Silicone rhinoplasty surgery 硅胶隆鼻
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- Silicone rhinoplasty surgery 硅胶隆鼻
别名
硅胶隆鼻
项目介绍
硅胶隆鼻是将医用固体硅胶假体埋入鼻背筋膜下面,使鼻梁或鼻尖突起,从而改变鼻子的形状,达到预期的效果。对于鼻梁低、鼻尖形状较好者,可单纯施此项手术。
项目特色
硅胶隆鼻是临床应用时间极悠久、极多、极广泛的隆鼻方式.
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
鼻梁低而鼻尖形状较好者; 鼻部皮肤较松者。
关注度
⭐⭐⭐⭐⭐
安全度
⭐⭐⭐⭐⭐
复杂度
⭐⭐⭐✩✩
项目优点
手术简单,假体易雕刻; 硅胶效果稳定,临床应用广; 安全性好,无远期感染风险; 价格平实,可选择多; 效果不满意,取出简单。
项目缺点
假体较硬,存在假体透光、晃动、外露等风险; 极少数人群,存在排异可能
禁忌人群
面部或全身有感染者; 鼻部皮脂腺丰富或有酒糟鼻的患者; 精神状态不稳定或对填充材料有疑虑者; 有过敏体质者; 正在发育阶段未满18周岁的爱美者。
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
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
- 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:
- 半卧位休息,术后第一天不要低头;
- 术后72小时内鼻部、眼部青紫充血逐渐加重,切口会有少许渗血,可用棉签拭去;若出血较多请及时与医生联系;
- 术后第二天换药一次可清除,口服抗生素3-5天
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:
- .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;
- 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。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
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:
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:
- 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;
- 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:
- 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:
- 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
Silicone Rhinoplasty Surgery
Procedure Detail
Silicone rhinoplasty is to implant solid silicone prosthesis under the nasal dorsal fascia to make the nose bridge or nose tip protrude, thus changing the shape of the nose to achieve the desired effect.Those with short nasal columns with good nasal tip can only opt for this surgery.
Features
Silicone implants have been used as the implant of choice for rhinoplasty for decades.
Benefits
Nose reshaping, elevated nose bridge, beautiful nose.
Recommended
Short nose, Flat nose.
Suitable Candidate
Flat nose with good nose shape; Skin on nose can’t be too thin.
Popularity
⭐⭐⭐⭐⭐
Safety
⭐⭐⭐⭐⭐
Complexity
⭐⭐⭐✩✩
Pros
The operation is simple, the prosthesis is easy to sculpt; the silicone is stable, and is using widely; it’s safe, there is no risk of long-term infection; the price is affordable, there are many options; and the removal is simple.
Cons
The prosthesis is hard and there are risks such as light transmission, unstable and exposure of the prosthesis; very rare but the possibility of rejection is there.
Unsuitable Candidate
People with skin infections; patients with overactive nasal sebaceous glands or rosacea; those with unstable mental state ; those with allergies; those in the developmental stage and under 18 years of age.
Scar
No
Treatment Time
30 min-1 hr
Anesthesia Method
Local 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
- Avoid operation if you have infection on the skin.
- Avoid the menstrual period during the operation.
- No makeup before surgery, clean face, nasal cleanse.
- Do not take drugs containing aspirin within two weeks before surgery and stop smoking for two weeks.
- Patients suffering from high blood pressure and diabetes should inform their doctors of their condition at the first visit, so that the doctors can confirm the operation plan.
- Make sure that you are healthy and free from infectious diseases or other body inflammations before the operation. If there’s flu, perform the operation after the recovery.
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 surgery, 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 take a break.
Aftercare methods:
- Rest in a semi-recumbent position, do not lower down your head on the first day after surgery.
- Within 72 hours after surgery, the bruising and congestion of the nose and eyes will gradually increase, and there will be a little bleeding from the incision, which can be wiped off with a cotton swab; Please contact your doctor in time if bleeding is severe.
- change the dressing on the second day after surgery. Oral antibiotics for 3-5 days.
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:
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 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:
- Keep the wound clean to prevent infection.
- Within 24 hours after the stitches are removed, the wound should not be exposed to water.
- Do not rub the wound vigorously. You can apply scar ointment to lighten the scars.
