Complex nose repair cases: reconstruction of contracted nose, from "facing the sky" to natural breathing
本案例由王旭东医生主刀，属典型高难度nasal repair，经求美者本人授权展示。
1. The beauty seeker complains
The beauty seeker was a 32-year-old female who underwent silicone rhinoplasty in an external hospital three years ago. After the operation, she gradually developed upspin of the tip of the nose, exposed nostrils, and tight nose. She consciously became a "nose facing the sky" and had trouble breathing. feeling. I came to Dr. Wang Xudong to seek repair.
2. Preoperative evaluation
After examination, Dr. Wang Xudong judged thatcontracted nose：
Stimulation of the original prosthesis leads to capsule contracture and upward rotation of the tip of the nose;
The nasal skin tension is high and scar tissue is hyperplasia;
The tip support structure is damaged and the length of the nose is shortened;
Accompanied by mild poor ventilation, both function and morphology were impaired.
3. Surgical plan
It is a difficult repair. The core of the plan:
Remove the original prosthesis completely and release the contracture capsule and scar;
The autogenous costal cartilage was taken, and the nasal stent was carved to re-establish stable support;
Extend the tip of the nose and rotate the nose downward to restore the normal length and angle of the nose;
Improve ventilation simultaneously and apply the "breathing nose beauty" technology to take into account functions.
The operation lasts about 3 hours, which requires the doctor to be familiar with anatomy and aesthetics.
4. Postoperative effects
After surgery, the length and angle of the nose returned to nature, the exposure of nostrils was significantly improved, and the patency of breathing was improved. The beauty seeker said,"I finally dare to take photos normally, and the side surface no longer looks like a nose facing the sky."
The repair and recovery period is longer than that of the beginning of the nose. The stitches are removed in about 2 weeks, and the shape becomes stable in 3-6 months. Regular re-examination is recommended.
5. Case summary
Contracted nose is a common complex condition after failed rhinoplasty. Repair requires three steps: material removal, scar loosening, and stent reconstruction. The technical threshold is much higher than that of the primary nose. Dr. Wang Xudong has accounted for more than 60% of nasal repair cases in the past ten years and is good at such "unfinished projects."
* This case was released with my authorization, and there are differences in individual effects.
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The content of this article is for popular science reference only and does not constitute specific diagnosis and treatment suggestions. There are individual differences and certain risks in medical beauty projects, and the actual plan and cost are subject to in-hospital evaluation. Dr. Wang Xudong is currently the technical director of Shanghai Namei Medical Beauty Hospital, with practice certificate code: 110310112003617, and issuing authority: Qingpu District Health Commission of Shanghai City. Please choose a regular medical institution for treatment.
This article was compiled and published by Dr. Wang Xudong's team.
