Dr. Tang Yuxiang (Shanghai Rhinoplasty)

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First give a direct answer. Nose contracture is a serious complication of excessive hyperplasia and contraction of nasal scars after rhinoplasty, which "shortens, stiffens, and warps the tip of the nose". It will not recover on its own. Mild contractures can be controlled and observed first, but medium to severe contractures that are significantly shortened, hardened, and exposed nostrils usually require removal of the original prosthesis, complete release of the scar, and reconstruction of the nose support and length with autologous cartilage (mostly costal cartilage). Repair requires complete stabilization of nasal inflammation (generally more than 6 months), and requires high experience of the surgeon. First, what is contracture nasal contracture The nose is the result of excessive contraction of the soft tissue and scars of the nose. The typical manifestations are that the nose is getting shorter, the tip of the nose is upturned ("facing the sky"), the back of the nose is stiff, the nostrils are more exposed, the touch is stiff, and the mobility is poor. It is common after prosthetic rhinoplasty, especially...

First give a direct answer to whether the crooked nose can be repaired after rhinoplasty. The key is to distinguish the cause: if the prosthesis is displaced or the engraving is placed deflected, the position of the prosthesis needs to be readjusted or replaced; if the autologous cartilage power is unbalanced or the nasal septum is deviated, the nasal support structure needs to be rebuilt. Slight deflection in the early stage of surgery (within 1 - 3 weeks) can be observed first, and most of the swelling subsides and improves; if it is still obviously crooked after stabilization, it usually needs to wait for the nose to fully recover (usually more than 6 months) before secondary repair. First, the common cause of postoperative crooked nose "the nose is crooked" has different reasons, and the repair ideas are also completely different. Common causes include: Prosthesis displacement: improper peeling of the cavity, too large and too long prosthesis or external force collision after surgery, resulting in the prosthesis being biased to one side. Prosthesis engraving/placement deflection: The prosthesis itself is engraved asymmetrically...

Give a direct answer first Prosthetic capsular contracture is the excessive thickening and contraction of the fibrous capsules formed by the body around the prosthesis, resulting in hard nose, upward movement of the prosthesis, deformation of the tip of the nose and even pain. Mild (hard but acceptable appearance) can be observed and followed up first; obvious deformation, stiffness and pain are moderate to severe, usually requiring surgery to release or remove the capsules, remove or replace the prosthesis, and give priority to reconstruction of materials with better compatibility such as autologous cartilage. It will not subside on its own, and the more you drag the contracture, the tighter it becomes. First, what is prosthetic capsular contracture After implantation of the prosthesis, the human body will naturally form a layer of "capsules" around the prosthesis to wrap it, which is a normal foreign body reaction. Most people's capsules are soft and do not affect their appearance; but when the capsules overmultiply and contract and tighten, it will be like a hand gripping the prosthesis tighter and tighter, forming capsular contractures, which are manifested as a hard nose, displacement of the prosthesis, and...

Give a direct answer first. Once a rhinoplasty infection has persistent redness, swelling, jumping pain, pus, fever or exposed prosthesis, it is a medical emergency. You should see a doctor as soon as possible and do not pick it up by yourself or apply a hot compress. Mild early infections can be controlled with antibiotics under the guidance of a doctor; once an abscess cavity or prosthetic infection forms, it is usually necessary to remove the prosthesis, completely debridement, and evaluate the secondary repair after the tissue has fully recovered (usually 3 - 6 months). The key to saving the nose is "early identification and early medical treatment". First, how does rhinoplasty infection occur? Infection is a serious but not uncommon complication of rhinoplasty. It usually appears within 1 - 2 weeks after surgery, and there are also delayed infections caused by induced onset of prosthetic rhinoplasty months or even years later. Common causes include: Intraoperative aseptic operation or substandard environment: Sterilization of the operating room, sterile instruments, and inadequate operation specifications. Prosthesis or cavity...

