surgery and stop smoking for two weeks.
- Patients suffering from hypertension and diabetes should inform the doctor of the condition at the first visit.
- Make sure that you are healthy and free from infectious diseases or other body inflammations before the operation. If you have cold, perform the operation after the recovery.
0-3rd days
Severe swelling period from 0 days to 3 days Recovery Tips:
This period is the most severe period of postoperative symptoms, and the wound will continue to have mild pain on the day after surgery
Aftercare methods:
- It is strictly forbidden to touch the surgical incision after the operation and avoid the incision from getting wet.
- Minimize activities to prevent the position of the implant from moving.
- Use antibiotics for 3-5 days to prevent infection.
4-6th days
Recovery tips:
Swelling subside faster, bruise absorption, result is obvious, not the final yet, wait until the tissue fully recovered and swelling is completely absorbed.
Aftercare methods:
- No smoking and no alcohol, no spicy food within a week.
- The surgical site should not be exposed to water before stitch removal.
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.
8-30th days
Recovery tips:
The postoperative symptoms are basically cleared, but there is still mild swelling
Caring methods:
- Pay attention to keeping the nasal cavity clean, and don’t let the nose hit by external force.
- Do not eat spicy food, no smoking and alcohol within 1 month after the operation.
31-90th days
Recovery tips:
The tissue recovery period is 6 months, and the result is better by then.
Aftercare methods:
After the operation, try to avoid external collisions and nose picking. If you find nostril fluid, swelling and pain, please return to the hospital as soon as possible.
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
It has a certain absorption rate, which varies from person to person. Some people basically do not absorb it, while some people absorb a little more; it takes about 1 month to determine if the tissue survived.
自体真皮隆鼻皮会存在一定的吸收率,吸收率因人而异,有些人群是基本不吸收的,而有些人群会吸收的多一点;成活时间大概在一个月左右,一旦成活就是自身的一部分,不会再被吸收掉。
If the implantation time is not long, it is possible to remove it, but there is a certain degree of difficulty, depending on the degree of intraoperative adhesion.
如果植入的时间不长有取出的可能,但有一定的难度,具体需要看术中的粘连程度
Autologous dermal rhinoplasty is to remove some skin tissues from the belly button and gluteal sulcus, and use it to raise the bridge of the nose which can improve the defect of the nose bridge and make the nose curve harmonious and natural.
自体真皮隆鼻是从肚脐、臀沟周围取下一些皮肤组织,拿来垫高鼻梁,让鼻子变得笔挺有型,可以改善鼻梁塌的缺陷,使鼻部曲线和谐、自然
The biggest advantage of autologous materials is that there is no rejection. Once survived, it can survive for a long time; its disadvantage is need an extra operation to harvest tissue, trauma and pain will increase, and partial absorption after surgery; the biggest advantage of artificial materials is that no additional Surgical damage, ideal contour without being absorbed in the long term; its disadvantage is that it is prone to skin breakage and exposed.
自体材料最大优点是无排异、无异物感,一旦存活可以长久存活;其缺点是需在自身取材,创伤和疼痛会增加,并且术后有部分吸收可能;而人工材料最大优点是不需额外手术损伤,能显露理想轮廓,远期不吸收变形;其缺点是容易出现皮肤破损后外露,出现透亮外观。
Absorption (after rhinoplasty, there will be a certain percentage of absorption in autologous tissues, and the absorption rate varies from person to person), local hematoma and infection (generally, the swelling starts to disappear on the 4th day after rhinoplasty, if the local swelling becomes red. If it is too long, the possibility of hematoma and infection should be considered, and it is necessary to go to the hospital for follow-up treatment as soon as possible).
吸收(自体组织在隆鼻后,会存在一定程度的吸收的问题,吸收率因人而异)、局部血肿和感染(一般隆鼻术后第4天开始消肿,如果局部肿胀发红的时间过长,应考虑到有血肿和感染的可能,需尽快到医院复诊以及时处理)。