Nasal Tip Surgery and Different Graft Procedures
 |
| In patients with weak cartilage support at the tip of the nose, the nasal tip support cartilage tissue is reconstructed using various grafts. The most commonly used of these are the columellar strut graft and the tongue in groove technique. In the tongue in groove technique, the graft obtained from the septum is sutured to the caudal septum and the inner legs of the alar cartilage. In this technique, the cartilage graft does not contact the anterior nasal spine and patients do not hear the "cartilage and bone rubbing sound" when laughing. Especially in patients with hanging columella, when viewed from the side, the columella can be moved upwards and shortened from the inside of the nose. These techniques are specific to the person and you should take into account the recommendations of the physician examining you. The "strut graft" placed between the medial crura of both alar cartilages has been drawn on the visual columella above. |
Droopy Nose Tip
Nose tip aesthetics or tip plasti operation can be performed due to many different reasons such as droopy nose tip, nose tip sag, nose tip asymmetry and nasal tip deformity. Following symptoms can be develop in patients with weak nasal tip support tissue :• nose tip sagging when laughing
• spreading at the tip of the nose when laughing
• downward orientation to the nose tip over time (nose tip sagging / nasal tip drop / nasal tip drop)
• columellar retraction
• at the bottom of the kolumella, the formation of a line-shaped trace due to the continuous downward movement of the nose tip while laughing
• when the picture was taken, when the smile was reflected from the supratip region, the reflection of light reflected (depending on the nasal tip region going back and spreading to side)
Columellar Strut Graft
In many nose aesthetic surgeries and especially nasal tip operations this graft can be used. Especially in patients with weak nasal tip support to increase both the nasal tip through the forward movement of the nose through the most narrow airway region of the nasal valve region by increasing the angle of the nasal functions to improve the side of the septum cartilage and the columellar strut graft marked at the following images. This graft also laughs used for the treatment of droopy nose tip and permanent surgical nose tip lifting.
How is the columellar strut graft placed
The columellar sutrut graft is placed in the anterior - lower part of the caudal section of the nasal septum, in the middle of the inner legs of the alar cartilages, with the lower leg of the graft on the front nasal spin. This graft is usually placed as part of closed and open technique nose tip plasty surgeries.During the nose-tip surgery operations, it can be noticed that the tip of the nasal tip is stiffer and has been stagnant for a few years after the operation with the columellar graft and various suture techniques. Generally, patients find this cartilage graft placed at the tip of the nose and a few months to get used to the feeling of hardness at the tip of the nose. This cartilage graft placement without using only the sling or various suture techniques using the tip of the nose after months of cold nose and nose can be released at the tip. It is not always necessary to use a columellar strut graft in patients with adequate nasal tip support (if you have a enough nasal tip support, you may notice that you cannot easily move the nose tip from front to back or top to bottom when you touch it.
After Nose Tipplasty, the Tip of the Nose May Be Hard and Numb for a Few Months!
In tip operations, an incision is made on the columella and under the wings of the nose. Numbness due to damage to the nerves at the tip of the nose during incision and dissection is normal. This numbness will usually decrease within a few months. However, especially after repeated rhinoplasty operations, it is normal for repeated nerve damage and longer-lasting numbness to occur. I usually suture the cartilage grafts placed on the tip of the nose with dissolvable suture materials. PDS suture materials take the longest to dissolve and usually dissolve and disappear by themselves at the end of 6 months. The fibrotic healing response that occurs after this stabilizes the cartilages. After 6 months, a partial softening may be noticed at the tip of the nose. In the first few months after the operation, the area, skin and subcutaneous tissue are tighter due to the swelling that occurs at the tip of the nose, and during this period, some of our patients say "I feel the tip of the nose like wood" and express that the tip of the nose is both hard and numb. These feelings usually decrease and normalize after a few months.
"Nose Tip Plasty – Nose Tip Lifting in İstanbul, Turkey" Video
"Nose Tip Plasty" Video
"Nose Tip Plasty Animation" Video
"Female Rhinoplasty in Istanbul" Video
"Female Nose Tip Plasty Surgery, Animation and Sample Photos" Video
Droopy Nose Tip - Nasal Tip plasty in Men Istanbul
Nose Tip Plasty Operation For Treatment of "Droopy or Ptotic Nasal Tip"
Open Technique Nose Tip Plasty in Women
Nose Tip Lifting + Nose Root Filling Without Hump Reduction and Bone Touching
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
Comments
Post a Comment