"I want to shorten my nose" - this phrase must have been heard in their practice by everyone, even a beginner, plastic surgeon. Reducing the length of the nose is one of the most common reasons patients seek plastic surgery. It would seem that the technique for performing the operation is quite simple: remove the excess and that's it. But the features of the structure of the nose are such that any rhinoplasty requires a high competence of the plastic surgeon and precise knowledge about the features of the structure of the nose and the technique for reducing the length of the nose. It is possible to ensure a reduction in the length of the nose by resection of certain sections of the nose and the application of special sutures. Read more about the rhinoplasty technique to reduce the length of the nose in estet-portal.com.
What prevents the tip of the nose from rotating upwards with a decrease in the length of the nose
When performing rhinoplasty, the reduction of the length of the nose is achieved by shortening the distance between the tip of the nose and the root of the nose. This shortening of the distance inevitably leads to the fact that the tip of the nose rises up. The following elements can prevent the upward rotation of the tip of the nose:
- fusions of the upper lateral cartilages with the lateral crura;
- high location of the fulcrum of the lateral crus on the edge of the piriform opening;
- a condition where the caudal septum protrudes excessively forward;
- long upper lateral cartilages;
- high angle of the nasal septum;
- skin fusions with nasal bones, upper lateral cartilages and lateral crura.
Rhinoplasty technique to reduce the length of the nose
The rhinoplasty technique for reducing the length of the nose is closely related to the factors mentioned above. After cephalic resections of the lateral crura, the caudal nasal septum is shortened between the middle and anterior septal angles. Next, a suture is applied, which pulls the medial legs to the partitions and fixes the result of rhinoplasty. If it is necessary to perform a more pronounced reduction in the length of the nose, the distal part of the quadrangular cartilage is truncated, starting from the posterior corner of the nasal septum. The tip of the nose is modeled with sutures that tighten the domes and stabilize, depending on the shape of the tip of the nose.
How to rotate the tip of the nose up after rhinoplasty
Upward rotation of the nose tip after rhinoplasty to reduce the length of the nose is performed using a technique that depends on the shape of the nose tip. If the tip of the nose is «dependent» the cephalic portion of the lateral pedicle is excised, a triangular fragment is excised from the caudal septum, and the columella is sutured to the nasal septum. If the tip of the nose is "hanging" through open access, the nasal septum is exposed, the back of the nose is aligned and the graft is sutured into the columella, then the issue of the graft or sutures of the tip of the nose is decided and a special suture is applied to ensure rotation of the tip of the nose. When "hanging" the tip of the nose with open access decreases its volume,
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