The cosmetic surgery for nose

The nose is located in the middle of the face. Therefore, it is the first place that gets people’s attention and takes an important role in the judgment of one’s impression and character.

The nose is located in the middle of the face. Therefore, it is the first place that gets people’s attention and takes an important role in the judgment of one’s impression and character.

Unlike other parts of the body such as the eyes and ears, the contour of the nose is seen remarkably from any direction. Therefore, the contour change of the nose brings a great change to one’s impression and character. A high and sharp nose makes one’s face look smart and noticeable.

Like other surgeries, the harmony with parts in the face is essential in nose surgery. No matter how beautiful a nose looks like, it can be unnatural if the balance between the overall look of the face and the nose is unpleasant. A beautiful nose does not have to be high and sharp, but the one that is in harmony with the lines in one’s forehead and chin, as well as other parts of the face.

A nose that is too big gives a strong impression. A flat nose gives a gentle impression but a less refined image. For this reason, it is not a good idea to standardize the characteristics of a beautiful nose as a trend. Rather, it is recommended to make a nose that is in harmony and has balance with one’s own face.

What type of nose is a beautiful nose?

The nose is one of the most important factors along with eyes to decide the first impression a person makes unto others. However, it is difficult to define what type of nose is a pretty nose. Although one has a little ugly nose, her nose can still look pleasant if rest of the person’s face is cute and pretty. But no matter how beautiful a person’s nose is, she would have an awkward look if her nose does not harmonize with the rest of the face. Of course, there is a conceptual difference between the beautiful nose of a female and a handsome nose of a male individual.

A beautiful nose for a female is one that starts in between the middle of the forehead and the middle height of the eyebrows and eyes. The height of the nose tip is slightly less than half the length of the nose. The line that formed starting from the starting area of the nose to the nose tip should naturally come down straight. The nose tip should be slightly lifted at the 2-3mm higher than the said line. The view from the below the nose forms a triangular shape, which is consists of the nostrils and nose tip. A beautiful nose forms an isosceles triangle that is slightly taller than a regular shaped triangle. Regardless of the conditions for a nose to be considered perfect, the most important factor is how well the shape of a nose harmonizes with the rest of the face.

For this reason, the surgery plan should not only consider a good shape of a nose, but also the nose’s harmony with the rest of the face. For males, a nose that is somewhat similar to that if female’s is good but a bigger one is more helpful in expressing the beauty of the male. In addition, a somewhat straight contour is preferred rather than a slightly curved nose tip for the nose of a female. The angle between the ridge of the nose and lips is 5~10 degrees less than that of women, thus the nasal passages are not visible from the front.

How is a nose composed anatomically?

The nose is mainly constitutes the bone part and cartilage part. When you touch the nose, the hard bone forms half of the root of the nose, which is between eyes and the nose ridge. The rest of the ridge and the tip of the nose found at the bottom are formed with the soft cartilage.

There are many cartilages at the tip of the nose, but the most important one is the alar cartilage that forms the nasal passages. The alar cartilage takes a critical role in determining the shape and height of the nose. Thus when having a nose cosmetic surgery, this cartilage is the one often operated.

Where does a scarring occur after the nose surgery?

In order to execute a nose surgery, the surgical method is classified into two ways, depending on the area for incision. One is the obstructive surgery that leaves a faint scar inside the nose. The other is the open surgery that creates the anatomical structure of a nose open by making an incision on the ridge of the nose.

Most of nose surgeries adopt the obstructive surgical method to hide the scar from the surgery. However, when a surgery requires a complicated and difficult process, such as correcting the tip of a nose delicately or in case of the correction of a bent nose, the open surgical approach is used.

For the open surgery, the redness of the incised area is a little visible for about a month or two. But as time passes, the incised line, which was done in a zigzag shape, becomes almost invisible. Thus, there is no need to worry about the scar on the ridge of the nose.

What kinds of implants are used for the nose surgery?

Silicon
Along with Gore-Tex, silicon has been used as a substance for body implant since it exhibits the best biocompatibility in our body. However, when it is implanted in our body, the capsule generated around the implanted area or those who have a thin skin layer may be transparent. Also, it would move around since its position if not fixed. There would be a period of getting used to the Gore-Tex and get over such implant problem.

