别名
鼻部硅胶假体取出

项目介绍
由于大众审美水平不断提高，对整形项目接受程度越来越高，隆鼻手术成为人们选择较多的项目之一；但由于第一次硅胶隆鼻时，选择机构不当、材料不当等原因，造成隆鼻后出现各种问题，可以通过手术进行取出，改善鼻部形态不佳等情况的出现。

项目特色
拯救硅胶隆鼻后的不美鼻型，有效消除并发症。

功效
鼻部修复，隆鼻失败修复

适合人群特征
鼻部整形失败，鼻部假体老化，鼻部假体顶出

适合人群
硅胶隆鼻后，鼻部出现变形移位，包括鼻子变短、变歪、假体轮廓阴影明显、鼻尖过顶等各种并发症者； 对硅胶隆鼻后，形状不满意者； 随着时代的发展，审美发生改善，不符合个人审美需求者。

关注度
⭐⭐⭐✩✩

安全度
⭐⭐⭐⭐✩

复杂度
⭐⭐⭐✩✩

项目优点
恢复鼻部的形态，阻止进一步恶化； 可以在修复过后，雕塑更适合更美的鼻型。

项目缺点
手术难度高，对医生要求高； 无法完全恢复到，术前鼻部形态； 有创伤，需要一定周期恢复； 受鼻部条件限制，有时只能修复而不能达到理想的鼻部形态。

禁忌人群
面部或全身有感染者； 有过敏体质者； 对手术心理准备不足者； 期望过高的完美主义者； 月经期及哺乳期女性。

留疤
无

治疗时长
30分钟

麻醉方式
局麻

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
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、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. 女性避开月经期；
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. 手术采用全麻者，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. .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；
2. 术后24小时内，可以多冰敷；
3. 保持术区清洁干燥，不沾水；
4. 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

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；分泌物较多，有可能波及眼周出现肿胀症状。

护理方法:

1. 忌辛辣刺激性食物，多吃水果、蔬菜，注意补充蛋白质；
2. 减少活动，严禁用手碰触手术切口；
3. 保证手术部位清洁，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:

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:
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。

护理方法:

1. 可做一些简单的活动； 2.术后1个月内，忌食辛辣、易过敏食物及烟酒

16-第30天
恢复提示:
皮肤会随着肿胀的消退，而逐渐回缩，取出后会恢复到原来的状态，不会起皱。

护理方法:

1. 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:
有些人的鼻梁，可能会出现塌陷现象，那是因为假体长时间压迫软骨，2-3个月后人体会自动恢复，不必担心。

护理方法:

1. 可以在手术3-6个月后，再置入新的假体

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
Nasal Silicone Implant Removal Surgery

Procedure Detail
Nasal implants are commonly used for cosmetic purposes to build up the nasal bridge, project and refine the tip of the nose; nonetheless, it may produce some risks which mostly involve infection and movement of the nasal implant. Nose implant removal is also performed when the nose is deviated after the surgery, causing an unnatural look or unsatisfying result. The original implant is removed and the new implant material that can fit perfectly for one’s nose is replaced

Features
Infection and movement of the nasal implant; correction rhinoplasty.

Benefits
Nose job repair, failed rhinoplasty revision.

Recommended
Nose cosmetic problems to correct, such as a saddle nose deformity, polly beak deformity or a pinched nasal tip.

Suitable Candidate
Silicone movement; Silicone extrusion or protrusion; Infection; Contracted nose; unhappy with the result.

Popularity
⭐⭐⭐✩✩

Safety
⭐⭐⭐⭐✩

Complexity
⭐⭐⭐✩✩

Pros
Restore the shape of the nose to prevent further deterioration; after restoration, the sculpture can be more suitable for a more beautiful nose shape.

Cons
Nasal implant removal is a highly specialized procedure; consequently, it is important that you select a board-certified plastic surgeon.  Limited by the nose condition, sometimes it can only be repaired, but the ideal nose shape cannot be achieved.

Unsuitable Candidate
Those with infectious diseases; Those who are not mentally prepared for recovery surgery; perfectionists who expect too much; women during menstruation and breastfeeding.

Scar
No

Treatment Time
30 min

Anesthesia Method
Local 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
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. In the nostrils of the surgical incision, there may be slight bleeding, which can be wiped off gently with a sterile cotton swab.
2. Cold compressed within 24 hours after the operation.
3. Keep the surgical area clean, dry and free from wetness.
4. Blood scabs accumulate in the wound, which can be gently washed away with hydrogen peroxide within 48 hours of the operation, and then washed with normal saline. Lodophor wipes the nostrils and wounds to keep them clean.

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 is a lot of discharge, which may spread to the eye area and cause swelling.

Aftercare methods:

1. Avoid spicy food, eat more fruits and vegetables, and supplementing with protein.
2. Reduce activities and strictly prohibit to touch the surgical incision with your hands.
3. Ensure that the surgical site is clean to prevent infection.

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. 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:
After the swelling gradually subsided, the color of the stasis area around the eyes gradually changed to yellowish, and there will still be some discomfort at the tip and back of the nose.

Caring methods:

1. You can do some simple activities.
2. Within 1 month after the operation, avoid eating spicy, allergic foods, no smoking and alcohol.

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:

1. Try to avoid any external force collision on nose, nostril picking and other activities.

31-90th days
Stable period from 31 days to 90 days Recovery tips:
Some people’s nose bridges may collapse. This is because the prosthesis compresses the cartilage for a long time. After 2-3 months, it will automatically recover. Don’t worry.

Aftercare methods:

1. You can insert a new prosthesis 3-6 months after the operation.

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.