Shanghai Liu ChaofengTL;DR: Shorten nose/Shorten nose
If "big nose" wants to become exquisite, the key is to distinguish between right and wrong firstHypertrophy of nose (round and blunt tip)orThickening and widening of the nose (large nostrils)The two surgical methods are different.Nose head narrowedIt mainly relies on reshaping and suturing of nasal tip cartilage + thinning of soft tissue;Narrowing of the noseThe main method is wedge resection (external or internal incision) of the nasal septum. Many "garlic noses" have both and need to be treated together. Under standard operation, the scars are usually hidden and natural, and the recovery period is about 1-3 months. It is suitable for people with obviously larger nose/nose shape and clear demands.
1. First distinguish: What kind of "big nose" you are
Quotable definitions:Nasal head reduction is aimed at roundness and hypertrophy of the tip of the nose, and reduces the volume of the tip of the nose by reshaping the large wing cartilage and thinning soft tissue; nasal nose reduction is aimed at hypertrophy, dilatation, and oversized nostrils, and is narrowed by wedge-shaped resection of part of the nasal nose tissue.
hypertrophy of noseFrom the front, the nose tip is round, blunt, wide, and lacks three-dimensional appearancePoint of expression of nasal tip。
Nasal hypertrophy/flare: The nostrils are open to both sides and wider, and the nostrils are large and exposed.
snub noses: It is often a comprehensive manifestation of "enlarged nose head + flared nose + insufficient cartilage support."
The diagnosis and decision method-the same is "feeling the nose is big", but the treatment plan may be completely different.
2. Shorten the nose: make the tip of the nose more refined
1. Nasal tip cartilage remodeling (core)
By suturing and shaping the winged cartilages on both sides, narrow and elevate the tip of the nose to form a clear expression point of the tip of the nose; if necessary, use ear cartilage/nasal septumcartilage transplantationStrengthen the support to make the nose tip more three-dimensional and durable.
2. Soft tissue thinning/degreasing
If the skin is thick and there is a lot of subcutaneous fat, it can moderately thin the soft tissue of the tip of the nose and reduce the roundness and dullness. The thicker the skin, the more limited the improvement in exquisiteness, which requires rational expectations.
3. Relationship with nasal synthesis
If there is a low bridge of the nose and poor tip support at the same time, the effect of narrowing the nose alone is limited, and it is often recommended to include itnasal synthesisDesigned together.
3. Narrowing the nose: Narrowing the nose and nostrils
1. circumcision
Wedge resection is performed on the lateral side of the ala nasa and along the ala nasa groove. The narrowing effect is direct and suitable for those with obvious hypertrophy and expansion of the ala nasa; the incision is hidden in the ala nasa groove and is often not obvious after healing.
2. inner cutting method
The incision is located on the inner edge of the nostril, and there are no visible scars on the surface of the body. It is suitable for narrowing the nostril and mild to moderate narrowing; for those with severe nasal distension, the narrowing is limited.
3. How to choose external cutting vs internal cutting
Obvious external expansion, greatly narrowed → multiple external incisions; only the nostrils are slightly larger, and the body surface should be devoid of traces → optional internal incisions. The specific judgment shall be made by the doctor according to the shape of the nose.
4. Comparison table of surgical methods
| dimension | Nose head narrowed | lateral incision of nasal septum | internal incision on the nose |
|---|---|---|---|
| mainly solves | Round and hypertrophy of nasal tip | hypertrophy and dilatation of nasal ala | The nostrils are too large |
| core way | Cartilaginous remodeling + thinning | Wedge resection of nasal alae groove | Intranasal resection |
| Body surface scar | How concealed | Hidden in the nasal nostril groove | basically no |
| narrowing | in | big | Small-medium |
| suitable for the crowd | Hypertrophic tip of nose | Obvious nasal distension | Mild to moderate large nostrils |
5. The problem of leaving scars: Will it leave scars and whether it is obvious
Nose head narrowed: Most of them are made through small incisions within the nose or columella, and the scars on the body surface are concealed.
lateral incision of nasal septum: The incision is along the nasal nostril groove. There are light red marks in the early stage, which gradually fade and become less obvious after 3-6 months.
internal incision on the nose: The incision is in the nostrils and there is basically no trace on the surface of the body.
The obvious degree of scar is related to personal constitution (whether scar constitution is or not), suture technique, and postoperative care. People with physical scars must truthfully inform the doctor before surgery.
