2019년 7월 25일 목요일

Correction of Hump nose cosidering facial balance

Nasal hump is caused by out-grown nasal bone and cartilage.

Therefore, Nasal hump nose correction is frequently regarded as a reduction surgery.

However, when nose has a nasal hump, it can make look old and obstinate.

So, the hump nose correction must consider of facial balance.


1) 3D-CT analyzing


To precisly correct and remove the nasal hump, it is important to analyze the nasal bone and cartilage before surgery.

Hanabi rhinoplasty clinic analyzes the nasal inside using 3D-CT


2) Nasal hump removal


Hanabi precisyly removes the nasal bone and cartilage that form a hump.


3) Osteotomy


After removal of nasal bump, nasal bridge can look flat and wide.

In this case, can make nasal bridge narrow and higher using osteotomy.


4) Nasal bridge augmentation

If want to make nasal bridge more higher, can consider of nasal augmentation using implant or autologous materials. 



5) Nasal tip plasty

Hump nose has not only about bulged nasal bridge, but also has a droopy nasal tip.

In this case, need to do nasal tip plasty using autologous materials.

"And the line from nasal bridge to nasal tip must be balanced and beauty."



Thank you for reading this article.




2019년 7월 11일 목요일

Droopy nasal tip correction

What is droopy nasal tip?

A droopy nasal tip is when the tip of the nose points downwards.

There are many cases of droopy looking tips when smiling and short looking philtrum.

Droopy nasal tip gives aged facial impression or make the face look long.


Causes of droopy nasal tip

1) The nasal tip supports becomes weaker.

2) The nasal tip grows to downwards.

3) Then nasal tip plasty using weak septal cartilage.


Correction of droopy nasal tip

1) Analyze nasal tip structure using 3D-CT



2) Using nasal septum cartilage, strengthen and lift up a droopy nasal tip.




3) If strength is not enough, add ear cartilage to nasal support.





4) Consider Ideal angle from nasal tip to upper-lips.





5) In a case of revision, cartilage amount is not enough. In this case, rib cartilage recommended.





Rib cartilage is autologous material and is hard enough to overcome the tension, and its amount is enough.


Hanabi's droopy nasal tip correction.


Thank you for reading this article.

www.hanabiclinic.com

2019년 7월 3일 수요일

Nasal permanent filler removal

Nasal filler injection is a good method to give the result simply without surgery.

However, when side-effect occurs, it can cause a serious problem.


Permanent filler complication treatment

When side-effect ocurred by permanent filler (ex, polyacrylamide hydrogel, Aquamid), it is important to remove filler, granuloma, and scar tissue completely with surgical method.


1) Remove most of filler (over 95%) using surgical method.



2) Restore height and shape of nasal bridge using dermis.

If nasal skin has changed to thin, autologous dermis or donated dermis can be a good material.


3) Restore of nasal tip using autologous septal cartilage and ear cartilage. 


Thank you for reading this article.