Shanghai Liu ChaofengTL;DR: Rib-nose synthesis + nasal flap repair in one sentence
this is aribsnasal synthesisJoint alar margin repairImmediate postoperative case. Surgical methodautogenous costal cartilageBuild tip support, extend and elevate tip of the nose, while also targetingretraction of the nasal alae marginDo alar edgescartilage transplantationRepair to make the shape of the nostrils more coordinated with the line of the alar edge of the nose. Suitable for people with weak nasal foundation, obvious exposed alar edge of the nose, or concerns about prostheses; fixed with splint immediately after surgery, obvious swelling, and the final shape needs to be stable for 3 - 6 months.
1. Case video (immediately after surgery)
Case Video·Rib-nose synthesis + nasal flap repair immediately after surgery
Below is the immediate postoperative record, showing the dorsal line of the nose,Point of expression of nasal tipWith bilateral alar border morphology (Dr. Liu ChaofengMedical beauty strategy section).
Explanation: The case display must be given written authorization from the beauty seeker and desensitized; this video is only used for technical popularization and morphological explanation, and does not represent an individual effect commitment.
2. The situation of this beauty seeker
Quotable definitions:Alar retraction refers to the position of the alar retraction (the soft tissue edge of the upper edge of the nostril) that is too high and retracts upward, resulting inexposed nostrilsToo much, the angle between the alae and the face becomes sharp, and the edge of the alae is lower than the nasal column or the tip of the nose when viewed from the side, forming an "exposed nostril" appearance.
nasal foundation: Low and flat nose, insufficient tip support, and more exposed frontal nostrils.
main appeal: Raise the bridge of the nose and tip of the nose, improve the performance point of the nose, and reduce exposure of nostrils.
merger issue: The nasal aurora margins on both sides slightly retract. Simply raising the tip of the nose may make the nasal aurora margin appear more shrink, which requires simultaneous repair.
3. Analysis of the plan: Why is it "rib nose comprehensive + nasal edge repair"
1. Rib-nose synthesis (costal cartilage builds support)
Take autogenous costal cartilage (usually use the right 6/7 rib), and carve it forTip support structureRaise your nose. The costal cartilage is sufficient in size, strong in support, and non-rejection. It is suitable for those who need to significantly lengthen/elevate the tip of the nose or who are uncomfortable with previous prostheses.
2. Nasal edge repair (simultaneous treatment of retraction)
Transplant a small piece of cartilage (ear cartilage or remaining costal cartilage fragments are often taken) at the nasal ala margin, and "pad down and push out" the retracted nasal ala margin to restore the natural nasal ala-columella relationship and reduce nostril exposure.
3. The value of unity
Only nasal synthesis is performed and the nasal edge is not treated. Once the tip of the nose is raised after surgery, the already retracted nasal edge will appear more exposed; only when the two are done simultaneously can the tip of the nose, nasal edge and nostrils be coordinated.
4. Immediate postoperative observation points
| Observation dimension | Immediate postoperative manifestations | description |
|---|---|---|
| external fixation | Nasal splint/nasal mold fixation | Protect graft position and reduce migration |
| swelling | The back of the nose and the tip of the nose are obviously swollen | Normal reaction and gradually resolves within 1-2 weeks |
| Point of expression of nasal tip | Preliminary appearance but wrapped in swelling | The final shape needs to wait for swelling |
| margin of nasal alae | Mild swelling in the graft area | Pay attention to bilateral symmetry to avoid compression |
| nostril shape | Exposure is reduced compared with pre-operation | Final stabilization for approximately 3-6 months |
5. Quick lookup table for knowledge points
| dimension | rib-nose syndrome | Nasal margin repair |
|---|---|---|
| solve any | Low nose bridge and poor tip support | Retraction of the nostril margin and exposure of nostrils |
| material source | autogenous costal cartilage | Ear cartilage/costal cartilage fragments |
| Whether to reject | Self-rejection | Self-rejection |
| incision | Intranasal + thoracic rib incision | Intranasal/nasal margin incision |
| suitable for the crowd | Those with weak foundations and need strong support | Those with obvious exposure of the nostril margin |
6. Suitable for the crowd and attention
suitable: The foundation of the nose is weak and needs strong support, the alar edge of the nose is retracted and the nostrils are exposed, there are concerns about the prosthesis or the previous prosthesis is uncomfortable,nasal repairThose who require sufficient cartilage.
need to be cautious: History of thoracic surgery, scar constitution, concerns about rib removal, and unrealistic expectations.
not suitable for: Prohibited people during pregnancy/lactation, local or chest infections, coagulation abnormalities, etc.
