Dorsal Hump Correction Surgery 驼峰鼻矫正
别名
驼峰鼻矫正
项目介绍
驼峰鼻属于一种常见的鼻型缺陷，亦有先天和后天外伤引起的；对于轻度驼峰鼻通过凿除驼峰，即可矫正；严重者要用鼻锯，锯开上颌骨与鼻骨的连接，使鼻骨重新组合，形成新的鼻锥。驼峰鼻经常同时存在鼻尖的鹰钩鼻，也需要同时矫正。
项目特色
不论驼峰的高与低、或是否伴有鼻尖过长等，都可得到明显的改善
功效
鼻型美化，驼峰鼻矫正
适合人群特征
驼峰鼻，小驼峰
适合人群
鼻梁异常隆突症状者； 鼻脊不成直线，鼻宽而长者； 鼻尖呈现向下弯曲下垂，外形如同鹰勾鼻者。
关注度
⭐⭐⭐⭐✩
安全度
⭐⭐⭐⭐✩
复杂度
⭐⭐⭐✩✩
项目优点
一次手术，效果持久维持； 能形成理想的鼻部轮廓线，效果自然。
项目缺点
属于创伤性手术，术后恢复期长； 该手术为国家卫生部规定的二级手术项目，具有一定的风险性； 术后恢复时间相对较长
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
1.5-2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
2-3个月
操作人员资质
医疗美容科或整形科执业医师
疼痛感
中度疼痛
术前必读
- 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；
- 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；
- 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；
- 女性患者手术请避开月经期；
- 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:
肿胀比较严重，术后鼻夹固定，术区及眼周皮肤发生淤青肿胀；手术第一天鼻孔内，会填充纱布压迫止血，伤口会轻微渗血。
护理方法:
- 疼痛耐受差者，可口服止痛药，缓解疼痛；
- 鼻孔填塞纱布，压迫止血24小时；
- 鼻部戴有鼻夹5天，固定形态同时压迫止血；
- 术后第二天换药；
- 保持术区清洁干燥，不沾水。
4-第6天
恢复提示:
鼻部眼周消肿，受重力作用，面颊稍有肿胀，很快会吸收，皮肤淤青吸收发黄，轻度疼痛。
护理方法:
- 避免重物撞击，防止骨折；
- 进食冷温软食，不吃辛辣刺激性食物；
- 不抽香烟，不喝酒，不咀嚼坚硬食物；
- 保持伤口的清洁干燥，拆线前不能沾水，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；
- 术后一个月内，鼻子避免挤压、碰撞（睡觉时避免压迫）
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:
- 术后三个月内，避免强力推压碰撞
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
Dorsal Hump Correction Surgery
Procedure Detail
There are multiple causes of dorsal humps – genetics, impact or previous injury. it’s important to identify the cause of the hump because in some cases, nonsurgical techniques can fix the nose. The goal of this procedure is to make the dorsal aesthetic lines smooth and in proportion with the rest of the patient’s nose and face.
Features
Small or large dorsal humps can be reduced using closed rhinoplasty techniques.
Benefits
Reshaping the nose, dorsal hump reduction.
Recommended
Dorsal hump nose.
Suitable Candidate
Hump on the bridge of the nose; affects the appearance of the face and nose from all angles.
Popularity
⭐⭐⭐⭐✩
Safety
⭐⭐⭐⭐✩
Complexity
⭐⭐⭐✩✩
Pros
One operation, the result is long-lasting; it can form an ideal nose contour line, and the effect is natural.
Cons
It is a traumatic operation with a long postoperative recovery period; this operation is difficult, which has certain risks; the postoperative recovery time is relatively long.
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
1.5-2 hr
Anesthesia Method
Local/ general anesthesia
Treatment Course
Single time
Procedures Technique
Surgery
Sustainability
Permanent
Recovery Period
2-3 months
Qualification
Practitioner in medical aesthetics or plastic surgeon
Pain Scale
Medium
Before the Procedure
- No hemorrhagic disease, heart, lung, liver and kidney, etc..
