There are many causes of large noses – mainly cartilage overdevelopment (large skeleton), excessive subcutaneous fat, cartilage dysplasia (flat appearance), and thick skin (e.g. rosacea, poor elasticity).
Changing the size of the big nose is very complicated and needs to be grasped well. Otherwise, excessive removal of nasal wing cartilage may result in nasal wing depression, such as pinching sensation. Excessive excision of subcutaneous fat may disrupt blood circulation and provoke scar growth. If the skin is too thick, it is difficult to thin, and when you encounter a large nose with poor elasticity of the skin of the "turtle shell", even if the soft tissue inside the nose is removed, the outer skin will not go down, which is more troublesome.
The reasons for the formation of a large nose will not be repeated, and today I will look at a case of nose reduction.
Kobayashi's Big Nose Metamorphosis ——
: Preoperative interview
"I think Dean Wang Xubin handled the details of the nose well, which is more suitable for me."
Kobayashi has been plagued by a big nose for many years, has always wanted to change, has been in person with many hospitals, and finally because I saw on Weibo that my nose reduction case was more in line with the natural and non-exaggerated style she wanted, so she came to me for rhinoplasty.
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Doctors are critical, and doctor-patient communication is necessary. In the formal process of the hospital, the responsibility for preoperative education, surgical design, and surgical implementation should have been undertaken by the doctor. But in fact, many beauty seekers are designed by consultants with shallow medical knowledge when they are interviewed, and doctors only see three or two minutes or even not, and it is not uncommon to walk into the operating room to see a doctor.
Intraoperative:
Immediately after surgery
Immediately after the reissuance of Kobayashi's large nose and head reduction surgery.
Preoperative: short nose, low nose bridge, short and hypertrophic nose head, wide nose wings, hypertrophic skin, cartilage dysplasia, nasal tip upswing, slightly facing the sky, insufficient prominence, short and retracted nasal column, depression of the nasal base. The nose is bulky overall and has a poor foundation.
Intraoperative: rib cartilage extension elevates the tip of the nose, and the sculpted swelling pads the root of the nose to the back of the nose. Trim the subcutaneous fat and nasal cartilage moderately, narrow the base of the nasal wing, thin and thicken the flanks of the nose, and fill the small column of the nose and the base of the nasal wing of the expansion.
Postoperative: short nose lengthening, large nose head reduction, nasal wing narrowing, nose-frontal transition natural, nose bridge rising from the ground, diamond nose tip shaping, atrium depression reduced, mouth convexity alleviated.
The nose is reduced to the size of the face, the temperament is bulky and improved, and the nose shape is small and delicate.
Isn't it more stunning? The meat nose head becomes beautiful and straight, the earthy blunt feeling becomes delicate, and the temperament changes more than a little bit
After removing the stitches 7 days after the operation, it was found that there was a deviation in the nose tip, and promised to make 2 free adjustments for the girl after the nasal septum recovered well. Adjust stent morphology and local detail during repair.
Feedback 10 days after repair:
10 days after the operation, the nose is more small and delicate than before the operation, the sense of bulkiness in the face is reduced, the temperament is lighter and profitable, and the female owner is very satisfied.
PS: Thank you to the enthusiastic hostess for sending photo feedback, and thank you for trusting me to adjust it after the first unsatisfactory surgery.
I can't guarantee that every surgery will be perfect, and I can't promise that every surgery will be the same as your "dream nose". However, as long as it is not due to aesthetic changes, the postoperative effect caused by me is too far from the preoperative communication, or the appearance is abnormal, the cost of the 2 adjustments/repairs is borne by me and the hospital. Thank you for your trust.
The reduction of the large nose head is self-evident to the change of people's appearance, but due to the complex cause of the big nose, involving the limitations of cartilage, soft tissue development and skin tension, if the intraoperative prediction is wrong, too much removal will cause nasal deformities such as pinching the nose, crooked nose, etc., so the nose reduction has always been a difficult point in rhinoplasty, it seems to be a subtraction operation, in fact, it is very difficult to test whether the doctor's nose treatment experience is rich.
By the way, it is still necessary to remind the big nose beauty seekers to lower their expectations in time, after all, surgery is not magic.