Gore-tex Rhinoplasty 膨体隆鼻
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- Gore-tex Rhinoplasty 膨体隆鼻
别名
膨体隆鼻
项目介绍
膨体隆鼻是将膨体植入鼻背筋膜下面,使鼻梁或鼻尖突起,从而改变鼻子的形状。膨体又叫聚四氟乙烯,是一种柔软并具有微孔构造的移植材料。膨体隆鼻手术能同时改变鼻梁和鼻头的状态,这也是膨体隆鼻整形手术的目的。
项目特色
膨体具有微孔构造,材料更柔软及有更佳的顺应性,效果更自然。
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
鼻部外形欠佳者。
关注度
⭐⭐⭐⭐⭐
安全度
⭐⭐⭐⭐⭐
复杂度
⭐⭐⭐✩✩
项目优点
膨体较软,术后更趋自然; 术后没有鼻尖发红的现象; 组织可长入材料内,远期固定较好; 对鼻部皮肤很薄的患者,也容易进行膨体隆鼻手术
项目缺点
膨体隆鼻因固化好,膨体材料与人体成为一体,需要取出时比较困难,对周边组织伤害也较大; 膨体隆鼻价格相对较高; 对医生要求较高,雕塑需要丰富的经验。
禁忌人群
面部或全身有感染者; 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。
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
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。
护理方法:
- .术后第1天换药时纱布需要更换。术后每天需要用碘伏擦拭鼻孔,保持伤口清洁;
- 术后第一天最好采取半卧位休息,尽量不低头。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。
4-第6天
恢复提示:
快速消肿的时期,基本每天的变化都比较明显。术区的肿胀及青紫症状会慢慢变浅;经常觉得伤口处发痒,是伤口在愈合的标志。
护理方法:
- 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;
- 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;
- 不让外物撞击鼻子。
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:
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:
- 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;
- 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:
- 术后1个月内忌食辛辣、易过敏食物及烟酒;
- 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:
- 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
Gore-Tex Rhinoplasty
Procedure Detail
Gore-tex rhinoplasty is to implant Gore-tex prosthesis under the nasal dorsal fascia to make the nose bridge or nose tip protrude, thus changing the shape of the nose to achieve the desired effect. The materials used are the most compatible with the human body, non-toxic, non-carcinogenic and non-allergenic, and do not need to be changed for life.
Features
Gore-tex has a microporous structure, the material is softer and has better compliance, and the effect is more natural.
Benefits
Nose reshaping, elevated nose bridge, beautiful nose.
Recommended
Short nose, Flat nose.
Suitable Candidate
Anyone who needs a nose reshape.
Popularity
⭐⭐⭐⭐⭐
Safety
⭐⭐⭐⭐⭐
Complexity
⭐⭐⭐✩✩
Pros
Gore-tex implant material is softer and give a more natural effect; will not shift; permanent effect. It’s good for people with this nose skin
Cons
The implant can fix nicely with tissue hence it’ll be difficult to remove. rather expensive. There are certain requirements for the doctor’s skill and aesthetic view, and the surgery need longer recovery time.
Unsuitable Candidate
People with skin infections; patients with overactive nasal sebaceous glands or rosacea; those with unstable mental state ; those with allergies; those in the developmental stage and under 18 years of age
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
Practicing physician in medical aesthetics or board-certified plastic surgeon.
Pain Scale
Mild
Before the Procedure
- Avoid operation if you have infection on the skin.
- Avoid the menstrual period during the operation.
- No makeup before surgery, clean face, nasal cleanse.
- Do not take drugs containing aspirin within two weeks before surgery and stop smoking for two weeks.
- Patients suffering from high blood pressure and diabetes should inform their doctors of their condition at the first visit, so that the doctors can confirm the operation plan.
- Make sure that you are healthy and free from infectious diseases or other body inflammations before the operation. If there’s flu, perform the operation after the recovery.
0-3rd days
Severe swelling period from 0 days to 3 days Recovery Tips:
The swelling is more obvious in this period, and the wound will have slight bleeding and mild pain on the day after the operation. Sometimes there will be bruises and a small amount of blood scabs in the nasal cavity.
