别名
膨体隆鼻

项目介绍
耳软骨复合隆鼻是指通过耳软骨垫鼻尖，结合假体垫鼻背或鼻中隔软骨隆鼻的方式来塑造鼻型。耳软骨主要用于鼻尖部的抬高手术，通常的鼻假体材料，形状较固定，并不能做出漂亮的鼻尖，而运用耳软骨则完全可以达到塑造鼻尖这个效果，杜绝了鼻头变形、穿孔等，触感真实，术后不必担心正常接触鼻部，可推按鼻头，且手感柔软逼真。

项目特色
有效改变鼻头的短、圆、钝的外形，同时不破坏皮肤，外形自然。

功效
面部立体，混血鼻，鼻型美化，隆鼻，小翘鼻/翘鼻，网红鼻，水滴鼻，提鼻梁

适合人群特征
低鼻，短鼻，鼻小柱短小

适合人群
鼻背高度可以，只需要改善鼻尖形态者； 辅助假体隆鼻进行鼻尖的雕塑者； 辅助鼻中隔软骨，进行鼻尖的雕塑

关注度
⭐⭐⭐⭐⭐

安全度
⭐⭐⭐⭐⭐

复杂度
⭐⭐⭐✩✩

项目优点
耳软骨主要取用耳甲腔软骨，因为耳窝内的耳软骨会再生。取用耳软骨的要点，是手术医生必须留住软骨膜，只取下软骨。这样才能确保耳窝软骨的再生； 组织相容性好且稳固，耳软骨与鼻局部的组织愈合为一体，很容易固定，不会出现移位，不会出现排异反应； 吸收少，耳软骨吸收率低，没有血液供应也能成活生存； 操作简单，获取容易，耳软骨的薄度恰好适合置放在鼻头。

项目缺点
需要在其它位置切取软骨，短期内在耳廓部会留下疤痕； 耳软骨量少，只用于抬高鼻尖，不适于鼻小柱和鼻背； 会有部分吸收，吸收率因人而异，一般在15%以下。

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
1-1.5小时

麻醉方式
全麻

治疗周期
单次

操作方式
手术

效果持续
10年以上

恢复时间
1个月左右

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、耳软骨的三维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. 为了避免感染的情况，在来月经的期间，女性不能进行手术；
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. 手术如果采用全麻（取鼻中隔软骨），术前需要空腹6-8个小时以上，所以一般术前前一天的晚上12点后，就需要禁食禁水

0-第3天
恢复提示:
该期肿胀比较明显，术后当天伤口会少量渗血，轻微疼痛，有时会有鼻背皮肤淤青，鼻腔会有少量血痂，面中部开始肿起，这些都是正常反应，不必过于担心，要保持平和心态，注意休息。

护理方法:

1. 术后第1天换药时纱布需要更换；
2. 手术切口的鼻孔内可能会有少许血性液体流出，可用消毒棉签轻轻擦去，不可用没有消毒的东西接触伤口，以免污染。24小时内可以多冷敷；
3. 术后前3天尽量仰睡。

4-第6天
恢复提示:
鼻及面部疼痛逐渐减轻，但肿胀会越来越明显，外鼻形态轮廓不清。肿胀的面部可能显得比较难看，这属正常反应，是必须经历的过程。

护理方法:

1. 鼻背部的鼻夹要拿下来清理鼻子上的油性分泌物后重新固定；
2. 伤口处积存血痂可于手术48小时内，用双氧水轻轻洗去，再用生理盐水清洗，碘伏擦鼻孔及伤口，保持清洁。

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:
面部血循环丰富，创伤之后肿胀较剧，但消肿也快。肿胀逐渐消退后，双眼周围瘀血区颜色逐渐由红转黄，鼻尖、鼻背部仍有不适感。如有眼结膜瘀血者，此期瘀血基本消失。

护理方法:

1. 鼻部的夹板固定根据不同可以拿下来或者继续留着，但是鼻背部和面部的皮肤要清理干净；
2. 可做一些简单的活动。忌辛辣刺激性食物，多吃水果，蔬菜，注意补充蛋白质。

16-第30天
恢复提示:
鼻部的肿胀要2周才能有明显消退，6周才会不再明显。

护理方法:

1. 术后1个月内忌食辛辣、易过敏食物及烟酒；
2. 术后一个月内避免碰撞鼻部，防止偏歪

31-第180天
恢复提示:
组织恢复期为6个月，效果在6个月时呈现较佳效果。

护理方法:

1. 术后鼻部尽量避免外力碰撞、挖鼻孔等，若发现鼻孔流液、鼻部皮肤红肿疼痛等请尽快到院复诊

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
Ear Cartilage Rhinoplasty

Procedure Detail
Ear Cartilage Bridge Augmentation by using your own tissue as implant to enhance a nasal tip, normally combine with Prosthesis rhinoplasty. Use ear cartilage to make a beautiful nose tip, eliminating the deformation of the nose and complications. The touch is natural, no worry on pushing the nose, and the feel is soft and realistic.

