Why can ear cartilage only pad the tip of the nose and not augment the dorsum?

In cosmetic rhinoplasty, the ear cartilage is mainly taken from the auricular cavity, the cartilaginous membrane is preserved during the operation, the ear cartilage in the defective area will be regenerated in the future, and the preservation of the auricular scaffolding structure makes it possible to keep the shape of the ear unaffected as well. The wound is hidden behind the ear or near the contour line, so it is not easy to be noticed. However, the ear cartilage cannot be used as a sole support, but only for nose contouring, which is not possible if the ear cartilage is only used for support. Ear cartilage is elastic cartilage, there is no support, so it is only suitable for mild low nasal tip, if the tip of the nose is relatively low or upturned nose, it is best to use the septal cartilage, septal cartilage can be elevated to extend the tip of the nose, to achieve the effect of the tip of the warped, and the tip of the nose will not be red after the operation. Insufficient volume and natural curvature (not able to provide strong support in many cases). Asian people in many cases the development of the nasal cartilage is not strong, the appearance of the nose for the low, rounded, towards the sky to show the nostrils …… more to the nose this position to get lifted, whether it is to probe forward, or the nose downward to pull the extension, is the need for materials, is what we say cartilage. In practice, we tend to use ear cartilage and nasal septum cartilage in combination, combining the advantages of both to maximize the effect. Advantages of nasal septum cartilage rhinoplasty Nasal septum cartilage transplantation is part of autologous tissue transplantation, which avoids allogeneic tissue rejection and is highly safe. Nasal septum cartilage surgery and nasal columella lengthening surgery are performed in the same surgical incision, without the need to make a second surgical area in other parts of the body, so the total area of the human body incision is reduced. The septal cartilage is easy to shape and fix, and the support effect is obvious, which makes it easier to meet the requirements of nasal cosmetic surgery. The septum cartilage is hard, making it easy to create a rounded and curved nose, and it can even be used to treat septal curvature or nasal congestion in the process. If you have a collapsed nose, or a severely bulbous nose, we suggest that autologous rib cartilage is a good choice. Of course, it is not true that the surgery can not be done with only ear cartilage. After evaluating the difficulty of the surgery and the expected results, there are cases where ear cartilage can be taken to repair the nose. For example, if the nose is well developed, but lacks height and extension. Then the ear cartilage can be trimmed to the necessary shape and stacked a few layers of height to achieve the desired purpose. Of course it should also be combined with the many skillful maneuvers of nasal cartilage trimming. Can it be used to pad the bridge of the nose? The answer is that it is possible for smaller amounts needed. Ear cartilage easily heals with the tissues of the tip of the nose, autotransplantation does not cause rejection, and the rate of cartilage resorption is low, making it an ideal filler and structural adjustment material for rhinocosmetic surgery. However, the amount of ear cartilage that can be removed is limited, and the texture is thin and soft and curved, so it can only be used skillfully in rhinoplasty. Ear cartilage in nasal tip cosmetic surgery in three uses 1, for L-shaped nasal prosthesis protective cushion L-shaped prosthesis rhinoplasty, usually take a small piece of fingernail-sized ear cartilage cushion in the tip of the prosthesis and the skin between the soft tissue, the main role is not to cushion height, but to cushion the prosthesis of the tip of the pressure of the impact to prevent the skin perforation complications that may occur. This method has been used for many years to obtain a good shape, the shortcomings are the tip of the nose is hard, the prosthesis skewed the incidence of a higher chance. 2, multi-layer superimposed transplantation limited increase in the height of the tip of the nose For the dorsum of the nose is low and flat obviously, but the tip of the nose is still in good condition for the candidates, the use of ear cartilage multi-layer superimposed transplantation of the tip of the nose can be more satisfactory height and shape, the dorsum of the nose is separated from the use of the willow-shaped prosthesis for the corresponding augmentation of the height of the nose, can be avoided, such as infection, foreign body granulomas, contracture and deformation, the skin of the tip of the nose, such as the risk of tensile ulceration, and so on. Therefore, the industry has reached the latest consensus that it is more natural, reasonable, safe and effective to use autologous tissue to shape the tip of the nose, and this surgical method is more popular at present, and it can get more natural and simulation effect. 3, structural splicing transplantation to extend and elevate the tip of the nose For the nose there are low, collapsed, dew, short and other problems of the candidates, if the refusal to use the septum and rib cartilage, then simply use the ear cartilage for a relatively conservative structural adjustment of the nose of the comprehensive plastic surgery is also feasible, the need for doctors to have a more flexible use of the ear cartilage skills, the operation of this method has a high degree of difficulty, but can get more natural, This method is more difficult to operate, but can achieve a more natural, simulated effect, so it is also increasingly popular.