All about Rhinoplasty

 
What is Rhinoplasty?

Rhinoplasty is a procedure which can change the shape of the nose both internally and externally. Under the Golden Ratio of Rhinoplasty guidelines, our surgeon will design a perfect nose that best suits you through mathematical measurements and our 3D Virtual Forming system. The 3D Virtual Forming system compares the before and after photos prior to the surgery, allowing patients to have a better understanding of the operation and detailed conversations with the doctor. Moreover, with this system, not only does Dr. Choi Min design the nose, but he also makes sure to create a nose of the utmost satisfaction for his patients.

Implant and Tip plasty

Cartilages (including the nose cartilage, ear cartilage, and rib cartilage) and prostheses are chosen according to your opinion and the doctor's recommendation. It is vital to insert the material that suits you perfectly. 

 Implant

An implant is usually performed when lifting the height of the nose. Implantation is suggested to those who need:

  • Wide nose bridge correction
  • Bridge augmentation

 Tip Plasty

Through nasal tip plasty (nose tip plasty), you will be able to treat the tip of your nose. By getting the most appropriate operation, people will get a more balanced, better-shaped nose tip. People seeking to only have tip plasty usually have minor issues with the external look. Tip plasty is suggested to various patients who need:

  • Blunt or Bulbous Tip Correction
  • Tip Correction (Tip Plasty) - using ear cartilage, nose cartilage (nasal septal cartilage), rib cartilage and rhinotomy (non-incisional)
  • Downward Pointing Tip Correction
  • Upturned Nose Correction

Implant and Tip Plasty

Implant and tip plasty can be used simultaneously in cases where patients have various complexes in their nose and are receiving several other surgeries as well. In this situation, the surgical process may be a little more complex compared to a single procedure, but Answer Plastic Surgery of Dr. Choi Min has the skill and experience to safely bring the best results. This operation is recommended to those who need:

  • Deviated Nose Correction
  • Alar Reduction & Hump Reduction
  • Wide Nose Bridge Correction
  • Hooked Nose (Humped Nose Bridge) Correction
  • Nose Bridge Procedure (Bridge Augmentation)

Why use personalized cartilage & prosthesis for Rhinoplasty?

 Answer Plastic Surgery Clinic chooses the cartilage for your surgery according to your situation for the optimal outcome. Personalized cartilages and prostheses not only bring you aesthetic beauty but also better nasal function.

You can compare your before and after photos prior to your surgery through 3D Virtual Forming. Through the skill we obtained through diverse experiences, we promise to give you the results of the best satisfaction. 

Types of Prosthesis and Cartilage

Prostheses: Silicon, Gore-tex, Silitex, Dermis Graft, Alloderm, and Fascia use (rhinoplasty without implants)

Cartilage: Nose Cartilage (Nasal Septal Cartilage, Ear Cartilage, Rib Cartilage, Donated Rib Cartilage & Medpor Implants (artificial bone)

Details of each material are listed down below.

Silicon

Silicon is a medical prosthesis that has the longest history among all. It is used for various parts of our body including our forehead, breast, nose, and chin.

Gore-tex

Gore-tex is a product which has high adaptability to our bodies. However, due to this feature, the thickness may decrease up to 50% after a length of time.

Nose cartilage (nasal septal cartilage)

Using the nose cartilage does not require any harvesting apart from the nose, resulting in no additional scars or stitches. As time passes, however, it tends to become weaker and cause nasal column (the section between the nostrils) deviation.

Ear cartilage

Due to the abundancy of ear cartilage in comparison to the nose cartilage, this method is commonly used. Not only will scars be covered, but it also maintains the initial shape for a long period of time. This must be done by experienced doctors due to the detailed curves in the ear cartilage which affect the final outcome of your nose shape.

Rib cartilage

Due to its abundancy and strength, major reconstruction (change in length and angle) of the nose is possible through the use of rib cartilage. However, you may experience stiffness and will have an incision on your chest.