Features
It can effectively change the short, round shape nose without damaging the skin, and the shape is natural.

Benefits
Nose reshaping, elevated nose bridge, beautiful nose.

Recommended
Short nose, Flat nose.

Suitable Candidate
Nose bridge doesn’t need changes but only the nose tip. 

Popularity
⭐⭐⭐⭐⭐

Safety
⭐⭐⭐⭐⭐

Complexity
⭐⭐⭐✩✩

Pros
Auricular cartilage can be harvested from the ear by making an incision behind the ear. This doesn’t change the shape of the ear. the tissue compatibility is good and stable. The ear cartilage and the local tissue of the nose can be integrated. The absorption rate is low, and it can survive without blood supply; the operation is simple, the acquisition is easy, and the thinness of the ear cartilage is just suitable for placement on the nose tip.

Cons
2 surgeries, the amount of cartilage in the ear is small, only used on tip of the nose, not suitable for the bridge of the nose; there will be partial absorption, the absorption rate varies from person to person, generally Below 15%.

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
1-1.5 hr

Anesthesia Method

General anesthesia

Treatment Course
Single time

Procedures Technique
Surgery

Sustainability
10 years and above

Recovery Period
About 1 month

Qualification
Practicing physician in medical aesthetics or board-certified plastic surgeon.

Pain Scale
Mild

Before the Procedure

1. Preoperative examination, including blood check, blood pressure, and three-dimensional CT examination of ear cartilage. Make sure that you are healthy and free from infectious diseases or other body inflammation.
2. Patients with hypertension and diabetes should Inform the doctor about the condition at the first visit, so that the doctor in charge can confirm the plastic surgery and postoperative treatment plan.
3. The patient must not suffer from folliculitis, acne, and acute ophthalmitis. On the day of rhinoplasty, the patient needs to take a bath and wash away the grease on the face, and the patient also needs to clean the nasal cavity and cut the nose hair.
4. In order to avoid infection, women cannot undergo surgery during menstruation.
5. Two weeks before the operation, do not take drugs containing aspirin, because the drugs will reduce the function of platelet coagulation.
6. If general anesthesia (removal of nasal septal cartilage) is used for surgery, you need to fast for more than 6-8 hours before surgery.

0-3rd days
Severe swelling period from 0 days to 3 days Recovery Tips:
The swelling is more obvious in this period, the wound will have slight bleeding, mild pain on the day after the operation, sometimes there will be bruises on the back of the nose, a small amount of blood scabs in the nasal cavity, and the face will begin to swell, these are normal reactions. Don’t worry too much. Keep a calm mind and get more rest.

Aftercare methods:

1. The gauze needs to be replaced when changing the dressing on the first day after the operation.
2. There may be a little bloody liquid flowing out of the nostrils of the surgical incision, which can be gently wiped off with a sterile cotton swab. Do not touch the wound with unsterilized things to avoid infection. You can use cold compresses within 24 hours.
3. Sleep on your back as much as possible for the first 3 days after surgery.

4-6th days
Recovery tips:
The pain of the nose and face is gradually reduced, but the swelling will become more and more obvious, and the contour of the outer nose is not clear. There will be a lot of discharge, which may spread to the eye area and cause swelling.

Aftercare methods:

1.  Remove the nose clip on the back of the nose to clean the oily secretions on the nose and fix it again.

2. The scab accumulated in the wound can be gently washed away with hydrogen peroxide within 48 hours of the operation, and then washed with saline, Iodophor wipes the nostrils and wounds to keep them clean.

3. Do not let foreign objects hit the nose.

7th days
7 days for the stitches to be removed. Recovery Tips:
7 days for the stitches to be removed at the hospital (because the procedure is different, the stitches must be removed at the hospital at the time of the doctor’s order).

Aftercare methods:

1. Keep the wound clean to prevent infection.
2. Within 24 hours after the stitches are removed, the wound should not be exposed to water.
3. Do not rub the wound vigorously. You can apply scar ointment to lighten the scars.
4. Opt for a light diet and no spicy food.

8-15th days
Recovery tips:
Facial blood circulation cause swelling to be more severe, but it will also reduced quickly. After the swelling gradually subsided, the bruises around the eyes gradually changed from red to yellow, and there will still be discomfort at the tip and back of the nose. If there is conjunctival stasis, the stasis will basically disappear during this period.

Caring methods:

1. The splint of the nose can be removed or kept depending on individual, but the skin on the back of the nose and face should be cleaned.
2. Some simple activities can be done. Avoid spicy foods, eat more fruits and vegetables, and take protein supplements.

16-30th days
Recovery tips:
It takes 2 weeks for the swelling of the nose to subside significantly, and 6 weeks for it to disappear.

Aftercare methods:

1.  Do not eat spicy, allergic causing foods, no smoking and alcohol within 1 month after surgery.

2. Avoid bumping nose within one month after surgery to prevent crookedness.

31-180th days
Stable period from 31 days to 180 days Recovery tips:
The tissue recovery period is 6 months, and the result is better by then.

Aftercare methods:

1. 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.