Rhinoplasty Without Breaking Bone
Nasal root filling with subcutaneous tissue - Nose hump reduction - Nose tip aesthetic surgery - Patient-1
Sometimes we can do small things together, not perfection, but a more beautiful and functional nose.
Our patient from a far away country, who shared the photographs above and below, came to Istanbul in order to eliminate aesthetic problems outside the nose and functional problems within the nose without the use of an industrial filler or permanent suture material.
First of all, I would like to add the pre-operative problems seen in the photos and the ones not seen below:
- nose tip angle (nasolabial angle) seems to be low and the support tissue at the tip of the nose is weak)
- the upper part of the nose tip and the partial collapse of the nose wings
- the nose arch is prominent
- the nasofrontal angle in the nasal root area is lower than normal and therefore the nose arch is more prominent
- asymmetric areas on the nose and nose wings
- endoscopic examination revealed deviated nasal septum deviation and turbinate hypertrophy.
Now we can tell what we've done with the color arrows in the top photo by region:
- curved cartilage areas of the curved septum inside the nose were taken and the nares were minimized with radiofrequency device.
subcutaneous tissue was removed from the tip of the nose by using bilevel dissection in order to dilute the thick skin and use the subcutaneous tissue as a natural filler while removing the nasal tip skin in the form of open technique nasal tip.
- a limited amount and cold serum were squeezed into the nose arch (green arrow)
- After mixing with blood and antibiotics, subcutaneous tissue was subdivided and filled into the nasal area by a very small subcutaneous dissection (red arrow).
- grafts from cartilage taken from the cartilage of the septum of the curved septum were placed on the nose tip, and cartilages on the nose wings were partially removed and sutured back (blue arrow). In this way, the tip of the nose was more directed to the front and the areas of the nasal wings were treated. Thinning and narrowing in the tip of the nose when looking from the front is obtained without reduction in the diameter of the nostrils (without contraction of the airway area) in addition to the narrowest space in the nose of the nasal valve area is also provided expansion.
- with the effect of the cartilage graft placed at the tip of the nose and back of the columella, it is seen that the region (yellow arrow) appearing in the retraction in the columella has reached the normal position after the procedure.
- subcutaneous tissue is partially placed in the nose tip area
- the incision at the tip of the nose was sutured with sutable sutures
In general, the following details are an advantage:
- the nasal bone is not broken and the nasal support tissues are not completely damaged
- use of the patient's own tissues for nasal shaping
- the result to be permanent
- industrial permanent sewing materials or other products not being used
- at the same time the treatment of nasal congestion problem related to breathing
- the operation time is much shorter than the normal classical rhinoplasty
The disadvantages of the process can be listed as follows:
- all aesthetic problems on the nose can not be removed without breaking the bone
- the nose belt file can be made in a limited amount when the bone is broken (for no open roof deformity and the nose does not appear too wide from the front)
- all of the procedures performed here involve a limited amount of tissue changes, and the method that your examiner will recommend you is the right one.
Perhaps you may have wondered that they were all done under local anesthesia and no nasal passages were placed after the procedure, but it would be more appropriate for you to choose general anesthesia.
Dr.Murat Enöz Talks About This Technique:
Nasal root filling with subcutaneous tissue - Nose hump reduction - Nose tip aesthetic surgery - Patient-2
Again, a patient who does not want too much change in the nose and without expectation of perfection, "nose tip aesthetic + limited nose hum rasping + nose root filling with the subcutaneous tissue" operation is done, patient's pre and post photos and video are shown below. The patient was operated under general anesthesia.
"Nasal root filling with subcutaneous tissue - Nose hump reduction - Nose tip aesthetic surgery" video
"Nasal root filling with subcutaneous tissue - Nose hump reduction - Nose tip aesthetic surgery" photos
Nasal root filling with subcutaneous tissue - Nose hump reduction - Nose tip aesthetic surgery - Patient-3
Again, for a patient who does not want too much change in the nose and without expectation of perfection, the photos of a female patient whose nose tip aesthetics + limited amount of nasal hum recution and nose root filling with subcutaneous tissue taken from the nose tip are performed. A few months ago, the injected hyaluronic acid filler was aspirated from the nasal root during surgery. The patient was operated under general anesthesia. The tip of the patient's nose is still edematous after the 2 weeks from surgery.
"Nasal root filling with subcutaneous tissue - Nose hump reduction - Nose tip aesthetic surgery" photos -before and just after surgery
"Nasal root filling with subcutaneous tissue - Nose hump reduction - Nose tip aesthetic surgery" photos - 2 weeks after surgery
Rhinoplasty Without Breaking Bone - Nasal root filling with subcutaneous tissue - Nose hump reduction - Nose tip aesthetic surgery - Patient-4
In the preoperative examination of the patient who had sagging at the nose tip and downward elongation in the nose, it was observed that the nose root was deep and sagging nose tip. After open technique nose tip plasty operation and bilevel skin dissection, subcutaneous tissue is taken and it was used to filling root of the nose. At the tip of the nose, columellar strut graft (it prepared from the septum) was placed. Alar dome sutures and lateral crural stealing technique were used. The last cap graft was placed at the tip of the nose. The operation was terminated.
Rhinoplasty Without Breaking Bone in Istanbul |
Rhinoplasty Without Breaking Bone in Istanbul |
Similar links about rhinoplasty, nose tip plasty and nasal hump removal >>
- Rhinoplasty Post-Operative Instructions and Recommendation (Brief Summary)
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Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
Appointment Phone: +90 212 561 00 52
Fax: +90 212 542 74 47
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