Non-implant surgery is hot, but after going to 10 hospitals and getting tested, the conclusion is that the tip of the nose is autologous cartilage (septum, ears, ribs) and the bridge is silicone. I can see why silicone has been the most used product for plastic surgery for the past 20 or 30 years, and although it has problems such as inflammation and contracture and Gore-Tex, it is back to silicone.
Instead of silicone, there are autologous costal cartilage, autologous dermis (buttocks), septal cartilage, donated dermis, donated costal cartilage, and costal particle plastic surgery.
However, I realized that although these have advantages, they have terrible disadvantages. The biggest disadvantage of these is 'absorption'. There is no problem for 3 years right now. The problem is when it has been 5 or 10 years.
<Problems with autologous dermis rhinoplasty>
- The bridge of the nose is flabby.
- The bridge of the nose can become bumpy.
- There can be bending and asymmetry.
- It is ugly during the early Avatar period.
- The absorption rate varies greatly. 50~100%. Usually more than 90% is absorbed.
- It may turn red (skin redness).
- There is a possibility of inflammation.
- The pores of the nose skin may expand.
- Excessive sebum secretion symptoms may occur.
- Blackheads may form.
- Dark circles may form due to overcorrection. - Scars
are left on the buttocks.
In particular, the dermis continues to be absorbed until it is actually absorbed into the nose and eventually returns to the state before surgery. It is absorbed in a bumpy way during the process. It cannot be removed in the middle. In addition, the surgical cost, surgical time, and buttock scar are extras.
In the case of costal cartilage nose bridge, absorption + warping (bending) are also big problems. In particular, bending is a very big problem. In addition, the surgical cost, surgical time, and chest scar are extras.
The advantages are
1. Since it uses autologous costal cartilage, which is an autologous tissue, it has good survival rate and low risk of side effects such as inflammation/construction,
and 2. Since the harvested costal cartilage can be used for both the bridge of the nose and the tip of the nose, there is no need to separately harvest the nasal septum or ear cartilage to be used for the tip of the nose.
The disadvantages are
1. A scar remains on the chest,
2. The costal cartilage attached to the ribs is lost,
3. To insert costal cartilage into the bridge of the nose, a long costal cartilage is needed, but since long costal cartilage is not readily available, there are limitations in raising the bridge of the nose, and
4. Costal cartilage can bend (warping phenomenon) or be absorbed inside the nose
5. It is difficult to make the nose bridge smooth and uniform like when using silicone
6. General anesthesia is required because costal cartilage harvesting/processing is required, the surgery time is longer, and the surgery fee is more expensive
7. Costal cartilage can adhere to the skin of the nose bridge and become bumpy
8. It is difficult to sculpt because it is hard.
Lastly, there is a costal particle nose bridge to improve warping.
This is a method of injecting
finely ground costal cartilage
into the nose bridge with a syringe, but the disadvantages are
- it is absorbed to some extent, the exact amount of absorption cannot be predicted, and the absorption can occur unevenly (i.e., the nose bridge can become bumpy). (Although it is less than autologous rib rhinoplasty), there may be warping, the shape is less pretty than when silicone is used, costal cartilage is lost, scars remain on the chest, and the surgery is expensive. For these reasons, it is not a common method, and there are currently only a handful of hospitals in the country that use this method.
Reference:
https://m.blog.naver.com/PostView.naver?blogId=drseosw&logNo=220890932708&proxyReferer=https:%2F%2Fm.blog.naver.com%2FPostView.naver%3FisHttpsRedirect%3Dtrue%26blogId%3Dstranger6112%26logNo%3D221189131855 However, despite these drawbacks, people who have reoperation because silicone inflammation occurs and has to be removed have no choice but to use autologous cartilage on the nose bridge. However, I think it is not recommended to use autologous cartilage instead of silicone on the bridge of the nose even though it is the first surgery.
I think the probability of absorption and reoperation is higher than that of contracture due to silicone inflammation (1%). Above all, since you lose your own cartilage, you have no choice but to use donation in the reoperation. So when using non-implant materials on the bridge of the nose for public interest purposes, it is very important to think carefully and especially not to use dermis.
님
[코성형] 
코코
