Using an ear cartilage, we can extend the alar cartilage.
Hybrid septal Extension Graft
For those who have extremely small septal nasal cartilages, we perform this procedure using septal nasal cartilages, ear cartilages, and donated costal cartilages, in order to extend their nose length.
The noses of Asians are smaller, and their nasal tip skin is thicker than those of Westerners. Moreover, in the Asian nose, the tip projection is poor and the tip-deﬁning point is obtuse. To obtain sufﬁcient nasal tip projection, structural supporting grafts such as the columellar strut graft or septal extension graft are required in most Asians.
Publications relating to Rein-shaped columellar strut graft, by Dr. Man Koon Suh:
If the patient has a short nose and his/her alar are sunken upward
We perform septal extension graft and nostril lowering at the same time.
Re-positioning of Alar Cartilage
Autologous Cartilage Graft
Cautions Before Rhinoplasty
You must stop taking medications that interfere with hemostasis (oral contraceptive pills, hormone drugs, vitamin E, aspirin, etc.) at least two weeks before an operation. If you are currently receiving treatment for high blood pressure, heart disease, diabetes, or thyroid disease, you must inform your doctor or consultant in advance.
Cigarettes may cause phlegm, sneezing, or bleeding after an operation. We strongly recommend that you stop smoking for two weeks before an operation. A serious cold may reduce your trachea and respiratory functions. Please inform your consultant or doctor in advance if you happen to be suffering from a serious cold on the day of surgery.
Before you come to the hospital, you must remove makeup, contact lenses, any accessories, nail polish, and pedicure on the day of surgery.
You must stop eating any food at least four hours before an operation.
We recommend you to wear comfortable clothes, which will not irritate the surgical sites, a mask, a cap, and sunglasses. In addition, we advise you to come with a guardian or use public transportation.
Placing the surgical sites on a higher position than your heart helps to reduce swelling.
Apply an ice pack on the surgical site for the first two or three days.
Avoid severe friction and acupressure massage around the surgical sites for at least one month after an operation. Use a sauna or take a hot bath at least one month later.
Refrain from smoking or drinking, which may delay your recovery, for at least four weeks after an operation.
You may engage in some light exercise such as a walk right after an operation. However, you must refrain from heavy exercise such as aerobics, tennis, and swimming, for at least three to four weeks after an operation.