Rhinoplasty

Compared with Westerners, most Asians have flat facial features and a bulbous nose, with the cartilage less supportive. As a result, rhinoplasty is one of the common operations in the Asian countries.

Surgical indications

• Congenital or acquired nasal deformity.
• Trauma, appearance or functional problems.
• Coordination measures for facial sculpting.

Materials

Artificial bone material

• Chimera nasal implant: Chimera is made of silicone coated with Gore-tex, which can make the tissue more compatible and compact.
• Gore-Tex polytetrafluoroethylene (PTFE): Gore-tex has been used as the material of artificial blood vessels for many years. After implantation, the new tissue will grow into the gap of Goretex tissue, and it will closely fit into the tissue, with high compatibility with the human body and good stability.

Autologous tissue

• Autologous fascia transplantation: Autologous temporal fascia transplantation can be used alone or in combination with the artificial nasal bone.
• Septal nasal cartilage: It can lengthen the nose and make the nasal tip higher.
• Ear cartilage: The cartilage is taken behind the ear to extend the line of the nasal tip for tip refinement.
• Costal cartilage: It can lengthen the line of the nose, but there is a visible scar on the boundary between the breasts and abdomen, and is more painful after surgery.
• Autologous dermis: An appropriate dermal tissue is removed from the intergluteal cleft or the groin and implanted into the nose after a doctor has trimmed it to fit the patient's nose.

Surgical methods

• Open rhinoplasty
• Closed rhinoplasty

Pre-operative Instructions

• Medication & Supplements: Stop taking anticoagulant medications (such as Aspirin) one week prior to rhinoplasty. Please inform your surgeon if you are currently taking any. For 1-2 weeks post-surgery, avoid nutritional supplements (such as Antrodia camphorata, Ginkgo biloba, Vitamin E, fish oil, etc.) and reduce intake of blood-flow-promoting foods like Ginseng.
• GLP-1 Agonists: If you are using weight-loss injections (e.g., "skinny needles"), please discontinue use for one week before surgery.

Post-operative Instructions

• Wound Care
• Icing: Ice packing can be performed during the first week after surgery. Apply for 20 minutes followed by a 30-minute rest. Place the ice pack on the sides of the bridge of the nose, around the eyes, and on the forehead; avoid direct contact with the nasal tip and the surgical wound.
• Cleaning: Avoid contact with tap water before the stitches are removed to prevent infection. You will be prescribed antibiotic ointment. Clean the wound with sterile cotton swabs and normal saline, then apply the anti-inflammatory ointment twice daily (morning and evening).
• Home Care
• Sleeping Position: Sleep with your head elevated on pillows to reduce swelling. Avoid sleeping on your side or stomach to prevent accidental impact on the nose.
• Activity Restrictions: For the first two weeks, do not lift heavy objects or engage in tasks that require bending over or lowering your head.
• Sneezing & Hygiene: If you need to sneeze, lightly cover your nostrils and sneeze through your mouth. Do not blow your nose forcefully or pick your nose.
• Eyewear: Do not wear framed glasses for one month after surgery to avoid applying pressure to the nasal bridge, which may affect the final shape. Contact lenses are recommended instead.
• Lifestyle & Diet: Take all prescribed medications on time. Avoid tobacco, alcohol, coffee, spicy foods, and tea. Do not stay up late; avoid smoking and secondhand smoke.
• Rib Cartilage Harvest: If autologous rib cartilage was harvested and you experience any shortness of breath or difficulty breathing, please return to the clinic immediately.