Cleft lip and nose repair doctors, like the patient's family, hope that the child can get excellent results after the cleft lip repair surgery at a young age, but it always backfires.
As the patient's friends grow, there will always be secondary deformities in the nasolabial area, among which the incidence of nasal deformities is higher.
According to the characteristics and anatomical basis of unilateral cleft lip nasal deformity, the core of nasal deformity repair after cleft lip surgery is the release, shaping and reduction of alar cartilage, as well as the adjustment of the position of the alar base.
In the repair surgery of nasal deformity, we will use a comprehensive correction method to correct the misaligned alar cartilage, adjust the position of the alar base and the size of the nostrils, and this surgical method can simultaneously correct the deformities such as insufficient protrusion/absence of nasal tip, alar collapse, asymmetrical nostril morphology, depressed skin on the back of the alar nasus, short columella on the affected side, and deviation of the columella.
Most of the nasal deformity surgeries require the help of cartilage material to help correct them, so the surgery is performed under general anesthesia.
Incision is made from the inside of the alar and the bottom of the columella to fully expose the bilateral alar cartilage, and most of the alar cartilage on the affected side is separated from the skin and mucosa, the medial foot is fully separated and cut off, lifted up and sutured with the contralateral alar cartilage, and the carved cartilage is placed on the dorsum of the nose, the alar and the columella for shaping;
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In addition, it is also necessary to consider a situation, that is, if the alar cartilage on the unaffected side is weak, the support is insufficient, or the patient wants to meet the requirements of a higher level of plastic surgery, it is necessary to suspend the alar cartilage on the unaffected side appropriately, and at the same time use the ear cartilage to reshape the nasal tip to make the nostrils on both sides symmetrical and more natural and beautiful.
In order to maintain the effect of the surgery for a long time, nostril support should be done before the suture removal, and it is recommended to continue to wear the silicone nasal brace for 3-6 months after the suture removal to prevent the nasal alar from collapsing again.
Cleft lip nasal deformity repair surgery can play a role in elevating the back of the nose, reshaping the nasal tip, lengthening the columella, suspending the alar and adducting the alar of the nose, so that the shape of the nostrils on both sides is symmetrical, the nose is relatively high and small, and the nose is beautiful. However, this revision surgery has high technical and aesthetic requirements for doctors, so it is recommended that you carefully choose a doctor before surgery.