Correction of nasal fins in nasal surgery
Despite the fact that the bridge of the nose attracts the most attention in connection with plastic surgery of the nose. Nostrils can have the greatest impact on your appearance. It is important to remember this point. Sometimes a person may have large or dilated nostrils. Some people may have narrow nostrils and as a result cannot breathe well. Asymmetric or unequal nostrils are another concern. And it is a common occurrence in cases of injury or trauma to the nose. In addition, because all these factors also affect the appearance of the face. Aesthetic defects of nostrils can also lead to shyness. This is where the rhinoplasty surgeon comes in and can help by correcting the nose blades in the surgery.
In examining the shape of the nostril from the bottom view, it is clear that from the side of the lower external cartilages, the anterior nasal blade, the terminal septum, the maxilla, the upper lip, the skin and the soft tissue covering the nose, all participate in the appearance of the nose.. Creating changes or differences in each of these structural components of the nose or their connections may change the appearance and attractiveness of the nostrils and ultimately affect the function of the nose.. Lower external cartilages(LLC) It is necessary to determine the location of the tip of the nose and the shape of the nostrils.
Each LLC consists of 3 pikes :
Internal, middle, external(Image above). Each of these components consists of two parts. The inner pike is divided into flat and columnar parts. Angularization of the flat part occurs from the inside to the outside and also from the front to the back. The columnar part is favorably inclined to the vertical position and is mainly responsible for the length of the nostril and the protrusion of the tip of the nose. The axis of the nasal wings is essential for surgical planning. There are 3 different types of bali axis: Divergent, direct, convergent. Reduction of the base of the nose should not happen in patients with convergent nose. While raising the tip of the nose in the lower view, it is divided into 7 parts. In addition, the width of the nose, the prominence of the tip of the nose, the shape of the nose blades and the symmetry are best enhanced from the bottom view..
Advantages of rhinoplasty
Unlike a type of rhinoplasty that involves the bridge of the nose or the back parts of the nose. Working on the nostrils is done very little. In fact, your doctor will try to make all incisions and slits inside the nose to avoid visible wounds. Even if he needs to make incisions outside the nose. These incisions are much less noticeable than the incisions made in other parts of the nose in rhinoplasty.. In addition, relative rhinoplasty requires less time to repair bleeding and swelling than complete rhinoplasty..
Continuing advances in rhinoplasty methods have made its results look more natural. And it takes less time to repair. And the amount of bruising and swelling after surgery is also less. If you are looking to improve the appearance of your nostrils and the tip of your nose. Rhinoplasty is the right choice for you.
Surgical techniques
When it is decided to use a suitable surgical method to improve the position of the tip of the nose and the shape of the nostril. The structures that caused the deformity of the nostrils and tip of the nose should be taken into consideration. For descriptive purposes, methods are described as personal or individual techniques. However, several methods may be required simultaneously to achieve the desired appearance and satisfactory aesthetics as well as suitable functional results.. In rhinoplasty surgery, function and beauty define the purpose of the surgery, and the anatomy and structure of the nose determine the surgical method..
Correction of nasal lobes in surgery
The base and lower surface of the nose
In order to change the base of the nose, it is necessary to determine the location of the base of the nostrils as well as the threshold and base of the nostrils.. The most noticeable deformity of this area is related to the gap between the lips and nose. The severity of the deformity of the nose is proportional to the severity of the deformity of the cleft lip. The structural and anatomical features of unilateral cleft lip deformity have been well described. Several methods that use open and closed rhinoplasty techniques. It is explained in this article. By closing the cleft lip deformity using the Maillard technique, satisfactory correction of lip and nasal deformities is sometimes possible..
Reconstruction of the tip of the nose often requires the transfer of tissue from that area. Differences in the thickness of the skin, which is effective in fixing and reconstructing the defect, may cause the formation of excess tissue mass and narrowing of the nostrils.. In cases where the narrowing of the base of the nose is caused by trauma, the cutting of malignant tumors or injuries caused by the doctor's work, mixed and composite grafts work well.. Connecting the cartilage of the ear and the skin in the shape of a triangle can be done in the floor of the nose in order to correct the deformity.
inner wall
Basically, changing the structure of the inner wall is done by adding or manipulating the end part of the caudal part of the nasal bridge, the middle pikes and the anterior nasal blade.. Fin and caudal deformities alone can cause major abnormalities in the shape of the nostrils along with obstruction in the nasal airway.. Mild precaudal deformities can be easily corrected by septoplasty. In case of severe deformities of the tail end, closed rhinoplasty may be required.
external wall
Basically, external wall abnormalities are related to structural abnormalities and lack of external pike or the presence of extra tissue in the nose.. Unlike deformities of the base of the nose, which usually affect beauty more, external wall abnormalities can cause significant functional impairment.. In the position of the fins lying on top of each other, the nostrils tend to be vertical and are also narrow. Partial or complete obstruction of the nostrils may occur during nose surgery. To correct this situation, it is possible to use the winged roof connection using the techniques of moving, strengthening and replacing the lower part of the external wall.. This is the best option when dealing with certain noses that may have thick nasal bridge skin and wide nostrils.
Shrinking the nostrils
In nostril reduction, the surgeon carefully removes the small triangular part of the base tissue of the nostril. to narrow the lower part of the nose; At the same time, the natural appearance of the nose is preserved. The surgeon can perform rhinoplasty not from the part where the nostrils connect to the cheek. Rather, it should be done from the inner part of the nostril. If the incision is made to shrink the nostril on the outer surface of the nose. His scar may be visible. Some surgeons prefer to use a method called weir incision to hide the wound inside the nostril. This technique narrows the base of the nostril. It reduces the length of the nostril wall. And depending on the design of the cuts in the triangular area of the nostril, it makes it smaller.
The right size of the nostrils after surgery is different for each person. This is because the purpose of this operation is to harmonize the new nose with the whole face(So called nose to face). You can calculate the approximate relative width of your nostrils by drawing two imaginary vertical lines from the inner border of each eye down to the outer side of your nose.. The distance between the lines is equal to the width of your nose. The lines that define where the outer borders of your nostrils should be. Shrinking the tip of the nose or bringing the tip of the nose closer to the face often causes. The nostrils should widen towards the cheeks. But weir cutting can reduce this expansion. These methods can also be used to shrink excessively large nostrils.
دکتر مجید راستی
Of nose surgery
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