Aftercare methods:
- The gauze needs to be changed on the first day after surgery. You need to wipe the nostrils with iodophor every day to keep the wound clean.
- It is best to rest in a semi-recumbent position on the first day after the operation and try not to lower your head. There may be a little blood flowing out of the nostrils of the surgical incision, which can be gently wiped off with a sterile cotton swab.
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:
Remove the nose clip on the back of the nose to clean the oily secretions on the nose and fix it again.
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.
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:
- Keep the wound clean to prevent infection.
- Within 24 hours after the stitches are removed, the wound should not be exposed to water.
- Do not rub the wound vigorously. You can apply scar ointment to lighten the scars.
- 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:
- 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.
- 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:
Do not eat spicy, allergic causing foods, no smoking and alcohol within 1 month after surgery.
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:
- 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
Silicone and gore tex implants are very common for augmentation rhinoplasty. An infected implant is a very serious medical condition and should not ever be taken lightly. Gore-tex implant tends to have higher risk, infected implant of any type (nose, breast, knee, etc), in principle, must be removed.
膨体隆鼻相对硅胶隆鼻发生感染机率大,因膨体材料表面特有的微孔结构,可以让人体自身毛细血管长入,犹如自身的组织,但是长入的毛细血管也使膨体成为了最好的培养基,细菌一旦进入,使细菌大量的繁殖,故膨体比硅胶更易发生感染,且一旦发生感染只能取出。
Can. If the shape of the nose tip is good, but the bridge of the nose is low, a prosthesis can be implanted to increase the back of the nose without raising the tip of the nose.
可以。如果本身鼻尖形态较好,只是鼻梁较低,可以植入柳叶型假体,加高鼻背,不抬高鼻尖。
A successful removal will not cause the nose tissue to collapse, it will go back to it’s original look after taken out. A second implant can be done after the nose is completely healed.
膨体可用手术完好的取出来,并不会引起鼻背皮肤松懈,鼻部可以恢复原始状况,也可进行二次植入,以达到维持隆鼻术后效果的目的。
The majority of swelling should start to subside within 3-days. Most patients are able to go back to work just one week after their rhinoplasty. Ease into more strenuous activities. You’ll be able to return to social engagements within 2-3 weeks post-op with no visible signs of stitches or scarring.
术后72小时之内是肿胀高峰期,建议静养休息,术后72小时后逐渐开始消肿,可恢复正常工作生活。5-7天拆线,2周基本消肿,外观看不出异样,1个月内有轻微触痛,3个月完全恢复。
The implant may be protruding from through the skin on the dorsum (top part) of the nose. The nose may be red, painful, draining, with a foul odour. You may have fevers or a headache. If you suspect an infection with your nasal implant, please seek the care of a Plastic Surgeon right away who will be able to address the infection.
如果术后半个月之内发生感染,说明医生术中的无菌操作不够严格造成;若是两个月以后甚至半年一年后发生的感染,和被手术者本人的情况有很大的关系(如挖鼻孔,剪鼻毛等造成),一旦受到感染或外伤,一定要及时复诊;如有假体外露应及时取出,以免继发感染。
Both are good implant choices depends on your budget. Silicone has been around for a long time, more of the established surgeons are more comfortable with it and it is easier to carve to the desired shape of the patient. Silicone is also relatively cheaper compared to Gore-Tex.
Gore tex has pores that allow tissue ingrowth which helps the implant to integrate better with the tissues, allowing a more natural look, hence the popularity with patients. However, removal of a Gore-Tex implant is also much more difficult compared to silicone
硅胶略硬,但价格较低,塑形简单,取出快,但存在一定透光性、晃动等可能,此外极小数人对硅胶有排异;膨体较硅胶软,塑形好远期固定更好,鼻尖柔软,适合鼻部皮肤较薄者,但由于膨体能与组织长在一起,取出时损伤较大,且存在一定感染风险,价格也较硅胶高。