Rhinoplasty: The remainder of the skin - 2022

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The remainder of the skin

The tip of the nose is covered by fat and skin on the tip cartilage. By transplanting cartilage between the cartilage of the nose tip and the skin, the skin of the nose tip will be stretched, and the nose tip will be raised and elongated.

3d elastic rhinoplasty – 2022

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The limit of nose tip formation

The margin of the nose tip skin and the strength of the nose tip cartilage determine the maximum limit of nose tip elevation.

The remainder of the skin

The skin of the nose tip can be implanted with more cartilage if there is margin so that the nose tip can be raised firmly.

However, if the skin of the nose tip is hard and difficult to stretch, and the nose is small and there is no skin margin, only a small amount of cartilage can be transplanted, and the height of the nose tip is restricted.

Strength of nasal tip cartilage

Cartilage transplanted at the tip of the nose is supported from below by the alar cartilage.

If the alar cartilage is strong, the tip of the nose can be raised by 3 mm with 3 mm of cartilage implanted.

Strong alar cartilage means that the cartilage is thick and thick, that is, the cartilage has hardness.

In contrast to this, thin, thin, soft cartilage has no strength. If the alar cartilage cannot be firmly supported, the cartilage transplanted at the tip of the nose will flatten the alar cartilage, and the tip of the nose will not be raised.

Therefore, for patients with no strength of the alar cartilage, we harvest the ear cartilage from the ear. The ear cartilage is inserted between the alar cartilages to play a supporting role, so that the strength of the alar cartilage is enhanced, and then the cartilage is transplanted above it.

Comparison with Nasal Septum Lengthening

Nasal tip formation is a procedure in which ear cartilage is transplanted on top of the alar cartilage, thereby inflating the skin on the tip of the nose.

In this case, the shape of the nostrils does not change, and the portion of the skin above the nostrils enlarges, making the tip of the nose more elevated.

Septal lengthening, which elongates the shape of the nostril longitudinally so that the tip of the nose is raised. The tip of the nose can be padded higher compared to rhinoplasty.

Patients who wish to have a higher nose tip, at most 1 mm to 2 mm, are suitable for nose tip formation surgery.

However, if you want the effect of more than 3 mm, you need to do nasal septum lengthening surgery.

Cartilage used for nose tip formation

The cartilage used for the graft is basically taken from the ear. Cut the skin from the inside of the ear and remove part of the ear cartilage.

The place where the ear cartilage was taken out will not regenerate. But the ears are not deformed either.

Ear cartilage is between 1mm and 2mm thick and is very soft and can be easily machined with a scalpel.

In addition, the ear cartilage has a soothing streamlined shape, which is especially suitable for shaping the contour of the nose tip.

Another option is to remove a portion of the nasal tip cartilage and transplant it to the front of the nose tip.

However, we do not recommend using this tip cartilage.

Because the cartilage at the tip of the nose is less than 1 mm thick and thin, the volume is not enough.

In addition, if too much cartilage is taken out of this nose tip, the remaining cartilage of the nose tip will become soft. In the future, if the patient needs to undergo nasal tip reduction surgery, it is impossible to sew the nasal tip cartilage tightly.

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