Alias Name
Nasal Tip Cartilage Graft

Procedure Detail
The septal extension graft with ear cartilage enables the creation of a desirable nasal shape because there is a sufficient amount of ear cartilage to stably support the nasal tip, thus creating a natural and smooth nose shape. In addition to the silicone implants that are commonly used for Rhinoplasty surgery, a combination of placing nasal or ear cartilage graft (the ear basin curve or Concha area) can be performed to correct and extend the nasal length and a tip plasty with less visible incision scars. This technique is used for extending the nasal area, for improving nasal tip looks, and to minimize the risk of silicone coming out.

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
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Safety
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Complexity
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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
30 mins

Anesthesia Method
Local anesthesia

Treatment Course
Single time

Procedures Technique
Surgery

Sustainability
10 years and above

Recovery Period
5-10 years

Qualification
Practitioner in medical aesthetics or plastic surgeon

Pain Scale
Mild

Before the Procedure

1. No hemorrhagic disease, heart, lung, liver and kidney, etc..
2. Those who take steroids and aspirin for a long time, it is best to stop one week before surgery.
3. Surgery is not recommended for those with the following nasal conditions: folliculitis and other infections on the nasal skin, acute sinusitis, allergic rhinitis episodes, history of acute nasal trauma within 3 months, etc..
4. For female patients, please avoid the menstrual period.
5. Because the local swelling may last for several weeks after the operation, the shape of the nose is slightly unnatural at this time, so when scheduling the operation, please consider avoiding important social occasions during this period of time.

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.