[Rhinoplasty] After Nose Surgery, the Shape Is Beautiful, but the Tip Feels Hard?

Hello,

This is April 31 Plastic Surgery.

After rhinoplasty,

the shape may be pleasing and beautiful,

but the tip of the nose can feel hard.

In most cases, when nose surgery goes well,

the tip does not become excessively hard.

During nose surgery, if tissue release is done

properly and enough,

and your own cartilage is placed well in the right areas,

the nose shape can be kept beautiful and soft.

Unlike the eyes or mouth,

some people think the nose is a structure

that is fixed right in the center,

but in fact, that is not true.

Because the nose is constantly moving all day long

as we breathe and speak,

if its dynamic feel is not preserved,

the nose will not look natural even after surgery.

For that reason, during surgery it is important

to create a shape that keeps the tip

as soft as possible and allows subtle movement.

Q. If septal extension is performed,

will the tip of the nose become hard?

When septal extension surgery was first introduced in the past,

the purpose of the surgery was different from what it is now,

so in most cases the tip became hard.

However, if septal extension surgery is performed

effectively and appropriately today,

the tip does not become hard.

So when performing septal extension,

two main points should be kept in mind

to prevent the tip from becoming hard.

First,

septal extension surgery is a procedure that takes only the safe part of the septum

and lengthens it.

It is important to completely dissect the structures of the alar cartilage

that are newly positioned on the extended septum.

The dissection must be done with no tension at all,

so that it is supported without tension.

If there is even a little tension,

it becomes a major factor

in making it hard.

Second,

if you feel inside the nose with your hand,

in addition to the hard septum,

there is a slightly soft space just in front of it.

This is called the membranous septum.

However, if the extended septum blocks that area,

the nose can become hard.

So if the septal extension is positioned to preserve as much as possible,

the tip of the nose can be kept soft rather than hard.

In conclusion,

if the proper position and sufficient tissue release

are performed first,

even septal extension surgery will not make

the tip of the nose hard or awkward.

Q. Can a soft nose tip be created

even when using rib cartilage?

These days, rib cartilage is used often for surgery.

The advantages of rib cartilage are that enough cartilage can be harvested,

the incision is small,

and it can be harvested in a short time.

However, rib cartilage itself is very hard in nature,

and over time it can undergo calcification and turn into bone.

Of course, even with rib cartilage,

if some of the hard cartilage is replaced with soft tissues

such as postauricular fascia, tissue behind the temporalis muscle,

or gluteal dermis through an appropriate placement method,

the nose operated on with rib cartilage can also be kept soft.

Today, we looked at how to avoid

the tip of the nose becoming hard after nose surgery.

We will return next time with another useful story.

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