Dr. Yan Wang on Plastic Surgery – Rhinoplasty

Rhinoplasty is one of the most common procedures performed in plastic surgery, and because the nose outlines the most central contour feature of the face, even small changes can make a big difference in a person’s appearance. The best candidates for rhinoplasty are not those seeking a perfect look, but those seeking to improve their appearance. Rhinoplasty can generally be categorized into three main types: congenital deformity revision (secondary nasal deformity after cleft lip surgery, etc.), traumatic deformity revision, and cosmetic plastic surgery. Wang Yan, Department of Plastic Surgery, Thousand Buddha Mountain Hospital, Shandong Province At present, the most common clinical rhinoplasty is rhinoplasty for cosmetic purposes. Rhinoplasty can be further divided into minimally invasive rhinoplasty and surgical rhinoplasty. The so-called minimally invasive rhinoplasty mainly refers to various injection filling techniques, which are usually suitable for short-term, temporary special cases, such as when a candidate is going to participate in an important event in 2 weeks and wants his/her nose to look more straight. It is recommended that this group of people choose absorbable biomaterials so that the filler will not spread in the future, affecting the appearance of the nose and difficult to remove. Surgical rhinoplasty is a surgical procedure in which non-absorbable fillers are shaped and implanted into the nose to improve the shape. Surgical rhinoplasty needs to pay attention to the following 2 key points: i. Selection of filler materials Filler materials can be divided into two categories: autologous tissues and synthetic materials. Autologous materials include cartilage of the auricular cavity, nasal septum cartilage, rib cartilage, etc. Synthetic materials include solid silicone rubber, expanded polytetrafluoroethylene (PTFE), porous high-density polyethylene (HDPE), etc. Each type of material has its own advantages and disadvantages. Each material has its own advantages and disadvantages, and the choice is generally based on the actual situation and needs of the nose itself. In general, autologous materials are mostly used for patients with plastic repair needs; synthetic materials are mostly used for candidates with cosmetic needs. In addition, the doctor’s experience, technical habits, the patient’s financial ability and other comprehensive factors should also be considered. Two. To look at rhinoplasty with a comprehensive artistic vision. Rhinoplasty is by no means simply just to raise the bridge of the nose, but to shape the harmony of the various subunits of the nose and the harmony of the nose and the whole face from an artistic point of view. Rhinoplasty is not like ordinary handicrafts that can be mass-produced, but is like a work of art that varies from person to person, and is only one piece that cannot be replicated. To sum up, only when the doctor and the patient have sufficient pre-operative communication, reasonably use new technology and new materials, and make meticulous correction to each subunit of the nose, can we achieve a comprehensive change in accordance with the aesthetic standard, and shape a delicate, harmonious and natural nose that is in line with the facial shape, age and character of the patient.