Nose Surgery

Nose Surgery

The nose is located in the center of the face, playing a key point to affect whether the facial features are three-dimensional or not. The well-known Korean rhinoplasty in recent years refers to a composite rhinoplasty method developed by Korean physicians, using an open approach to precisely adjust the nasal tip and profile. It is also called “structural reorganization of rhinoplasty” or “three-stage rhinoplasty”. The model of the nasal bone is breathable and waterproof with coating GORE-TEX gel, and the nose tip is used the autologous cartilage. Through the surgery, the nose can be modified into an appropriate shape following individual needs, and can also becorrected according to its lines.

Rhinoplasty material comparison

The materials for rhinoplasty can be divided into autologous and artificial materials:
Autologous materials : ear cartilage, nasal septal cartilage, costal cartilage, fascia under the scalp.
Artificial materials : silicone nasal bone (L-type or I-type), artificial bone (Medpore), artificial blood vessel material (Gore-tex).

The use of autologous materials has benefits including no rejection problems, decreased chance of infection, no capsule formation, and no complications of contractures or skin perforation. The advantages of artificial materials are that they are easy to obtain and easy to use without the problem of insufficient materials, and the disadvantage is the increased risk of infection. Sometimes the material inserted is too large, and the skin of the nose will gradually become thinner or even the material pierce out of the skin. However, rupture can also cause capsular contracture, leading the nasal bone skewed, shortened or tight. This phenomenon does not appear immediately after the surgery but usually occurs about 3 to 5 years post-operation.

Why does most rhinoplasty still use artificial materials ignoring those disadvantages? Because the autologous material is limited and not easy to obtain, it is not widely used in clinical. The filler material is also the key point to affect the price. There are many rhinoplasty materials, such as artificial silicone nasal bone, Gore-tex, Camela nasal bone, etc.. The patients must be evaluated by a professional physician first to understand their congenital conditions, and then choose an appropriate filler material.

The case of nose surgery