Donated rib cartilage

Using donated rib cartilage is another option in which the cartilage is well absorbed into the body. However, when an infection occurs, it may spread widely.

Dermis graft

Dermis graft is often used for areas where artificial prostheses cannot be used, and also greatly reduces the possibility of any side effects. It's tendency to absorb into the body, however, reduces its thickness over time and also may cause an uneven skin surface due to uneven absorption.

Fascia use

Like dermis graft, as it's one’s own tissue cells there’s low risk of side effects.  After making it into bits & wrapped as candy shape, it can be used as a substitute of the prosthesis. It can be used for situations where artificial prosthesis cannot be used. However, fascia cannot be shaped in detail.

Alloderm

As alloderm is soft as a skin, it can make nose bridge and tips of the nose looking naturally. Alloderm is used to prevent the nose from slimming down.

Three types of cartilages used for Rhinoplasty

 Generally, three types of cartilages (ear cartilage, nose cartilage, and rib cartilage) are used in rhinoplasty. These unique properties allow surgeons to operate differently depending on the patients. Answer plastic surgery clinic not just pursue one type of cartilage to patients. We satisfy the high expectations of patients by using personalized cartilages.

Ear Cartilage

The ear cartilage, when used for the tip of the nose, gives a natural look due to its similar round shape. However, surgeons should be aware of the curves that ear cartilage have and turn it into a shape that best fits the patient.

Frequently Asked Questions

Q: Will my nasal tips fall off when surgery is done with ear cartilage?

A) The ear cartilage can be used in various cases. Generally, the ear cartilage is stacked like a tower. When the supporting material is not strong enough, the nasal tip may fall off. This depends on the method of the doctor.

Q: Can my over-rotated nose fixed using ear cartilage?

A) The correction of the short upturned nose is one of the most difficult maneuvers in rhinoplasty. An upturned nose can occur from the birth of due to the unwanted result of rhinoplasty. In this case, an operation will be done differently. In this case, other cartilages are used but ear cartilage can also be used. It also depends on how surgeons operate.

Nose Cartilage

The advantage of using nose cartilage is that extra cartilage is not extracted elsewhere, it's just from your nose! Moreover, since it has a flat surface it can support other parts or lengthen the tip. If nasal septal cartilage is not used in appropriate cases, the nose may look deviated or possibly weaken as time passes by.

Frequently Asked Questions

Q: Will my tips fall off when Rhinoplasty is done using nasal tips?

A) Out of three cartilages - nose cartilage, ear cartilage, rib cartilage, nose cartilage is the easiest to extract. It can be used easily because of its flat surface. However, after a year of rhinoplasty, the thickness of nose cartilage may shrink thus lead nose tips to fall off. However, with an experienced surgeon in Answer plastic Surgery clinic, we can minimize the probability of the tips being detached.

Q: Generally nose cartilage and ear cartilage are used simultaneously. Can you just use one type of cartilage for the operation?

A) Yes, it is possible. In Answer, we build up nasal tips maintaining its supporting fixture at the same time. Therefore either nose cartilage or ear cartilage can be used as a minor amount of cartilage when grafting.

Q: Will my nose deviate when nose cartilage is used?

A) Normally, when nasal septal cartilage is used above a deviated nose the supporting fixture may weaken, leading to much more deviated nose. Balancing deviated nose beforehand may prevent the nose from warping over afterwards.

Rib Cartilage

Rib cartilage is the strongest cartilage out of all three cartilages and is abundant. It can be extracted safely and quickly only excising 2 cm of the skin. These days, hospitals use imported rib cartilages. In this case, the absorption rate may be higher than using one's own rib cartilage. Rib cartilage may warp over time of surgery thus keeping it in balance is the main thing that the surgeon should keep in mind.

 

Frequently Asked Questions

Q: What is the difference between non-autologous rib cartilage and autologous rib cartilage?

