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Structural Rhinoplasty

What is the structural rhinoplasty?


DR Nhan Thanh Nguyen reported about the structural rhinoplasty surgery at the 7th Technical Scientific Congress  of The Society of  Plastic and Aesthetic Surgery.

In Vietnam, the common rhinoplasty surgery is made by the silicone materials to lift the nose up. Although the silicone materials have improved about quality, however, it is only appropriate for cases having thick nasal skin and  the nose  is not absolutely to improve and lengthen tip. In this procedure, often tissue and nasal tip skin degenerated over time and shield silicone graft will expose clearly, it is easy to identify that having undergone rhinoplasty.

Recently, in order to avoid the disadvantages of rhinoplasty surgery with the pure silicone materials, a new technique has combined with the use of artificial and autogenous  materials to avoid the risk of thinning skin,  and the result is a completely natural looking nose. Dr. Nhan Thanh Nguyen  was one of the pioneers in lifting  the nose into three parts: dorsal, tip and  nasal columella also known as the structural rhinoplasty.

The structural rhinoplasty technique is used in primary rhinoplasty or  revision rhinoplasty because of  thinning tip skin, bad scar or  weak nasal columellar, ect.
 
This new technique include two steps:

The first, the surgeon will take an autogenous tissue, which is often costal and  septal cartilage or Conchal cartilage used for implanting.

The step 2, depend on cases so that the surgeon perform rhinoplasty as follows :
- Using  conchal cartilage or costal cartilage for supporting tip;
- Using septal cartilage, conchal cartilage or costal cartilage for nasal columellar
- Or using Gore-tex (FDA) for supporting dorsal nasion.

If the tissue and skin is thin, materials covered by autologous tissue such as fascia, fat tissue, mesoderm.. to lift nasal tip and dorsal nasion to have a natural beauty. Therefore, after rhinoplasty, is not hard and glossy, cap skin is not thin after a few years as some cases in common rhinoplasty technique.

This technique requires elaborate and deep knowledge, experience and take more time than common technology, but It gives a natural beauty and more safety. Especially, in this technique, the surgeon may change shaping of the holes of nose from the circle into the oval, look very nice. This is an advantage that common rhinoplasty is not easy to perform. In addition, It is the most optimal technique to lengthen tip or support nasal columellar. This surgery trend  more and more is used in Asian countries such as Japan, Korea, Taiwan, the Philippines, Hong Kong, give more the long-term results and stabilities.
 

The skin is thin, redness and short in common rhinoplasty; However, It was reconstructed by the structural rhinoplasty after two years
 

The scar was retracted and  deformed at the nasion tip and was reconstructed by the structural rhinoplasty

Compared with the common rhinoplasty in Vietnam, the structural rhinoplasty has the advantages that the nose is characteristically subtle and natural. It is lifted without  exposing the shield silicone graft and not easy to identify that having undergone rhinoplasty.

DR. NGUYEN THANH NHAN