Autologous cartilage rhinoplasty is a type of rhinoplasty that uses cartilage tissue from the human body to achieve a rhinoplasty effect. Autologous cartilage is hard and flexible, does not require a large number of blood vessels to nourish, and the loss of a part of it will not bring significant loss of function, so it has become an important source of autologous rhinoplasty materials.

Jiang Chunjiao was lying on the operating table, and before anesthesia, she still asked with a trace of worry: "Doctor Ruan, is my nose really as beautiful as you said yesterday after the repair?"

"Miss Jiang, don't worry, the nose I designed for you is definitely the most in line with your melon seed face shape and your facial features. What you pay attention to is the four cores of pretty, straight, moist, and ! Before you asked to say that the nose is high, in fact, the nose is not necessarily good-looking, and the small and delicate are also beautiful. Your face shape and facial features are suitable for this. I also made the best ratio of the bridge of the nose and the tip of the nose to match the height and erection of your face shape and facial features. The curvature, angle and other scales of the nose skin should be smooth and smooth, so as to be the most rounded, and the whole face should be "natural and harmonious"!" Ruan Bin said.

"Okay, I believe you!" Jiang Chunjiao was stunned for a moment, and only nodded.

The operation has finally begun.

Since the operation could not be sloppy, Ruan Bin personally disinfected his face, and then administered intravenous compound anesthesia; Inject anesthetic medicine in the ears and ribs!

It's the nose, so why do you want to inject anesthetics in these two places?

The reason is very simple, when Jiang Chunjiao's nose is repaired later, she needs to use different cartilage on herself for nose repair, replacing some of the damaged cartilage in her current nose or inlaying.

In fact, for autocartilage rhinoplasty (or repair), three types of cartilage on the human body are generally used: ear cartilage, nasal septal cartilage, and rib cartilage.

Because Jiang Chunjiao's nose underwent a rhinoplasty, a repair and a traumatic injury. The other party's septal cartilage will definitely not work, and it is estimated that it may have to be replaced.

Therefore, Ruan Bin can only use ear cartilage and rib cartilage, in fact, there is no problem with these two types of cartilage.

Anesthesia is effective.

A piece of autologous tissue the size of a fingernail was removed from Jiang Chunjiao's ear, and the ear cartilage graft tissue was compatible and stable. It is integrated with the local tissue healing of the nose and is easy to fix without displacement; There will be no rejection; Autologous cartilage resorption rate is low, and it can survive without blood supply; It is taken from autologous and is easy to obtain. It is easy to sculpt and trim the shape, making it an ideal rhinoplasty material.

Conventional nasal implant materials have a fixed shape (L-shaped) and cannot create a beautiful nose tip, but the use of ear cartilage can achieve the effect of shaping the nose tip. Eliminate nose tip deformation, perforation, etc. The touch is real, you don't have to worry about normal contact with the nose after surgery, you can push the nose tip, and the feel is soft and realistic. The ear cartilage at the back of the ear fossa is used to augment the tip of the nose, the ear cartilage at the back of the ear fossa will regenerate, the appearance will not change, and the wound can be hidden behind the ear and not easy to be found, and the thinness of the ear cartilage is just right for placing on the tip of the nose.

This is one of the reasons why autologous cartilage rhinoplasty charges so much.

Ruan Bin carved this ear cartilage material according to the nose shape of the pre-formulated design requirements!

He carves fast!

It's ready to take shape in 2 minutes!

There is no deviation in the carving, which ensures that it is just right when it is put in! It is the best fit for wound healing and plastic adhesion in the future.

In fact, many rhinoplasty failures are often due to major problems in material carving, such as deviations in carving, insufficient carving and so on. When the material is implanted into the nose, it will be inappropriate, or it will easily cause instability, incompatibility, etc.

In the future, your nose will be out of harmony.

"Shhh...... This carving speed is so fast!"

"The carved material is so exquisite, so delicate, I don't think I can carve this level of material. At this time, several doctors watching from the side were shocked.

It's as accurate as laser engraving!

Next, it's time to take the cartilage from the ribs.

In addition to the characteristics of convenient materials and wide application, the transparent cartilage represented by the rib cartilage also has the advantages of safety and natural effect. In the process of raising a low flat nose tip to a "pretty" state, the nose tip skin will bear a lot of tension, and no foreign material can guarantee the safety of the nose tip skin in this tension, but only its own cartilage, because it is completely consistent with the body material to ensure that the nose tip is safely raised.

The appearance of the human body is revealed, and it is also the manifestation of the hard tissue represented by bone and cartilage covered by soft tissue, and the cartilage removed from itself is implanted into the nose tip, which can better express the natural form of the nose tip.

After a nose like Jiang Chunjiao has suffered several heavy injuries, it is true that large cartilage is needed to repair it.

This rib cartilage is the best place to get it.

To solve the difficult rhinoplasty and repair, more "parts" are needed, as another representative of hyaline cartilage, costal cartilage has a large number of sources, reliable texture, and safe material extraction methods.

Moreover, it is the "ultimate weapon" for all kinds of congenital nasal deformities that are more difficult, and acquired nasal deformities caused by trauma or surgery.

Ruan Bin took three pieces of material from the ribs in one go, and then continued to carve them.

Ten minutes later, all three materials were carved.

Once the materials needed for the repair are obtained, the surgery really begins.

He injected anesthetic into the tip of Jiang Chunjiao's nose, the back of the nose and the columella, made a bird incision on the inside of the nostrils, and then separated the dorsum of the nose.

Jiang Chunjiao's nose had to be repaired, the wings of her nose had to be thinned, the bridge of her nose had to be heavily cushioned, and the root of her nose had to be cushioned.

"My God, the fascia inside has been damaged to this extent, if the cartilage is implanted, rejection and displacement will definitely occur!"

"I'll just say, even if your material is carved perfectly, the fascia is so badly damaged that it is impossible to repair it again. Displacement will definitely occur, and once it is displaced, the operation will be a failure in the future. When the doctors saw this, they were all thinking.

They want to see how Ruan Bin solves it!

"Repair the fascia first!" Ruan Bin plans to use superficial temporal fascia transplantation! In particular, the skin on the bridge of Jiang Chunjiao's nose is very thin and the fascia is damaged, so it is most suitable to take the temporal muscle fascia and implant it.

As for repairing the fascia, although Ruan Bin has a pair of hands, some of the damage to the fascia is irreversible, even if his suturing skills are irreversible. The fascia in the rest of her nose can be repaired, but the fascia on the bridge of her nose cannot, so she can only use a superficial temporal fascia transplant!

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