How to reconstruct and repair a nasal defect?

  You know that Dr. Chen does full cartilage rhinoplasty, but you may not know that Dr. Chen also “makes” noses – nose reconstruction. Can you reconstruct a nose that has been lost? Can a face with a missing nose be “rebuilt” and restored to its original state? How to reconstruct? Today, Dr. Chen will reveal the secret of nose reconstruction for you.  Nose loss due to various reasons can be devastating to the facial appearance. It can even be said that there is no more “face value” anymore! Yue Fei biography of the chief of the gold generals under a famous military division, named “Ha fan Chi”, is captured by the Song soldiers, cut off the nose. I’m afraid this is the earliest recorded traumatic nasal defects such as the patient it. The whole nose are gone, or nose key parts, such as the tip of the nose is not, can be a big problem. Especially in the latter case, the tip of the nose alone is missing and deformed, which is not as easy and tricky to deal with as a total nose defect.  The medical profession has been trying to repair nasal defects for decades and finally has a more definite plan. At present, the use of flaps, especially frontal flaps for total nasal reconstruction or total nasal tip reconstruction, has become the only choice for nasal defect repair. Combined with the skin expander technique, the reconstruction does not even need to leave the deformed appearance of the forehead left by the skin implant. So, how exactly does this nasal reconstruction work? The following is a detailed explanation of the process of nasal reconstruction. This patient’s nose was damaged after a car accident in which the tip of the nose was violently rubbed on the road, and his life was saved after resuscitation, but the nasal tip was severely deformed after the wound healed. The patient’s face was completely disfigured and he had extremely low self-esteem; he said that his little baby was so scared that he cried when he saw him. How heartbreaking and tearful it was. I was determined to do my best to help him return to a normal life.  However, unlike a total nose loss, a patient with a nasal tip loss can leave the doctor in a tizzy: do you want the remnant or not? If not, it would be a shame; if not, what would happen if the reconstructed tip was very different from the original nose? In the end, after weighing the options, we decided to go with the most challenging option of simple tip reconstruction.  The surgery required multiple stages; a forehead expander had to be embedded. But the patient had a car accident injury to the frontal area, and this option was fraught with risk. After much deliberation, our team decided to perform a buried expander procedure on the frontal flap. After careful preparation, the surgery was successful. At the same time, autologous rib cartilage was taken to build the structure of the vanished nasal tip. This Dr. Chen has been building beautiful noses for beautiful people for a long time with ease. After a period of dilator injection, the dilated flap was slowly transferred, “crawled” to the tip of the nose, and finally settled on the tip of the nose. A new nose is born and reunited.  After the tip of the nose was reconstructed, the entire nose became slightly straight and curved, close to a normal nose; and the articulation was natural and not abrupt.       The frontal view of the nose basically restores the structure, and the face is no longer as “scary as a child” as it was before surgery.   Moreover, the area of the forehead where the “material” was taken (the circle area) was not marked at all except for the scars that were already there! It was even smoother and whiter than before!