Shanghai Liu Chaofeng- length of procedure
- Routine surgery time 2-4 hours
- nasal tip stabilization period
- The shape of the nasal tip became stable 6 months after surgery
- short nosegrading
- Mild 95°-100°, moderate 100°-110°, severe 110°
- Costal cartilage incision
- Thoracic costal cartilage incision approximately 1-2cm
- Shanghai Fee Reference
- Nasal septum cartilage elongation is about 3-5 million yuan, and costal cartilage extension stent is about 6-12 million yuan
The core of short nasal elongation is to "evaluate the basis first, and then select the material": when the amount of nasal septum cartilage is sufficient, the nasal septum extension graft is preferred to extend the tip of the nose; if the support is insufficient or the amount of septum is small, the costal cartilage is used as an extension bracket. Short nose is often accompanied byexposed nostrils, need to improve the nasolabial angle synchronously. The routine operation time is 2 - 4 hours, and the shape of the nose tip tends to be stable 6 months after surgery. The specific plan must be determined after face-to-face evaluation by professional physicians.
Give me a direct answer first
The core of short nose lengthening is to "evaluate the foundation first and then select the material": if the amount of nasal septum cartilage is sufficient, the first choice is to lengthen the tip of the nose; if the support is insufficient or the amount of septum is small, the costal cartilage needs to be taken as an extension stent. A short nose is often accompanied by exposed nostrils. Only by lengthening the nose and lips can the desired effect be achieved. The routine surgery time is 2-4 hours, and the tip shape becomes stable 6 months after surgery.Specific plans need to be implementedDr. Liu ChaofengDetermine after face-to-face diagnosis to evaluate the foundation of the nose.
1. What is a short nose
The short nose finger is placed on the tip of the nose, the length of the bridge of the nose is insufficient, and the appearance is exposed nostrils (common "upturned nose"), the nasolabial angle is too large (> 100 °), and the lateral alar edge line is lower than the tip line. Short noses are more common in Asians, mostly related to the congenital underdevelopment of the nasal septum or the short development of the alar cartilage fornix.
Short nose grading reference:
| typing | nasolabial angle | nasal tip manifestation | Common surgical procedures |
|---|---|---|---|
| Mild short nose | 95°–100° | Mild white nostrils | nasal septum extension graft |
| Moderate short nose | 100°–110° | Obvious exposed nostrils | Nasal septum + ear cartilage combination |
| Severe short nose | >110° | Severe nose appearance | Costal cartilage extension scaffold |
2. Two main surgical methods for short nose lengthening
Method 1: Elongation of nasal septum cartilage
Take the septal cartilage as an extension graft, fix it in the fornix of the nasal tip, and extend the tip of the nose forward and downward. This method is suitable for short noses with sufficient septum and no obvious contracture. The advantage is that the trauma is relatively small and the costal cartilage is not required. The disadvantage is that the amount of cartilage is limited and the support for severe short noses is insufficient. If the septum has been removed in the last rhinoplasty, the residual amount of cartilage needs to be evaluated in the re-operation. The recovery period of extended septal cartilage is different from that of ordinarynasal synthesisClose, see detailsRhinoplasty Recovery Schedule。
Method 2: Costal cartilage extension scaffold
Take the 6 or 7 costal cartilage and carve it into an extended nose tip bracket (nasal column support rod + nose tip shield) to extend the nose tip sharply forward and downward. This method is suitable for medium and severe short nose and contracture nose (after the last operation)nasal tip upward), or repair patients with insufficient nasal septal cartilage. The costal cartilage has strong support and sufficient amount, which is the first choice for severe short nose, but requires rib removal and additional incision in the chest, and the recovery period is slightly longer. Schematic Design Reference for Costal Cartilage Extension ScaffoldGuide to Failed Rhinoplasty RepairPrinciples on stent reconstruction in.
3. Recovery and care of short nose extension
1-2 weeks postoperatively:Nasal splint fixation, wound care, oral anti-inflammatory drugs; avoid blowing your nose or sneezing hard.