Give a direct answer first. The core of nose repair is "save the skin first, then build the bracket": redness and thinning of the skin indicate that the soft tissue is in danger of compression, and decompression must be given priority; morphological problems are solved by reconstructing the nasal tip cartilage scaffold (nasal column support rod, fornix suture, shield graft, etc.). The routine repair opportunity is more than 6 months after the last operation. The tip of the nose is the most delicate part of rhinoplasty. The repair plan needs to be determined after face-to-face consultation by professional physicians with rhinoplasty experience such as Dr. Tang Yuxiang. First, the common type of damaged nose The tip of the nose is jointly determined by the cartilage scaffold + soft tissue skin. Failure usually occurs in these two layers. Common types are as follows: Typical manifestations of failure types Common reasons Repair ideas Nose tip is skewed and the nose is tilted to one side, nostril asymmetrical stent is unstable, cartilage displacement removal and reconstruction of symmetrical stent Nose is too pointed and too upturned "Avatar nose", dummy sense shift...

First, give a direct answer to the three iron rules for failed repair of rhinoplasty: first, distinguish the type of failure (morphological problem, prosthetic problem or infection contracture); second, grasp the timing - in addition to the infection that needs to be dealt with as soon as possible, routine repair should wait for the first postoperative 6 - 12 months before tissue stability; third, repair of autologous cartilage reconstruction scaffold is preferred, and the difficulty increases with the number of repairs, and the most experienced plan should be reserved for the "second time". The specific repair path needs to be determined after face-to-face evaluation by professional physicians with rhinoplasty experience such as Dr. Tang Yuxiang. First, what are the manifestations of rhinoplasty failure: "Dissatisfaction" does not mean "failure" first. The swelling and slight asymmetry within 3 months after surgery are mostly part of the recovery process; while the following situations are the real problems that need to be evaluated for repair: Type of failure Typical manifestations The degree of urgency corresponds to the abnormal position of the thematic prosthesis. Prosthesis skew, displacement, contour...

To give a direct answer: the core of upturned nose correction is "extension + downward rotation": using a cartilage scaffold such as a nasal septum extension graft to lengthen the overly short nose and rotate the upturned tip downward, returning the nasolabial angle to its natural range. Hyaluronic acid and thread lifting cannot truly lengthen the nose; moderate to severe upturned noses can only be corrected with cartilage scaffold surgery. The exact lengthening degree requires a face-to-face consultation by Dr. Tang Yuxiang and other specialists, combined with skin tension assessment. 1. What is an upturned nose: Three self-test standards The upturned nose (upturned nose / short nose) refers to a nose shape with excessive upward rotation of the nose tip, exposed nostrils facing forward and upward, and insufficient nasal dorsum length. You can compare these with three indicators for self-assessment: excessive nasolabial angle: the angle between the nasal columella and the upper lip is significantly greater than 105° (ideal for women: about 95°–105°, for men about 90°–9...

First, a direct answer The essence of saddle nose correction is "reconstructing the scaffold": mild saddle nose can be raised with prosthesis or cartilage to raise the nasal dorsum; moderate to severe saddle nose requires first repairing the collapsed nasal septum support, then reconstructing the nasal dorsum height with rib cartilage and other materials. Placing only one prosthesis at the collapsed site without addressing the support issue can lead to prosthesis displacement, light transmission, or even further collapse in the long term. The plan must be evaluated by Dr. Tang Yuxiang and other specialists before finalization. 1. What is a saddle nose: saddle nose is not just a saddle bridge — a saddle nose refers to a noticeable depression in the middle of the bridge (mainly cartilage nasal dorsum), with a saddle nose deformity resembling a saddle nose, often accompanied by an upturned nasal tip, forward-pointing nostrils, and a shorter nose. Its difference from the ordinary "low nasal bridge" is: a low nose has insufficient overall height but smooth lines, while a saddle nose has a collapsed middle section with damaged supporting structure. Common causes are congenital developmental: nasal bone and nasal bone...