Lengthening Short Noses in Rhinoplasty.

Badi Aldosari
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Abstract

Objective: Rhinoplasty aims to create a nose in harmony with an ideal face, help patients with specific aesthetic concerns, and improve the nose's function. So, learning all types of deformities and rhinoplasty procedures is essential to solving that particular problem. So, we aimed to point at a neglected nasal deformity to serve as a guide in short nose rhinoplasty. Methods: Hereditary factors usually determine the length of a nose, such as cephalo-caudal patterning. Nowadays, individuals who want a change on their nose neglect whether it suits their face. Therefore, a considerable change may cause a paradox and lead to losing the operated nose and face harmony. As a general rule, it should be remembered that short nose elongation sounds more complicated than reduction rhinoplasty. Indeed, multiple soft tissues, mucosa, and structures exist, and short noses may get fibrotic, thickened, and inflamed skin for various reasons. Results: Dorsal augmentation through autologous cartilage grafts or implants is often used in patients with short noses. This demands a primary focus on lengthening the short nasal base. The simplest method of lengthening the short nose is dorsal onlay or radix implants. Silicone implants with a reported non-negligible tendency of infection are no longer used. Autologous cartilage grafts can be harvested from the septum, auricular cartilage, or rib. In the case of short noses, the surgeon can remove the septum as a graft and increase the nasal dorsum or undertake dorsal augmentation through septal cartilage grafts. Conclusion: Dorsal augmentation through autologous cartilage grafts or implants remains valuable for patients with short noses. Surgeons can achieve the desired length and proportional rotation by employing various methods, such as dorsal onlay or radix implants, septal cartilage grafts, and careful tip rotation. Through skillful execution and a patient-centered approach, surgeons can help patients with short noses achieve improved facial harmony and self-confidence.

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在鼻整形术中延长短鼻子。
目的:鼻整形手术旨在塑造与理想脸型相协调的鼻子,帮助患者解决特定的美学问题,并改善鼻子的功能。因此,了解所有类型的畸形和鼻整形手术对于解决特定问题至关重要。因此,我们旨在指出一种被忽视的鼻部畸形,作为短鼻隆鼻术的指导。方法:遗传因素通常决定了鼻子的长度,例如头尾形态。如今,想要改变鼻子的人都会忽视鼻子是否适合自己的脸型。因此,过大的改变可能会造成矛盾,使手术后的鼻子和脸部失去协调。一般来说,短鼻拉长术比鼻头缩小术更复杂。事实上,鼻部存在多种软组织、粘膜和结构,短鼻可能会因各种原因导致皮肤纤维化、增厚和发炎。结果:短鼻子患者通常会通过自体软骨移植或假体植入来隆鼻。这就要求将主要重点放在延长短鼻根上。延长短鼻的最简单方法是鼻背嵌体或桡骨假体。硅胶假体据说有不可忽视的感染倾向,目前已不再使用。自体软骨移植可以从鼻中隔、耳廓软骨或肋骨上获取。如果鼻子较短,外科医生可以移除鼻中隔作为移植物,然后增加鼻背或通过鼻中隔软骨移植物进行鼻背增高。结论通过自体软骨移植或植入物进行鼻背增高对短鼻患者仍然很有价值。外科医生可以通过各种方法达到理想的长度和旋转比例,如鼻背嵌体或桡骨植入、鼻中隔软骨移植和仔细的鼻尖旋转。通过娴熟的技术和以患者为中心的方法,外科医生可以帮助短鼻子患者改善面部和谐,增强自信。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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