Reduction rhinoplasty 手术缩鼻头
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- Reduction rhinoplasty 手术缩鼻头
别名
鼻头缩小手术、手术缩小鼻头、缩鼻头手术
项目介绍
手术缩鼻头一般沿鼻翼缘作蝶形切口,分离皮肤暴露鼻翼软骨,将鼻翼软骨在穹窿部,作上部分切除,重新缝合塑形,然后再切除皮下多余的结缔组织和脂肪,以及鼻部皮肤,最后缝合。
项目特色
根据皮肤、皮下组织或软骨引起的不同鼻头肥大采取不同矫正方法。
功效
根据皮肤、皮下组织或软骨引起的不同鼻头肥大采取不同矫正方法。
适合人群特征
鼻头肥大,圆鼻头
适合人群
鼻尖圆钝,鼻头肥大者; 希望通过手术的方式改善鼻头者
关注度
⭐⭐⭐⭐✩
安全度
⭐⭐⭐⭐✩
复杂度
⭐⭐⭐⭐⭐
项目优点
可以清除鼻尖皮下臃赘的组织,重塑鼻尖软骨的立体几何框架,达到挺拔的效果; 手术效果明显,一次手术即可达到明显的效果; 无需假体,不用担心假体移位或排异
项目缺点
手术较复杂,对医生技术要求高; 如需切除肥厚组织,有可能导致增生,如出现增生会导致缩小效果不明显。
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
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
持久
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:
- 术后躺在床上,需把头抬高;
- 保持术区清洁干燥,不沾水;
- 应用抗生素3-5天,预防感染。
4-第6天
恢复提示:
肿胀逐渐消退。
护理方法:
- 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天到院拆线,拆线前后24小时手术部位不能沾水
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:
消肿速度较快,变化较大。
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,避免挤压、碰撞鼻部(睡觉时避免压迫)
16-第30天
恢复提示:
轻度肿胀,肿胀逐渐吸收,可见手术效果,但不是最终效果,需耐心等待恢复。
护理方法:
- 术后鼻部尽量避免外力碰撞、挖鼻孔等活动;
- 避免碰撞鼻部。
31-第180天
恢复提示:
肉眼外观形态恢复,效果明显。
护理方法:
- 术后三个月内,避免强力推压碰撞
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
Nose Reduction Surgery, Alarplasty
Procedure Detail
Reduction rhinoplasty is an effective treatment for reducing the size, including the length of the nose, helping to improve facial proportions and balance. Reduction rhinoplasty may also be used to smooth out bumps on the bridge and minimize the appearance of flared nostrils.
Features
Different correction methods are adopted, according to the skin, subcutaneous tissue or cartilage caused by different nasal hypertrophy
Benefits
Nose reshape, nose beautification, nasal base reduction.
Recommended
Button nose, bulbous large nasal tip nose.
Suitable Candidate
Bulbous large nasal tip nose, one who need nostril flare reduction.
Popularity
⭐⭐⭐⭐✩
Safety
⭐⭐⭐⭐✩
Complexity
⭐⭐⭐⭐⭐
Pros
It can remove the tissue under the nose tip and reshape the frame of the nose tip cartilage to achieve the straightening effect. The result is obvious in 1 time; No prosthesis, no need to worry about displacement or rejection of the prosthesis.
Cons
- Slow recovery: The scars can be seen for 3-6 months, and gradually disappear as time goes by.
- Hyperplasia: If the hypertrophic tissue needs to be removed, it may lead to hyperplasia and the result will not be obvious.
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 min-1 hr
Anesthesia Method
Local anesthesia
Treatment Course
Single time
Procedures Technique
Surgery
Sustainability
Permanent
Recovery Period
1-3 months
Qualification
Practitioner in medical aesthetics or plastic surgeon
Pain Scale
Mild
Before the Procedure
- 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.
- 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.
- 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.
- In order to avoid infection, women cannot undergo surgery during menstruation.
- Two weeks before the operation, do not take drugs containing aspirin, because the drugs will reduce the function of platelet coagulation.
- 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:
Within 24 hours after surgery, the face will swell, nose pain and mild headaches can be felt. These discomforts can be controlled with drugs.
Aftercare methods:
- Lie on the bed after the operation and raise your head.
- Keep the operation area clean and dry, free from water.
- Apply antibiotics for 3-5 days to prevent infection.
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 to remove sutures at the hospital (because of different surgical methods, do it according to doctor’s advice).
Aftercare methods:
- Keep the wound clean to prevent infection.
- The wound should not be wet within 24 hours after removing the suture.
- No rubbing, apply scar removal ointment to lighten the scar.
- Pay attention to light diet, spicy food.
8-15th days
8 to 15 days swelling period. Recovery tips:
Recovery speed is faster, and changes are greater.
Caring methods:
- Within 1 month after the operation, avoid eating spicy foods, no smoking and alcohol.
- Within one month after the operation, avoid squeezing and rubbing the nose (avoid pressure when sleeping).
16-30th days
Recovery tips:
The tissue recovery period is 6 months, and the result is better by then, not final yet though.
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.
31-180th days
Stable period from 31 days to 180 days Recovery tips:
The result starting to be obvious.
Aftercare methods:
- After the operation, try to avoid external collisions or any pressure onto the nose within 3 months.
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
Generally, there are three main possibilities for nasal hypertrophy:
- The cartilage at the tip of the nose is hypertrophy, which requires the lower lateral cartilage to be thinned or trimmed.
- The soft tissue is hypertrophy, which may require soft tissue removal, but this may cause hyperplasia after the operation.
- The alar cartilage is separated. In this case, the alar cartilage needs to be drawn closer.
鼻尖肥大一般主要有三种可能:
- 鼻头端软骨肥厚,这就需要将下外侧软骨打薄或修小;
- 软组织肥厚,这可能就需要去除部分软组织,但是这样做可能术后会出现增生;
- 鼻翼软骨分离,这种情况需要将鼻翼软骨拉拢靠近
The main risk is infection; you need to choose a regular medical institution, followed by proper advises during recovery period to prevent infection; the second risk is that after soft tissue resection, scars or tissue proliferation may be left, and the proliferation will lead to ineffective reduction.
主要风险是感染;需要大家在手术时选择正规医疗机构,其次是术后恢复期做好消毒防止感染;第二风险是软组织切除之后,可能留下疤痕或导致组织增生,增生会导致缩小效果不明显甚至更严重。由于手术缩鼻头一般不使用假体,不会存在排异或假体移位
If you simply remove the hypertrophic soft tissue or skin and suture the nasal cartilage, you only need local anesthesia. If you need to harvest the nasal septal cartilage or costal cartilage to extend the nasal columella, general anesthesia is required.
如果只是单纯切除肥厚软组织或皮肤行鼻翼软骨缝合,只需局麻就可以。如果需要配合取鼻中隔软骨或肋软骨延长鼻小柱,则需要全麻
72 hours after the operation is the peak period of swelling. It is recommended to rest. After 72 hours after the operation, the swelling will gradually disappear, and normal work and lifestyle can be resumed. About 60-70% recovery in 2-3 weeks; complete recovery in 3-6 months.
术后72小时是肿胀高峰期,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。2-3周恢复60-70%左右;3-6个月完全恢复