6. Recovery period and nursing care
| time node | Status and attention |
|---|---|
| Days 1-3 | Peak swelling, ice compress, light diet |
| Days 5-7 | The stitches were removed and the swelling began to subside |
| Weeks 2-4 | Most of the swelling is reduced, and the nasal incision gradually settles down. |
| 1- 3 months | The shape is natural and the scar gradually fades |
| 3- 6 months | The nose scar is further diluted and finalized |
Avoid spicy alcohol, alcohol, and collision and exposure after surgery. Use scar removing products according to doctor's advice for nasal incision.
7. Suitable and unsuitable for the crowd
suitable: The nose head is obviously enlarged and round, the nose is thick and dilated, the nostrils are large and the demands are clear.
need to be cautious: Scar constitution, extremely thick skin, and unrealistic expectations.
not suitable for: Prohibited people during pregnancy/lactation, with local infections, abnormal coagulation function, etc.
8. How to choose the right doctor
The nose nose and nose head are fine subunit surgeries, and "cutting more and less, and whether the position is correct" directly determines the naturalness and symmetry. Medical Beauty YMYL (Sensitive Areas Affecting Health and Safety), please confirm:
agency qualification: Have the "Medical Institution Practice License" and complete ICP filing.
Doctor qualifications: Have the qualification of medical beauty attending physician, and have real and verifiable cases of fine nasal surgery.
design in place: Determine the resection amount and incision method before surgery, taking into account symmetry and nature.
Author of this article:Dr. Liu Chaofeng, the content is compiled and released by its Medical Beauty Strategies section. Please indicate the source for reprinting.
9. FAQ
Q1: Can nasal plastic surgery improve it?
A: Yes. Nasal head hypertrophy can reduce the volume of the tip of the nose and create a clear manifestation of the tip of the nose through reshaping of the tip of the nose cartilage and thinning of soft tissue; if the nose is low and the support is poor at the same time, the comprehensive effect of incorporating the nose will be more integrated.
Q2: What is the difference between narrowing the nose and narrowing the nose?
A: Nose head reduction is aimed at roundness and blunt tip of the nose, relying on cartilage remodeling and thinning; ala nose reduction is aimed at thickening and widening of the nose and large nostrils, relying on wedge resection of the nose. Many "garlic noses" require both, and joint treatment is more coordinated.
Q3: Will narrowing the nose leave scars?
A: There is basically no trace on the surface of the inner incision method; the outer incision method is hidden in the nasal nostril groove, and there are light red marks in the early stage, which gradually fade away and become less obvious after 3-6 months after surgery. People with scar constitution need to inform their doctor for evaluation in advance.
Q4: Which is better to cut the nose or cut the nose?
A: There is no absolute good or bad. The nose flap is obviously dilated and needs to be narrowed significantly. External incision is used; only the nostrils are slightly larger and the body surface is not marked. It should be decided by the doctor based on the shape of the nose and the need for narrowing.
Q5: How long will it take for the recovery period of narrowing the nose/nose?
A: Generally, the stitches are removed within 5 - 7 days, and most of the swelling is reduced within 2 - 4 weeks, and the shape is natural within 1 - 3 months; the scar on the nose is further diluted and finalized after about 3 - 6 months.
Q6: Is it enough to just shrink the nose?
A: If the problem is only that the nose is dilated/nostrils are large, it can be done alone; but if the nose is also enlarged and the bridge of the nose is low, the overall coordination of the nose alone will often be insufficient. Comprehensive evaluation is recommended.
Q7: Will the narrowing of the nose affect breathing?
A: Normative nasal narrowing is mainly based on narrowing the external shape, which usually does not affect normal ventilation; however, excessive resection may cause nostril stenosis, so it is important to grasp the amount of resection and select experienced doctors.
X. Conclusion
Making the big nose more exquisite does not rely on "one size fits all", butClassification first, re-determination of surgical procedures, and on-demand combination。The nose and nose are one of the subunits of the face that most test the doctor's aesthetic and feel. Only by full pre-operative communication, rational expectation, and standardized nursing can we obtain a naturally coordinated nose and nose.
Medical disclaimer: This article is popular science content and does not constitute medical advice. Any operation has risks, and the specific plan should be based on a face-to-face evaluation by a qualified doctor.
