别名
鼻中隔隆鼻

项目介绍
自体软骨，是目前较为理想、安全的隆鼻材料。鼻中隔软骨隆鼻，是指通过使用自体的鼻中隔软骨移植，作为隆鼻材料的一种手术；其可用来抬高、延长鼻尖鼻小柱，解决鼻尖低平、朝天鼻、鼻小柱短、鼻唇角低的问题。

项目特色
较好的雕塑鼻型的方式，但软骨发育不足者不适用。

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
短鼻、鼻尖低平，需要抬高鼻尖者； 鼻小柱短小者； 有鼻孔外露、朝天鼻问题，而鼻中隔软骨发育较好者。

关注度
⭐⭐⭐⭐⭐

安全度
⭐⭐⭐⭐⭐

复杂度
⭐⭐⭐⭐✩

项目优点
属于自体组织移植的一部分，避免了异体组织排异反应，安全性高； 在同一手术切口进行鼻中隔取软骨手术和鼻小柱延长手术，无需在身体其他部位另作第二手术区，总创口面积减小； 塑形、固定方便，支撑效果明显； 鼻中隔软骨质地坚硬，容易塑造出既圆又翘的鼻头，甚至可以顺道治疗鼻中隔弯曲，或矫治鼻塞等疾病问题

项目缺点
由于鼻中隔软骨可以切取的量有限，一般只能用于鼻尖、鼻小柱的整容，对于本身鼻中隔软骨不发达者，骨量不足，适应人群较窄； 术后会有部分吸收，吸收率因人而异，吸收会造成原有定型改变，整形效果受到影响； 由于术后初期要确保外形美观，就得用鼻中隔软骨提供很好的支撑，这样术后往往会出现比较硬的触感； 存在影响鼻腔功能、歪鼻的风险

禁忌人群
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
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
轻度疼痛

术前必读

1. 术前术区皮肤避免有感染病灶； 
2. 手术时请避开月经期；
3. 术前不化妆，彻底清洁面部，剪鼻毛和清洁鼻腔；
4. 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；
5. 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；
6. 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渗血及轻微疼痛感。次日开始肿胀明显，分泌物较多，有可能波及眼周出现肿胀症状。         

护理方法:

1. 半卧位休息，术后第一天不要低头；
2. 术后72小时内鼻、眼青紫充血加重，可用棉签轻沾拭去；若出血较多请及时与医生联系；
3. 术后一般3天换药；
4. 术后按医嘱口服消炎药3天。
5. 注射后当天冰敷一次，时间不超过30分钟；
6. 注射后不要触摸和按压，避免面部肌肉频繁运动，以保持注射部位填充物的均匀分布。

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:

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
Dorsal Augmentation with Septal Cartilage

Procedure Detail
Septal cartilage which is located inside the nose is mainly utilized to lengthen the nose length or add a projection in the nose tip. It does not leave any additional scarring since it is harvested from the inner nose but it requires an expertise to harvest the right amount to create a stable structure without causing a collapse in the nose. It is mostly used for the primary rhinoplasty.

Features
Autologous cartilage pieces are used to fundamentally create a strong nose structure that could maintain its shape throughout the time.

Benefits
Nose reshaping, Elevated nose bridge, Beautiful nose

Recommended
Short nose, Flat nose.

Suitable Candidate
Revise the nose structure, Improve septal deviation, and to “aesthetically” improve the shape and dimensions of nose with natural source.

Popularity
⭐⭐⭐⭐⭐

Safety
⭐⭐⭐⭐⭐

Complexity
⭐⭐⭐⭐✩

Pros

1. Safety: The nasal septal cartilage from own body will not be rejected..
2. Less damage: The cartilage and nasal surgery are performed under same incision
3. Good for shaping: Easy to shape, better support effect, easy to shape the nose that is round and warped.

Cons

1. Bone mass is limited: generally can only be used to shape the nose tip and nasal column.
2. Absorption: The body might absorb it and cause the shape changes.
3. Limitations: Those with more serious flat nose conditions and congenital nasal septal cartilage development are not suitable.

Unsuitable Candidate
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; Mental disorders, unrealistic expectations; women during menstruation and breastfeeding.Menstrual period, pregnant women and Lactating; scar hyperplasia; persons under 18 years of age; patients with severe liver, kidney, heart and brain diseases, severe blood diseases, uncontrolled diabetes, and infectious diseases.

Scar
No

Treatment Time
1.5-2hr

Anesthesia Method
General 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

1. No infection on the skin of the operation area.
2. Avoid the menstrual period during the operation.
3. No makeup before surgery, thoroughly clean the face, trim nose hair and clean the nasal cavity.
4. Do not take drugs containing aspirin within two weeks before surgery, and stop smoking for two weeks.
5. Patients suffering from hypertension and diabetes should inform the doctor of the condition at the first visit.
6. 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. The wound will have continuous bleeding and slight pain on the day after surgery. The swelling began to be obvious the next day, and there were more secretions, and swelling symptoms may spread to the eyes.

Aftercare methods:

1. Rest in a semi-recumbent position, and do not lower your head on the first day after surgery.
2. The congestion of the nose and eyes becomes worse within 72 hours after the operation, which can be wiped with a cotton swab, if there is more bleeding, please contact your doctor in time.
3.  The dressing is usually changed 3 days after the operation.

4. The anti-inflammatory drugs are taken orally for 3 days after the operation

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. 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.

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.