- Those who take steroids and aspirin for a long time, it is best to stop one week before surgery.
- 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..
- For female patients, please avoid the menstrual period.
- 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 serious, the nose clip is fixed after the operation, the operation area and the skin around the eyes will be bruised and swollen; the nostrils will be filled with gauze to stop bleeding on the first day of the operation, and the wound will be slightly bleeding .
Aftercare methods:
- Patients with poor pain tolerance can take analgesics orally to relieve the pain.
- Pack the nostrils with gauze and compress the bleeding for 24 hours.
- Wear a nose clip on the nose for 5 days and fix the shape while compressing the bleeding.
- Change the dressing the next day.
- Keep the operation area clean and dry, free from water.
4-6th days
Recovery tips:
Swelling around the nose and eyes, the cheeks are slightly swollen too, it will be absorbed quickly, and the skin bruises will turn yellow and mild pain
Aftercare methods:
- Avoid collide with heavy objects to prevent fractures.
- Eat cold or warm soft food, do not eat spicy and irritating food.
- Do not smoke cigarettes, do not drink, do not chew hard food.
- Keep the wound clean and dry and remove stitches Do not touch water 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:
- Do not eat spicy and allergic foods, no smoking and alcohol within 1 month after the operation.
- Avoid squeezing and collision of the nose within one month after the operation (avoid pressure when sleeping).
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
If necessary, after the correction of the hump nose, the nasal cavity needs to be filled with iodoform gauze for internal fixation, externally fixed with a rubber plate, and pressure bandaged. After 3 days, the intranasal gauze is taken out and removed after two weeks of external fixation. The external fixation of the nose can be removed by professional.
需要的，驼峰鼻矫正术后需要在鼻腔内，用碘仿纱条填塞做内固定，鼻外用胶板外固定，绷带加压包扎，3天后抽出鼻腔内纱条，鼻外固定两周后去除，其鼻部外固定不能自行拆除。
A number of surgical approaches are available to remove or reduce the size of dorsal humps. The approach should be planned based on your anatomy and your needs. Choosing an experienced surgeon is important to decrease the risk of secondary or revision rhinoplasty, which is an issue after hump removal.
驼峰鼻矫正主要有两种方式：1.非截骨法，适用于轻度驼峰鼻者，主要采用隆鼻术，以此增加鼻尖高度的方式进行矫正；2.截骨法，适用于中重度驼峰鼻者。
Basically, there’s no need to stay a night in hospital. However, it is advisable to not drive on your own after the surgery.
无需住院，可以随做随走，但是由于术后麻醉的药效不会立即消失，所以可能会出现困倦感，没有什么紧急事情的情况下，可以在医院休息一下，回家后也要注意多休息，最好不要自己驾驶车辆回家，更不能进行高空作业，休息时可将枕头垫得高一些。
Yes, after 7 days. And follow strict advises for pose-care.
需要的，术后会有局部肿胀大约3-5天，7天后拆线，需要注意避免外部的撞击，一般术后两周左右软组织完全愈合，骨以及软骨完全的恢复，则需要2-3个月的时间。
Generally speaking, a good correction can be achieved after surgery, and no visible surgical marks will be left behind.
一般来说，手术后可达到良好的矫正效果，并且不会遗留可见的手术痕迹。
Mild swelling and discomfort. Dorsal hump recurrence – more likely in people with larger humps; Insufficient changes to the appearance of the hump – can be caused by thick skin; The risk of residual humps can increase when a less experienced surgeon chooses a conservative approach and does not remove enough cartilage. An experienced surgeon will understand all these issues and use approaches to give the best possible aesthetic result while reducing the risk of revision surgery.
继发畸形（缩窄鼻背时，外侧截骨位置过高所致）、矫正不足（必要时可于3个月后，重新手术矫正）、效果不满意（术中位置选择不当，或固定不稳等，均有可能导致术后外形不佳）；建议选择正规的医疗机构、经验丰富的医生，其手术风险会降到极低。
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