Nonetheless as the clinical experience accumulates, Gore-Tex also caused a shape transformation, and in case of an inflammation, it was hard to be treated. For this reason, the implant problems in the past have been improved with the appropriate use of silicon and Gore-Tex. This compensated the weakness of the past implants, depending on the shape and surgical method used.

In the case of silicon, colors are added to make it opaque in order not to be transparent. For a problematic nose tip, one’s own cartilage is used as a way to improve the reddened or transparent nose tip. It is easy to break silicon into smaller pieces and is good to forming the shape one wants. And when a problem occurs, it can be easily corrected. For this reason, today silicon is the most popular and primary material for a nose cosmetic surgery, although not for a re-surgery.

Gore-Tex
Gore-Tex is a new material that has been used since the 1970’s as a substance that substituted blood vessels. Unlike silicon, it does not form a capsule and is proven to be a safe substance.

There are numerous fine holes, the size of 10-30 micron, in Gore-Tex. Because of such structural characteristic, surrounding tissues in the body grow through the holes. Thus, it can give the nose a natural shape without giving an impression that the nose has been treated. However, these fine holes are crushed as time passes lowering the height of the nose. When correcting a hooked nose, it brings back the shape of the nose. Inflammation may appear in an unusual way, it is used selectively as a material for a person with a thin skin layer or re-surgery.

Alloderm
Alloderm, usually called artificial dermis, is a substance that uses the skin of other people after specially treating the skin against rejection. A surgery using autogenous dermis would drastically decrease the frequency of a complication to occur due to foreign substances. However, a separate incision results to an additional scar and it takes more time to heal. Thus, to reduce such effort, artificial dermis is often adopted and recently, its use has been increased.

Autologous tissue
The Autologous tissue is a substance that is adopted from one’s own body, and for a nose cosmetic surgery, there are the cartilage, dermis and fatty tissue. The most popular Autologous cartilages for a nose surgery are the cartilage of ears and nasal septum and rare in circumstances, the costal cartilage (The cartilage that is attached next to the rib cage) is used for the purpose of reconstruction. The tip of the nose is attached to the nose cartilage, therefore implanting the cartilage from this area results a very natural looking nose. This cartilage is used in an area with movement so it would be possible to create that natural look, one that does not reflect any sign of a nose cosmetic surgery.

It is in rare cases where that the process includes taking the person’s own dermis for a nose surgery. It is used to partially shape the ridge of the nose or cover the cartilage when the contour of the cartilage is visible If the skin layer is too thin; the possibility of an implant to be seen is great. It is often used as a major material to lift one’s nose. The most common area to take dermis from is the backside of the ears, but it is rare for flesh from the thighs or hips are taken.

Autologous fine fat can be a material for a nose surgery. By slightly lifting the ridge of the nose or the muscle between eyes or in order to hide the edge of an implant, Autologous fine fat practically applies.

Substances for injection
A nose cosmetic surgery can be done by using substances for injection that remains in our body forever without being absorbed like Aquamid or Artecol,. There are several problems in using such substances for the nose lifting cosmetic surgery. However, when compensating transparent implant or lifting the tip of a nose slightly, such materials can be effective.

How is the pain managed during the nose surgery?

In general, most cases of nose cosmetic surgery needs a local anesthesia rather than a general anesthesia, and in order for a patient not to feel from pain or fear. When introducing the local anesthesia, a new technique called sedation anesthesia is adopted to manage the pain of a patient.

The sedation anesthesia is a newly designed method for a patient to have a surgery without fear by inducing sleep or tranquility through an intravenous injection, but not inserting a pipe into the airway. Local anesthesia is introduced into the body through skin the moment a patient feels a pain during the nose surgery. Thus, after this period, the patient is induced into a state of unconsciousness so that cannot feel any pain during the surgery. When the anesthesia wears out, a patient can opt to continue sleeping or tranquil state through a specially designed device. Thus making nose cosmetic surgery a no longer painful surgery as it was in the past.

What should be kept in mind after the surgery?

After the nose surgery, tape has to be placed at least 3~5 days to secure the location of implants and lessen the level of swelling. During this period, there may be bruising or swelling around the eyes, so it is good to apply an ice pack. Try not to touch the nose, especially avoid having the nose pressed while sleeping. Do not wear glasses for about a month and when osteotomy is performed, pay special attention not to hurt the nose.

from: http://www.hidoc.co.kr/