Rhinoplasty with prosthetic implant
Am I a suitable candidate?01Who is suitable for prosthetic rhinoplasty?Key Points: Implanting autologous cartilage or prosthetics into the nasal dorsum achieves the effect of elevating the nasal bridge height. It is suitable for individuals with a low nasal bridge or poor nasal appearance.Prosthetic rhinoplasty is a type of rhinoplasty that uses autologous or allogeneic materials to elevate a low or flat nasal bridge, enhancing facial three-dimensionality. It is suitable for conditions such as a flat nasal bridge, short nose, saddle nose, and nasal reconstruction. It can also be combined with other rhinoplasty procedures to comprehensively improve nasal appearance.02Filler vs. Surgery: Which is more suitable for rhinoplasty?Key Points: Filler rhinoplasty is suitable for those concerned about surgical risks and seeking immediate, noticeable results; surgical rhinoplasty is suitable for those seeking permanent results and willing to accept a longer recovery period.Currently, the most common material for filler rhinoplasty is high-molecular-weight hyaluronic acid. Many brands are available, with a duration of effect ranging from 6 to 24 months.For more information, please click 👉 Guide to Avoiding Pitfalls in Hyaluronic Acid Rhinoplasty.Surgical rhinoplasty can utilize autologous cartilage or medical materials such as silicone, Gore-Tex (expanded polytetrafluoroethylene), or ultra-rib cartilage, allowing selection based on personal needs and budget.Selecting Surgical Technique and Brand01Which rhinoplasty material is suitable for me?Key Points: If your autologous cartilage condition is good, it is recommended to use your own cartilage to avoid rejection. When using allogeneic materials, it is suggested to combine them with autologous cartilage to prevent displacement.1. Selection of Different Prosthetic Materials① Rib cartilage is suitable for both the nasal tip and dorsumRib cartilage offers an abundant source, simultaneously meeting the bone requirements for both the nasal dorsum and tip. It provides excellent support and is easy to shape. However, it is expensive, requires a long recovery period, requires general anesthesia, and cannot be used if the cartilage is calcified.② Allogeneic materials are only suitable for the nasal dorsumAllogeneic material rhinoplasty is often combined with ear cartilage or septal cartilage. The allogeneic material is placed on the nasal dorsum, while ear cartilage or septal cartilage is used to support the nasal tip.③ Ear cartilage/septal cartilage is only suitable for the nasal tipEar cartilage and septal cartilage have limited sources. It is recommended to combine them with prosthetic materials.Nasal Structure2. Which rhinoplasty material suits you?The selection of rhinoplasty materials requires consideration of multiple factors, such as the ability to tolerate general anesthesia, the calcification status of autologous cartilage, the sufficiency of bone sources, and the laxity of nasal soft tissue. You can self-assess using the chart below, but the final decision must be made after a consultation at a legitimate medical institution.Pitfall Avoidance Tips: If choosing rib cartilage rhinoplasty, a CT scan is required pre-operatively to observe whether the rib cartilage is calcified. Additionally, rib cartilage rhinoplasty requires general anesthesia; therefore, it is essential to choose a legitimate, large-scale institution or hospital to ensure safety.3. Which anesthesia method is recommended for different surgical techniques?① Rib cartilage rhinoplasty is recommended for general anesthesia. Although the trauma is small, the pain when harvesting the rib is intense. If performed under local anesthesia, pain may prevent cooperation, potentially causing air to enter the chest cavity and resulting in pneumothorax.② Ear cartilage rhinoplasty generally only requires local anesthesia. The trauma is small, and there are fewer surrounding tissues and vital organs involved. Local anesthesia or basic anesthesia is sufficient.