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by tanjhj » Sun, 12 Nov 2006 7:18 am
FRom Dr Jung WEbsite:
Operation Methods and Materials
Preparation before operation
There is a brief pre-operation examination. It is necessary to take pictures both before and after operation. The pictures of before operation is necessary to have a good result through various analysis, and that of after operation is for reviewing the result in the points of what a patient expected and what a doctor recommended.
Operation methods
There are two operation methods: one is to perform the operation through inside of nose and the other is to perform the operation through opening nose from outside. There are pros and cons in both methods. Inside approach is quite simple but it is difficult to achieve complete correction. Out side approach takes longer time and may leave scars but complete correction can be possible. It is the most critical for patients to be beautiful. Therefore it is global trend to perform the operation through opening nose from outside. In the US, the inside approach used to be a major operation method for many years ago but currently outside approach takes 80% of nasal cosmetic surgery. I would like to recommend outside approach for complete correction for oriental people whose skin is thick.
Operation material
Two materials have been commonly used to raise nose: one is artificial material and the other is self-tissue. Silicon, Gore-tex, and Mersilliene are the typical artificial material. Silicon is the most popular in Korea. Silicon is less expensive, easy to handle, but high possibility of side effects and escapement. Gore-tex used to be used for mitral disease and blood vessel reconstruction. Its price is 30 times higher than silicon. It is smooth and natural. But it is difficult to handle by doctors during operations so doctors are not willing to use Gore-tex. It is relatively simple and takes short time but has more side effects if artificial materials are used.
Nose cartilage and muscular membrane of subcutaneous fat can be used as self-tissue. The transformation of self-born transformation is not normally used but it can be used for too flat nose and seriously distracted nose by accidents. The skull, 엉치뼈, rib can also be used as self-bone. Self-cartilage transformation is the most popular. It is relatively easy to harvest tissues without damaging other tissues. It is also less absorbed into tissue than marrow transformation.
Breast cartilage, ear cartilage, and inner nose cartilage have been used as self-cartilage. Breast cartilage is used to raise nose very high, but it can leave scar in breast. Nose cartilage and inner nose cartilage can be used to make the nose line sharp but it may be absorbed. There may be scar from cartilage harvest. There is no ideal material but silicon is getting disappeared in nasal cosmetic surgery in the developed countries such as US and European countries.
Thread will be taken out after 5 days of operation and swelling will almost go down in 3-4 days but it will take about two weeks to subside completely. You may go back to work right away if the operation has been performed by inside nose method but it is recommended to take more than 3 days of vacation in case of outside approaching operation.
There may cause a blood bruise in case of curved or hooked nose and it takes about 2 weeks to disappear. It is recommended to avoid any physical forces to the nose and even your glasses. Exposing sun ray may cause the changes of face color if there is a blood bruise. You need to get examinations on your nose in the first week, the second week, the fourth week, the third months, the sixth month, and the first year after operation sequentially.
The side effects may be caused by infection, the movement of inserted materials, and insufficient correction on curved and hooked nose. Inserted materials have to be removed due to any infections, it is recommended to take an antibiotic pills for one week at minimum. In case of insertion of an artificial material, if the color of the tip of nose changes or it can be felt by hand you need to visit a doctor because it may cause big troubles.
It is required re-operation if both sides of nose look different shape. Skin has been damaged and nasal congestion continues, it is recommended that reconstruction should be performed after six months of the original operation. It is statistically announced that 10% of operations requires re-operation. There can be an anesthesia incident even it is rare. Abnormal function of nose sometimes causes irreversible changes of nose, so it is necessary to discuss it with doctors.
There are so many people who have negative opinion on the nasal cosmetic surgery. If the person who has normal and beautiful nose wants to have a nasal cosmetic surgery in order to become even more beautiful, the person should be blamed. However it will be blessing if the person who has abnormal nose can live with self- confidence on the nose through nasal cosmetic surgery.
The Korea nasal cosmetic surgery has not been developed because of some negative attitude while the other developed countries such as America and European countries have developed the nasal cosmetic surgery. Recent survey result shows that 5.1% would like to have nasal cosmetic surgery and 1.5% already had the surgery among 20-30 ages in Incheon area. This rate is higher than the number of ozena and allergy patients of ENT.
There were so many side effects because artificial materials have been used in the nasal cosmetic surgery without academic proof. Highest portion of surveyors responded the main reason to make them hesitate to have operation is the side effects and the fear of unsuccessful operation. Like other cosmetic surgery, nasal cosmetic surgery requires specialty on nose. The seminar for nasal cosmetic surgery has been held by Inha Medical Center. This seminar contributes to the development nasal cosmetic surgery academically. Many people who have been suffering from their nose can have benefits from the development of nasal cosmetic surgery. Please do not hesitate to contact us if you are not satisfied with your nose.