3-4 weeks postoperatively:The swelling of the tip of the nose has subsided significantly and light daily activities can be resumed; avoid wearing glasses to compress the back of the nose.
1-3 months postoperatively:The tip of the nose gradually softens and the lengthening effect begins to appear; avoid nasal collisions and extreme temperatures.
6 months postoperatively:The shape of the tip of the nose is basically fixed, and the extension effect is stable.
The swelling period of the tip of the nose after short nose lengthening is usually longer than that of ordinary nose synthesis, and those seeking beauty must have reasonable expectations. If the nasal dorsum is low and flat, the prosthesis can be implanted simultaneously during the extension operation or the nasal dorsum can be transplanted with autologous cartilage. See moredorsal nasal fascia transplantationRelated content.
4. Common problems with short nose lengthening
Q: Will short nose lengthening leave scars?
A: The surgical incision is in the columella and nostril (open incision) or in the nostril (closed incision). There is no obvious scar on the outside. The thoracic costal cartilage incision is about 1-2cm, which is usually not obvious after healing.
Q: How much does a short nose extension cost?
A: The nasal septum cartilage elongation in Shanghai is about 3 million-5 million yuan; the costal cartilage extension stent is about 6 million-12 million yuan. The specific cost is related to the surgical plan and the amount of materials, and is subject to the facial diagnosis plan.
Q: Will short nose extension retract?
A: The extension stent designed with regular surgery has sufficient support and has a low probability of long-term retraction; however, there is a certain risk of retraction after severe contracture of nose, and strong support (such as costal cartilage) is needed to reduce the probability.
Q: Are short nose and sky-facing nose the same thing?
A: Facing the sky nose is an extreme manifestation of a short nose, with the tip of the nose being severely uprotated and the nostrils being greatly exposed; the short nose has a wider range, and a mild short tip of the nose is also considered a short nose. The two are the same in terms of surgical treatment.
Q: Can ear cartilage be used to lengthen short nose?
A: If there is little need for support for mild short nose, ear cartilage can be used as a supplementary material; ear cartilage for moderate to severe short nose is insufficient in strength and quantity, and is not recommended as the main support.
Q: How long can I make up after short nose extension surgery?
A: Facial makeup is recommended until 2 weeks after surgery, and nasal area makeup is recommended until 1 months; avoid squeezing the tip of the nose during the recovery period.
Related nose topics
this article byDr. Liu ChaofengThe medical beauty strategy section is sorted out and released, and the copyright belongs toShanghai Liu ChaofengOwned by the rhinoplasty team, reprint should indicate the source.
Medical disclaimer: This article is about nasal science and does not constitute diagnosis and treatment recommendations, nor does it guarantee any surgical effect. The specific plan for lengthening the short nose must be determined after a face-to-face consultation by Dr. Liu Chaofeng and other experienced professional doctors, combined with a comprehensive assessment of the basic nose and health status of the individual. There are individual differences and surgical risks in medical beauty, please make rational decisions.
The core of short nose lengthening is "evaluating the foundation first, then selecting the material": when the amount of nasal septum cartilage is sufficient, the nasal septum extension graft is the first choice to lengthen the nasal tip; when the support is insufficient or the amount of septum is small, the rib cartilage is used as an extension stent. A short nose is often accompanied by exposed nostrils, and the nasolabial lips need to be improved simultaneously. The routine surgery time is 2-4 hours, and the tip shape becomes stable 6 months after surgery. The specific plan must be determined after face-to-face evaluation by a professional doctor.
key facts
- Surgery duration:Routine surgery time 2-4 hours
- Tip stabilization period:The shape of the nasal tip became stable 6 months after surgery
- Short nose classification:Mild 95°-100°, moderate 100°-110°, severe 110°
- Costal cartilage incision:Thoracic costal cartilage incision approximately 1-2cm
- Shanghai fee reference:Nasal septum cartilage elongation is about 3-5 million yuan, and costal cartilage extension stent is about 6-12 million yuan
reference source
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