③ Septal cartilage rhinoplasty is recommended for general anesthesia. The surgical manipulation of the nose is extensive during the procedure. To prevent non-cooperation during surgery, which could lead to septal mucosal rupture, general anesthesia is recommended. However, if the patient has strong tolerance, local anesthesia can also be considered.02With so many prosthetic brands, how should I choose?Key Points: Hansil Shengke and Jetech are less prone to infection and rejection and are widely used; Transplus combines the advantages of silicone and expanded polytetrafluoroethylene (ePTFE) but is more expensive; Medpor offers excellent support and is difficult to remove. Prosthetics are commonly used in I-shape.1. Prosthetic Material Brands2. Prosthetic ShapesCurrently, common prosthetic shapes include L-shape and I-shape (willow leaf shape). L-shape prosthetics can provide support to the nasal tip and columella, but excessive support can cause thinning of the nasal tip skin, tip contracture and infection, and the risk of the prosthetic protruding. Additionally, L-shape prosthetics may result in a nasal appearance that is not realistic or natural. Therefore, they are not used independently at present.I-shape prosthetics have high safety, do not compress the nasal tip, and create a realistic and natural nasal shape. However, they need to be combined with autologous cartilage for tip shaping.Price01What is a reasonable price for prosthetic rhinoplasty?Key Points: Generally, prosthetic rhinoplasty costs between 8,000 to 60,000 RMB. The price varies depending on the prosthetic material, the operating surgeon, and the anesthesia method.1. What is the normal price range for prosthetic rhinoplasty?The normal price range for prosthetic rhinoplasty is generally between 8,000 to 60,000 RMB.2. Factors affecting price① Operating SurgeonSurgeons can be classified as Chief Physicians, Associate Chief Physicians, etc. Experienced surgeons naturally charge higher fees.② Anesthesia MethodGeneral anesthesia is more expensive than local anesthesia.③ Allogeneic MaterialsThe price varies depending on the quantity and model of the allogeneic prosthetic used. Expanded polytetrafluoroethylene (ePTFE) and ultra-rib cartilage are more expensive.④ Source of Autologous CartilageRib cartilage requires general anesthesia and is more expensive than ear cartilage or septal cartilage.Expected Results01What are the standards for a perfect nose?Key Points: Rhinoplasty requires reasonable design of the nasal shape based on one's own facial conditions. Ignoring this can result in a nose that is uncoordinated with the original facial features. To create a natural nose, one must find a doctor with a solid foundation in facial aesthetics.1. The length of the nose is approximately 1/3 of the face length.2. The width of the nose is approximately 1/5 of the face width; the ideal alar border should be located directly below the inner canthus.3. The angle at the radix is between 120°～130°, the nasolabial angle is between 95°～110°, and the nasocanthial angle is between 85°～90°.Ideal Nose4. The nasal bridge is straight, and the ratio of nose length to nasal tip height follows the golden ratio, 1: 0.67.5. From the base view, the nasal base should ideally be an equilateral triangle, and the nostrils should be vertically oval.6. The ratio of nose width (A) to nose length (B) equals 0.7.Ideal Nose02Does the surgeon's technical skill directly affect the surgical outcome?Key Points: Rhinoplasty has a narrow surgical field and complex nasal physiological structures. The surgeon's manipulation is crucial during the surgery. Improper operation can cause unnatural nasal appearance, infection, prosthetic displacement, and even affect respiratory function.1. Level of prosthetic carvingPoor prosthetic carving shapes can lead to an unnatural post-operative nasal appearance, tightness of the nasal dorsum skin, redness and drooping of the nasal tip and columella, infection, or prosthetic capsule contracture.2. Insecure prosthetic fixationIf the prosthetic is not fixed properly, post-operative impacts or blows can cause prosthetic displacement.3. Operational proficiencyThe nasal physiological structure is complex. If the surgeon is not proficient, it is easy to damage vital blood vessels, cause internal scar hyperplasia, leave obvious external incision scars, or cause septal deviation leading to a crooked nose. Excessively long surgery time can also lead to longer post-operative recovery and increased infection risk.4. Surgeon's aesthetic experienceThe nose determines the three-dimensionality of the face. If the surgeon ignores the patient's facial morphology, it can result in a nose that is uncoordinated with the original facial features.03Does the anesthesia method affect the outcome?Key Points: The anesthesia method does not affect the