- 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:
- 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.
- 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:
Do not eat spicy, allergic causing foods, no smoking and alcohol within 1 month after surgery.
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:
- 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.
FAQ 常见问答题
The majority of swelling should start to subside within 3-days. Most patients are able to go back to work just one week after their rhinoplasty. Ease into more strenuous activities. You’ll be able to return to social engagements within 2-3 weeks post-op with no visible signs of stitches or scarring.
术后72小时之内是肿胀高峰期,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。5-7天拆线,2周基本消肿,外观看不出异样,1个月内有轻微触痛,3个月完全恢复。
A successful removal will not cause the nose tissue to collapse, it will go back to it’s original look after taken out. A second implant can be done after the nose is completely healed.
膨体可用手术完好的取出来,并不会引起鼻背皮肤松懈,鼻部可以恢复原始状况,也可进行二次植入,以达到维持隆鼻术后效果的目的。
In general, there is no difference. They are all solid silicone, which is harmless to the human body. It is just that some prostheses have bigger varieties, soft and hard textures, and various shapes. The manufacturer’s services are more comprehensive and responsible, and of course price differences. You can decide which material to use according to the doctor’s opinion and your own economic ability.
本质上是无区别的,都是固体硅胶,对人体都没有害处,只是进口假体品种多样,质地软硬按需设定,形状多样,厂家的追踪服务较全面、负责。而国产假体品种较少,质地较硬,价格便宜,具体可根据医生的意见和自己的经济能力,来决定用哪种材料。
It’s recommended for you to replace your implants every 10 years; some better quality can last up to 20 years. With proper monitoring (self-exams, physician exams), you don’t need to automatically replace your implants every 10 years.
只要是合格的硅胶制品,基本上都能保持使用长久性。一般国产硅胶隆鼻的维持时间大约是5-10年,而国外产的硅胶隆鼻可保持在体内长达二十年之久,而且硅胶假体取出后可以发现,硅胶假体材料完好无损,没有变形、变质,鼻背的组织也没有任何异常的变化。
Can. If the shape of the nose tip is good, but the bridge of the nose is low, a prosthesis can be implanted to increase the back of the nose without raising the tip of the nose.
可以。如果本身鼻尖形态较好,只是鼻梁较低,可以植入柳叶型假体,加高鼻背,不抬高鼻尖。
It’s recommended for you to replace your implants every 10 years; some better quality can last up to 20 years. With proper monitoring (self-exams, physician exams), you don’t need to automatically replace your implants every 10 years.
硅胶略硬,但价格较低,塑形简单,取出快,但存在一定透光性、晃动等可能,此外极小数人对硅胶有排异;膨体较硅胶软,塑形好远期固定更好,鼻尖柔软,适合鼻部皮肤较薄者,但由于膨体能与组织长在一起,取出时损伤较大,且存在一定感染风险,价格也较硅胶高。
Both are good implant choices depends on your budget. Silicone has been around for a long time, more of the established surgeons are more comfortable with it and it is easier to carve to the desired shape of the patient. Silicone is also relatively cheaper compared to Gore-Tex.
Gore tex has pores that allow tissue ingrowth which helps the implant to integrate better with the tissues, allowing a more natural look, hence the popularity with patients. However, removal of a Gore-Tex implant is also much more difficult compared to silicone
硅胶略硬,但价格较低,塑形简单,取出快,但存在一定透光性、晃动等可能,此外极小数人对硅胶有排异;膨体较硅胶软,塑形好远期固定更好,鼻尖柔软,适合鼻部皮肤较薄者,但由于膨体能与组织长在一起,取出时损伤较大,且存在一定感染风险,价格也较硅胶高。
A doctor with good experience and skill will not cause this problem. If the implant is almost protruding through the skin where is has become very thin. This area may be very tender to the touch. This is called a near extrusion, and surgical treatment by a Plastic Surgeon should be sought to address this situation.
并发症主要与假体选择和腔剥离等有关,只要医生技术过关,放置大小合适假体,腔隙剥离合适,就不会发生假体下滑等问题;假体外露可能是一个渐进性的过程,应告知受术者在出现局部不适、表面皮肤变薄、发红时应及时就诊,以避免发生皮肤破溃毁坏性后果。