别名
肋骨隆鼻

项目介绍
肋软骨隆鼻就是切取自体的肋软骨以垫高鼻梁，修整鼻尖，重塑鼻部容貌的手术。因为软骨是人体内一种特殊的组织，它们具有一定硬度，同时又有相当的柔韧性。肋软骨有大量的来源，可靠的质地，安全的取材方法，对于难度较大的各种先天鼻畸形，外伤或手术造成的后天鼻畸形，都是“终极武器”。

项目特色
鼻中隔软骨不足时，取肋软骨重塑鼻部形态是终极选择

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
需要抬高鼻尖、延长鼻小柱，改变鼻部形态者； 鼻中隔软骨不足以矫正鼻部形态者； 反复整形失败修复者； 对鼻整形要求极高，且排斥人工材料者。

关注度
⭐⭐⭐⭐⭐

安全度
⭐⭐⭐⭐✩

复杂度
⭐⭐⭐⭐⭐

项目优点
能够明显改变鼻部缺陷，重建鼻部软立体结构； 肋软骨吸收率低，不会顶透皮肤，不具有血管，容易成活，不会发生排斥反应； 可以随意雕刻出理想的形状，使用范围广泛。

项目缺点
需要在其它位置切取软骨，在胸部下方留下疤痕； 远期有发生吸收变形的可能性； 肋软骨取出和雕刻对医生技术要求较高； 手术较单纯隆鼻花费更大，恢复时间更长。

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

麻醉方式
全麻/睡眠

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
无痛

术前必读

1. 术前检查，包括血常规加免疫四项、血压、肋软骨的三维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，女性不能进行肋软骨隆鼻；
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. 手术一般采用全麻，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。术后每天需要用碘伏擦拭鼻孔，保持伤口清洁；
2. 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:
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。分泌物较多，有可能波及眼周出现肿胀症状。

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；
3. 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:

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
Rib Cartilage Rhinoplasty

Procedure Detail
Using the patient’s own cartilage, either from the nose itself or a donor site, tends to provide the most natural, long-lasting results. Rib cartilage is often preferable over ear cartilage because it tends to be stronger. There is an abundant supply of cartilage in the rib, enough to achieve any surgeon’s grafting needs. This is especially helpful in cases of saddle nose deformities where longer segments of dorsal augmentation may be necessary.

Features
Septal cartilage is not be available for grafting, rib cartilage will be a better choice

Benefits
Nose reshaping, elevated nose bridge, beautiful nose.

Recommended
Short nose, Flat nose.

Suitable Candidate
Suitable for patient who needs a revision Rhinoplasty, a saddle nose deformity, severe alar retraction, alar collapse etc.

Popularity
⭐⭐⭐⭐⭐

Safety
⭐⭐⭐⭐✩

Complexity
⭐⭐⭐⭐⭐

Pros
It can significantly change the nasal defects and reconstruct the soft structure of the nose; rib cartilage has low absorption rate, does not penetrate the skin, does not have blood vessels, is easy to survive, and does not cause rejection; It can be sculpted into the ideal shape, and it can be widely used.

Cons
Cartilage needs to be cut harvested, leaving scars on the lower part of the chest; rib cartilage can have a tendency to warp or change shape; rib cartilage removal and carving require higher technical skill for doctors; surgery is more expensive and takes longer to recover.

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

Anesthesia Method
General 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

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 to remove sutures at the hospital (because of different surgical methods, do it according to doctor’s advice).

Aftercare methods:

1.  Keep the wound clean to prevent infection.
2. The wound should not be wet within 24 hours after removing the suture.
3. No rubbing, apply scar removal ointment to lighten the scar.
4. Pay attention to light diet, 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.