Suitable population for rhinoplasty and rhinoplasty

The population suitable for rhinoplasty and rhinoplasty mainly includes those with low and flat nasal bridges, enlarged nasal heads, wide nasal wings, nasal deformities, and those in need of nasal trauma repair. Rhinoplasty can improve the appearance and function of the nose, but it needs to be determined by a professional doctor after evaluating individual nasal conditions, skin thickness, health status, and other factors.

1. Low and flat nose bridge

Patients with low and flat nose bridges have insufficient height of the nasal back and lack of three-dimensional contour on the side. The height of the nasal bridge can be increased through prosthesis implantation or autologous cartilage transplantation. Silicone implants and expanded polytetrafluoroethylene implants are commonly used materials, and autologous rib cartilage or ear cartilage transplantation can reduce the risk of rejection reactions. Preoperative imaging evaluation of nasal bone development is required to rule out contraindications such as severe saddle nose deformities.

2. Nasal hypertrophy

Nasal hypertrophy is characterized by a round and blunt nasal tip, thickening of soft tissue, and may be accompanied by excessive development of nasal cartilage. It can be improved by reshaping the nasal tip cartilage, thinning the soft tissue, or implanting supports. Adequate skin blood supply should be preserved during surgery to avoid postoperative necrosis of the nasal tip skin. Patients with exposed nostrils need to have their nasal columella extended at the same time.

3. Wide nasal wing

Narrowing surgery should be considered when the width of the nasal wing exceeds the distance between the inner canthus. According to the degree, the nasal base wedge resection, adduction suture, or combined nasal threshold shaping surgery can be selected. Pay attention to preserving the natural curvature of the nasal wing margin to avoid postoperative pinching deformities. People with scar constitution should carefully choose the incision site.

4. Nasal deformities

Congenital nasal deformities such as hump nose and crooked nose can be corrected through osteotomy and prosthesis implantation. The healing of nasal bone dislocation after trauma requires first reducing the fracture end, and then adjusting the nasal stent structure. Severe complex deformities may require staged surgery, and if necessary, rib cartilage may be used to construct a nasal support framework.

5. Requirements for trauma repair

When nasal defects are caused by car accidents, impacts, etc., it is necessary to reconstruct the nasal morphology through skin flap transplantation or tissue expansion techniques. Surgery should only be performed after the swelling subsides and the scar stabilizes after acute trauma. Patients with combined respiratory dysfunction should undergo nasal ventilation function reconstruction at the same time. After rhinoplasty, it is necessary to keep the incision clean and dry, avoid squeezing and colliding the nose, and elevate the head during sleep. Within one month after surgery, avoid smoking, alcohol, and spicy food, and follow medical advice to use antibiotics to prevent infection. Regular follow-up visits should be conducted to observe the position and healing of the prosthesis. If there are signs of infection such as redness, swelling, heat, or pain, timely medical attention should be sought. The nasal morphology gradually stabilizes 3-6 months after surgery, avoiding premature secondary adjustments.