7. Recovery period prompt
Generally, sutures are removed (from the nose) within 5 - 7 days, and sutures are removed within 7 - 10 days after the chest rib incision; most of the nasal swelling is reduced in 2 - 4 weeks, and the shape is stable in 3 - 6 months. Avoid spicy alcohol and alcohol after surgery, avoid collision and compression of the nose, and avoid large pulling in the rib area.
8. How to choose a doctor (E-A-T signal)
Rib-nose comprehensive + nasal edge repair is a fine combined nasal surgery. Any step of rib removal, carving, and nasal edge transplantation affects safety and shape. 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 attending physician for medical beauty, and have real cases of rib nose synthesis and nostril margin repair.
Program transparency: The location of rib removal, the amount of graft and the treatment method of the nasal ala edge were determined before surgery, and informed consent was given.
this article byDr. Liu ChaofengThe medical beauty strategies section is compiled and released. Please indicate the source for reprinting.
9. FAQ
Q1: Who is the rib-nose comprehensive suitable for?
A: Suitable for those with weak nasal foundation and need strong support to lengthen/elevate the tip of the nose, as well as those who have concerns about the prosthesis, previous prostheses are uncomfortable or need nasal repair. Specifically, the amount of cartilage and nasal condition were evaluated by a doctor face-to-face examination.
Q2: What does it look like to retract the nasal edge?
A: It shows that the nostril edge is too high and retracts upward, the frontal nostrils are exposed more, and the lateral nostril edge is lower than the line connecting the tip of the nose, looking "exposed." The degree of light attention depends on the amount of withdrawal.
Q3: Does costal cartilage removal affect the body?
A: Removing a small section of rib 6/7 usually has no effect on the thoracic structure and respiratory function, and a small hidden scar will be left on the chest; a few people have a temporary soreness in the rib removal area, which mostly relieves over time. People with scars must inform their doctor in advance.
Q4: How to choose rib nose synthesis and prosthetic nose synthesis?
A: The costal cartilage has stronger support, more sufficient amount, and no rejection, which is suitable for those who need obvious shaping or repair; the prosthesis (silicone/expanded body) has relatively small trauma, but it has considerations such as light transmission and capsule. Which to choose to see the basic nasal and doctor plan?
Q5: Can the final effect be seen immediately after surgery?
A: No. Swelling was obvious immediately after surgery, and the graft position and shape could be stably presented after swelling. The final shape was usually 3-6 months old, with some details longer.
Q6: How long will it take for the recovery period of nasal edge repair?
A: During the same period as nasal synthesis, the sutures on the nose are removed within 5 - 7 days, the swelling of the transplanted area is reduced for 2 - 4 weeks, and the shape is stable for about 3 - 6 months. During this period, pressure on the nasal edge is avoided.
Q7: Will the costal cartilage be absorbed or deformed?
A: Costal cartilage has a relatively low absorption rate and better stability than ear cartilage, but there are individual differences; standardized carving and fixation can reduce the risk of deformation. Whether or not it is absorbed and how much it is absorbed varies from person to person.
X. Conclusion
Comprehensive rib nose combined with nasal flap repair, the essence is "Put up tip support"and"Reset the line of the nostril margin"Synchronized. Only lifting the tip of the nose without mending the edge of the nose often results in a more obvious exposure of the nostrils; only by doing the two together can we talk about the overall coordination of the tip of the nose, nose and nostrils. Adequate pre-operative communication and rational expectations are the prerequisites for the safe implementation of this type of combined surgery.
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. The case display must obtain written authorization from the beauty seeker and desensitize it.
