Nasal Plastic Surgery Series: Nasal Bone Narrowing Plastic Surgery [Original] Page 5 {To be continued...}

{5 pages}{Nasal Bone Narrowing Rhinoplasty} [[Original] Rhinoplasty Series---& gt; Nasal Bone Narrowing Rhinoplasty - Detailed Explanation of the Series - Nasal Bone Narrowing As a professional doctor dedicated to plastic surgery for a lifetime, what I do is to popularize the understanding of plastic surgery among our countrymen. Plastic surgery itself is not sacred either; it originates from general surgery and falls within its scope. It cannot be separated from some basic skills in surgical common knowledge, while also having some characteristics unique to plastic surgery. Plastic surgery is a外科science that incorporates knowledge from various fields. In the future, plastic surgery will roughly be subdivided into five categories: 1, "traditional plastic surgery" specializing in congenital deformity repair; 2, "reconstructive surgery" specializing in tissue engineering technology; 3, "cosmetic surgery" specializing in beauty-oriented concepts; 4, "burn reconstruction" specializing in post-burn plastic surgery; 5, "dermatologic plastic surgery" specializing in skin and physical mechanics, chemical changes, endocrine, and influencing factors, etc. For now, there are two aspects affecting this field: on one hand, customers idealize and sanctify plastic surgery without fully understanding the surgery itself and their own bodies, causing an information imbalance; on the other hand, doctors, influenced by economic factors, are forced to compete through various channels' promotional campaigns, turning the same plastic surgery into different concepts. These influences result in the final disadvantaged group (customers) not achieving the best psychological and actual ideal effects after their rightful consumption. I hope this series can reveal the mysteries of surgery while also popularizing some common knowledge about surgery, allowing us to treat plastic surgery more rationally. Rhinoplasty mm Nasal bone narrowing rhinoplasty, in rhinoplasty, especially in the field leaning towards cosmetic surgery, there are several propositions regarding the handling of nasal bones. The focus of the debate lies in whether it's worth moving the bones or whether it's worth breaking the nasal bones, or if there are other methods to make the appearance less noticeable without moving the bones. My understanding is: "osteotomy for suitable cases." In the following discussion, we will discuss nasal bone narrowing rhinoplasty, explaining the principles of the surgery, local anatomy, and possible surgical methods. September 2008 hh Plastic Surgeon Gang Zhao Another note: pictures come from real sources; only the truth can last forever. If some netizens cannot accept it mentally, they don't have to continue reading. This series is suitable for those who have undergone surgery and want to learn more, or for people in this industry to study together. Now let's look at how the nasal bones can be brought closer together? Using a small bone chisel from nasal surgery, under the skin covering the nose, cut and break the bone to separate it from the craniofacial bones, then press the separated small bone pieces to the appropriate position. In the figure above (Figure 2), the edges of the nasal bones are marked with red lines. We can compare the relationship between the edges of the nasal bones and the normal bone sutures and notches in the local area (Figure 1 above). A conclusion can be drawn: the nasal bones are not the main reason for the widening of the nasal base. Neither are they the main reason for the widening of the nasal root due to excessive contact with the supraorbital ridge (frontal bone). On the contrary, the cheekbones near the nasal bones are the main reason for the widening of the bony nasal triangle's base. Therefore, during surgery, we need to handle these small bone pieces, bringing them closer together, narrowing the nasal bones, which are not actually the anatomical "nasal bones." In the figure, the blue line marks the area of the cheekbone, which is the primary bone causing the widening of the bony nasal triangle's base. This area includes part of the nasal bone and part of the nearby cheekbone. In rhinoplasty, narrowing the nasal bone involves separating the bones within the blue line area from the craniofacial bones and pushing them to a new position to meet the requirements of rhinoplasty. This bone fragment is very thin, usually only 1 millimeter thick, so osteotomy only requires a very fine bone chisel. We typically perform two osteotomy lines. The first osteotomy line, as shown in the figure, follows the direction of the black arrow for one osteotomy. During osteotomy, we need to use a retractor to lift all the skin covering the surface of the nose, place the fine bone chisel at the blue point (in the figure), and then gently tap multiple times with a hammer, advancing the osteotomy line along the black arrow. Afterwards, we reposition the bone chisel at the edge of the piriform aperture of the nostril, preparing to perform the second osteotomy line along the green arrow. While advancing the osteotomy along the green arrow, gently push the nasal bone inward using the bone chisel. This force causes the bone fragment to break at the position marked by the red jagged line in the figure, sometimes producing a sound. When the red jagged line breaks, the bone fragment becomes completely free and can be fixed to a new position towards the midline. Rhinoplasty Series - Septoplasty Homepage [Original] Plastic Surgeon Gang Zhao [Exclusive] Once beautiful "campus flower," now a famous star in today's entertainment industry (27 images) Female celebrity before and after jaw shaving and bone cutting comparison photos [Image Collection] (Reprint) m does not represent personal views Nose reshaping series - hump removal in rhinoplasty Rhinoplasty series - nasal bone narrowing augmentation rhinoplasty Professional cosmetic plastic surgeon Professional plastic cosmetic surgeon Zhao Gang Breast augmentation | Liposuction | Double eyelid surgery | Liposuction body shaping | Hair transplantation | Scar repair | Superficial tumor | Photon hair removal | Korean double eyelid surgery | Korean eyelash planting | Korean nasal reshaping | Cleft lip and palate repair | Minimally invasive wrinkle removal | Hair transplant | Scar surgery | Autologous fat filling | Macromastia reduction | Male genital reshaping | Korean facial reshaping | Slimming face | Chin augmentation | Female intimate area reshaping | Hymen reconstruction | Plastic surgeon Zhao Gang | Beijing plastic surgery | Plastic surgery | Any questions about beauty, plastic surgery can be consulted. Plastic surgery consultation QQ: 100000139 http://Www.XiaheJiao.com email: [email protected] MSN: [email protected] Http://blog.sina.com.cn/zhaogang Plastic surgeon Zhao Gang Nasal septum deviation rhinoplasty otolaryngology Beijing beautification nasal reshaping Beijing plastic surgery nose reshaping rhinoplasty nose reshaping nasal reshaping Beijing plastic surgery Beijing beautification comprehensive nasal reshaping nasal septum deviation rhinoplasty otolaryngology