A) Non-autologous rib cartilage is a donated rib cartilage thus people don't have to use their own rib cartilage. However, as it's not their own tissue cell it may cause an inflammation and may damage other tissue cells. Whereas autologous rib cartilage is one's own tissue cell, therefore, the absorption rate is low and there's no response to foreign body reaction.


Q: When do we use rib cartilage in rhinoplasty?

A) Generally, when it's your first operation or a revision case, you'll use nose cartilage or ear cartilage. However, when upper cartilages are all used then that's when rib cartilage is used. Also, when you have a limited amount of nose cartilage & ear cartilage, rib cartilage is used.

Q: If rib cartilage is used can I have higher nose tips?

A) As rib cartilage is abundant, it can be utilized well. When your skin or alar cartilage can stretch well, you can have higher nose tips.

               

                                                                                                                                                                          

Non-incisional Rhinoplasty

The advantage of non-incisional rhinoplasty is that there's no scarring under this type of operation. Moreover, there's less swelling and the surgery time itself is short so people can go back to their daily lives fast. The surgery may seem simple but since it requires more precise work, surgeons should be experienced in this field. The inner part of the nose is incised, leaving no scars externally. This process can be done in diverse operations - for those who need implantation, deviated nose correction, humped nose bridge correction, and blunt or bulbous tip correction.

Frequently Asked Questions

Q: Is implantation possible in non-incisional rhinoplasty?

A) It is possible, but as mentioned earlier, as it is short-sighted, surgeons should be expert in trimming the prosthesis finely into appropriate size and length. Not only implantation of the prosthesis is possible but also implantation of cartilage is available.

Q: Is there less swelling than normal surgeries?

A) Yes. While normal surgeries excise larger amount, non-incisional rhinoplasty incises narrow parts. Therefore swelling is less than normal surgeries which makes it easier for people to go back to their daily lives.

Increasing Precision

 Ultra fine tool is used when holding a suturing thread. Normal tool is limited in doing a precise operation. However, since the ultra fine tool is petite compared to a normal tool more sophisticated job can be done in small spaces.


Facts about this procedure

What’s a Rich Text element?

The rich text element allows you to create and format headings, paragraphs, blockquotes, images, and video all in one place instead of having to add and format them individually. Just double-click and easily create content.

Static and dynamic content editing

A rich text element can be used with static or dynamic content. For static content, just drop it into any page and begin editing. For dynamic content, add a rich text field to any collection and then connect a rich text element to that field in the settings panel. Voila!

How to customize formatting for each rich text

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Frequently Asked Questions

Q: Will I have noticeable scarring after Alar Reduction? 

Generally, people do get scars around the mouth and nose after the operation. However, at Answer Plastic surgery, we use our ultra-fine equipment when suturing to minimize the scars. Over time, the scar will become unnoticeable.

 

Q: When do people get Nostril Reduction?

When people do not have enough alar tissue cells, it is difficult to have an alar base surgery. In this case, those who have large nostrils often choose to reduce their nostrils.

Q: In which cases is alar lifting recommended?

Alar lifting is recommended for those whose have droopy alars. When the alars are sagging compared to the nasal column (the section between the nostrils), nostrils seem to be exposed. By lifting the alars, the amount of exposure can be reduced.

Details of the procedure

Surgery Time: 30 ~ 40 Minutes
Anesthesia: Local with Sedation (deep sleep)
Removing stitches: after 7 days
After surgery check-ups: 3 ~ 4 Sessions
Recovery time to daily activity: None (No effect on daily activities)

Before & After

Facts about this procedure

What’s a Rich Text element?

The rich text element allows you to create and format headings, paragraphs, blockquotes, images, and video all in one place instead of having to add and format them individually. Just double-click and easily create content.

Static and dynamic content editing

A rich text element can be used with static or dynamic content. For static content, just drop it into any page and begin editing. For dynamic content, add a rich text field to any collection and then connect a rich text element to that field in the settings panel. Voila!

How to customize formatting for each rich text

Headings, paragraphs, blockquotes, figures, images, and figure captions can all be styled after a class is added to the rich text element using the "When inside of" nested selector system.

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