Natural-looking and Beautiful Nose
Your facial appearance could be changed by augmentation rhinoplasty. By raising the nose though nose surgery, the face will look slimmer. Augmentation rhinoplasty is not only about augmenting the nasal bridge for it to be high but the important point is to keep the facial balance and deciding the height of the nose based on that balance.
Most surgical incisions are made inside the nostrils for the scars not to be seen. Closed rhinoplasty should be performed by well-experienced specialist plastic surgeons due to the limited access to the cartilage and bones of the nose.
With open rhinoplasty, a plastic surgeon can precisely correct each cartilage and bone by making incisions on the nasal bridge and completely exposing the structure of a nose. One of its advantages is that a surgeon can easily see the internal structure of a nose and perform a precise procedure. Open rhinoplasty is generally used for a more precise nose tip correction.
A silicone implant is the most common and long-used implant for rhinoplasty. Silicone implants are not absorbed and do not change in shape over time. In addition, they are easy to manipulate into various shapes according to patients’ facial characteristics.
If the patient’s skin is too thin, an implant may sometimes show through. Proper implants should be used, taking into account the patient’s skin thickness and conditions.
Gore-Tex has been proven to be safe and is widely used during vascular surgery,. As Gore-Tex is softer than silicone, it can be used for those who have thin skin, and looks very natural.
Gore-Tex easily assimilates into facial tissues, and its rarely causes adverse, foreign-body reactions. Its soft texture, however, means it is sometimes difficult to sculpt into the desired shape or facial location. Surgery involving Gore-Tex, therefore, should only be performed by a well-experienced and skilled rhinoplasty specialist.
Silitex is an implant consisting of a frontal part made of silicone and a rear section made of Gore-Tex. It has the advantages of both silicone and Gore-Tex. If the patient has extremely thin skin, autologous fascia or dermis may be added to the front of the implant, to substitute Gore-Tex.
If you are not comfortable with autologous cartilage or afraid of scars or pain, donated cartilages may be used. Donated cartilages are used as a rhinoplasty material after being disinfected and stabilized. Approved by FDA in U.S.A.
Human dermis is processed to prevent rejection reactions. Using donated dermis, we can create a beautiful and natural-looking nose.
A fascia is a sheet surrounding muscles. Fascia used for rhinoplasty are collected from the inside of the scalp above the ears. As surgical incisions are made on the scalp, they are easy to be collected. In addition, surgery using fascia is simple and the scars are not easily seen. Fascia are generally applied to patients with thin skin.
Ear cartilage, the most widely used autologous cartilages, can be collected easily without leaving any scarring. Ear cartilage is generally used for nose-tip augmentation, and sometimes for precise nasal bridge augmentation.
Septal nasal cartilage, collected from the inside of the nostrils, does not require any incisions to collect. As this cartilage is straight, it is used as a nasal bridge support to create a sharp and prominent nose.
When septal nasal cartilage or ear cartilage is insufficient, rib cartilage can be collected and used. Rib cartilage is used to extend a firm and extremely short nose, or a nose that has shrunk or upturned due to the side effects of a previous operation.
JW Plastic Surgery offers special operative techniques to prevent the warping of rib cartilage after a graft, including a ‘concentric carving technique’ and ‘multi-layered graft technique.’
1. Autologous cartilage or a dermofat graft may be used for both acute inflammation, accompanied by swelling, pain, pus, and chronic inflammation, such as a contracture.
2. Autologous cartilage is broken into tiny pieces and covered with fascia. These make good implants for both a first rhinoplasty and revision rhinoplasty.