Multiple choice questions on rhinoplasty materials!

The nose is the central organ of the human face and its height is the focus of the three-dimensional relationship of the face. It is the desire of many beauty lovers to have an ideal nose shape. Nowadays, the trendsetting rhinoplasty can help people to have a “high, upright and straight” nose quickly. At present, the common rhinoplasty methods mainly include rhinoplasty by injection and rhinoplasty by prosthesis, how should we choose the right rhinoplasty material? What materials can be used for rhinoplasty? Silicone, expanded body, allogeneic or xenogeneic decellularized dermis, autologous cartilage (ear cartilage, septal cartilage, rib cartilage), allogeneic cartilage, autologous fat, hyaluronic acid and so on. So what are the advantages and disadvantages of various materials? At present, the most commonly used rhinoplasty prosthesis is silicone and expansion, for the network hype boiling, silicone is not good, a few years later need to be removed to replace the statement, the correct understanding. Asian noses are lower, and the Western nose is different. The way to do the nose in China is generally to raise the bridge of the nose, reduce the nose, reduce the nose mainly. The main way to raise the bridge of the nose is to use prosthesis or your own bones, and the materials you can choose from are silicone, expansion, allogeneic or xenogeneic decellularized dermis, autologous dermis, autologous cartilage (ear cartilage, nasal septum cartilage, rib cartilage), allogeneic cartilage, autologous fat, hyaluronic acid injection, etc. LS two-stage rib cartilage rhinoplasty Example of improving garlic nose In fact, each material has its own advantages and disadvantages, let me explain them to you in detail. First of all, silicone material is easy to sculpt, good for plasticity, cheap and cost-effective. Its disadvantage is that post-operative translucency, shiny skin implantation and other conditions are easy to occur, as well as the rejection of the human body. There is no rejection of the expanded material rhinoplasty, the expanded body has microporous, better anastomosis with human tissue, and can grow together completely. The disadvantage of this material is the higher rate of infection, easier than silicone infection, especially in the long term, the infection rate is much higher than silicone. The best material is your own rib cartilage, which is biocompatible, non-rejection, and has a more natural appearance after rhinoplasty, especially suitable for surgical plasticity where high skin tension is required. However, the disadvantages are also obvious, first of all, there are side injuries, which have to be removed from the body, and there are wounds. There is a possibility of deformation, and in rare cases, autologous absorption. Because of the hardness, the patient cannot do “pig nose” after surgery. Allogeneic or xenogeneic decellularized dermis is only used for smaller parts of the body and for patients who do not want to take the material, and allogeneic cartilage is rarely used at present due to psychological rejection, and is absorbed more after surgery. Autologous fat and hyaluronic acid are both injected into the body, the appearance of the three-dimensional sense is weaker, sometimes there will be a flesh whistling feeling. However, it is very convenient, especially hyaluronic acid has immediate effect, no recovery period, and you can leave after doing it. But autologous fat needs to be taken from the body and has a certain absorption rate, so it needs to be injected several times and requires a recovery period after surgery. The choice of material is also very skillful, you must choose a hard and easy to plasticize material. The hype on the Internet silicone is not good, tumescent is actually a kind of interest driven, silicone is cheap, cost-effective, while tumescent is expensive. And the legend of silicone needs to be replaced is also unrealistic, silicone material will become hard and brittle after 20 years, and used to raise the bridge of the nose will not be much force to make someone break the twisted nose leading to prosthesis fracture, so the nose part does not need to be replaced, you can use silicone plastic.