Hong Ngan, 29 years old in Hanoi, has a small body, elongated face, but she is always confident because of her flat nose. Due to a lot of communication work, 4 years ago, Ngan started to learn about rhinoplasty and decided to have silicone rhinoplasty surgery at a famous salon.

When finished, Ngan nose was quite high and elegant, but a few months later, the right nostril gradually shrank and then shifted completely to one side. She returned to “warranty” at the salon, had the surgery again, but the result was only maintained for more than a year and then the deviation was still flawed.

Then Ngan went to repair the nose at 2 other facilities, using more coronary cartilage, septal cartilage, artificial cartilage … but were ineffective.

Mui Ngan after 4 times of lifting and repairing but still deviated

Recently, she visited the Department of Plastic and Plastic Surgery, Vietnam Hospital – Cu Ba Hanoi to examine and consult.

MSc. Nguyen Duy Huan said, Ngan is among over 10% of the population with congenital rhinoplasty, but 4 previous surgeries, doctors did not find out. In these cases, if the nose is only raised, a short time later will be skewed, even causing difficulty breathing.

Because the patient’s nose has been corrected too many times, the curvature of the septum, the nose axis and the tip of the nose are all deviated, so using only silicon or ear cartilage can not completely overcome.

Image of young girl after retouching her nose

Therefore, Dr. Huan had to chisel the bones on both sides, form a new bone bond, then combine using rib cartilage to erect the nasal pillar and tip, reconstruct the septum, use silicon to push the bridge of the nose higher. The surgery lasted 3 hours. Currently, after more than 1 month of surgery, Ngan’s nose is back in balance.

Dr. Huan shared, the patient was taken 6cm of rib cartilage number 6, right the right breast line. Then the cartilage is cut into thin slices, grafted to the nasal pillar, the tip of the nose. Due to the material transplant itself, the patient does not worry about rejection.

Which rhinoplasty material is optimal?

According to Dr. Huan, Asians in general have a short nose, flat nose, wide nose wings. Therefore, many people look to plastic surgery to correct the tall, more elegant nose, and the nose tip is more fluttering.

Usually, to lift the nose, depending on experience, doctors can choose artificial cartilage (silicon, ePTFE, medpor) or autologous cartilage (coronary cartilage, rib cartilage, dermis). The most common is the use of man-made materials, but it can be eliminated or shrink over time. When having to repair it will be very difficult to look beautiful, in case the tip of the nose is exposed or infected, it will leave a scar that is difficult to repair.

Dr. Huan performed rhinoplasty for the patient

To make the tip of the nose tall and long, 10 years ago, doctors started using nasal septum cartilage to extend the tip of the nose, but Vietnamese and Asians in general have weak and little septal cartilage, so it is not enough to help. the tip of the nose is slimmer.

From 2015 onwards, this method has been rarely used. Then doctors in Korea, Japan and some European countries use rib cartilage (usually take the rib cartilage number 6 -7) instead.

“Since ancient times, doctors cut the rib cartilage and transplant it on the bridge of the nose, while the rib cartilage needs to be fed through vascular osmosis, so this method is ineffective, the aesthetics is not high due to warping. Over time, the current rib cartilage slicing techniques have been very ingenious, thin slices, which can be grafted into nasal pillars, septum, and tip and used in combination with other materials, so the efficiency is very high ”, Dr. Huan shared.

The image of rib cartilage is sliced ​​thin, then it will be trimmed to suit the nose shape of each patient before transplanting.

Depending on the patient, can take from 4-6cm rib cartilage. The skin incision at the site of the rib cartilage is very short, about 2-3cm, if the scar is taken care of, it is very fuzzy, so the patient does not need to worry about aesthetics. In particular, rib cartilage is a material in itself, so it is not worried about being eliminated over time. The loss of cartilage is very short, so it does not affect the health and movement of the patient.

According to Dr. Huan, the method of using rib cartilage is especially suitable for patients with deformed nose due to malformation of cleft palate, cleft palate, deformed after trauma, nose shrinkage due to complications of multiple rhinoplasty or infection. sore nose …

Dr. Huan shared, each material has its own advantages and disadvantages, in rhinoplasty there are 6 groups, depending on the shape of the nose, the wishes of the patient, the doctor will choose the combination of materials for optimal efficiency. Best:

Group 1: Those who already have a high nasal bridge, who want the tip of the nose to be longer, can just lift the tip of the nose with the coronary cartilage.

Group 2: The patient has a low nose shape, using a nasal lift using artificial cartilage made of silicon or gore-tex (material from e-PTFE resin, softer than silicon), combined with covering the tip of the nose with autologous cartilage (ear cartilage , temporal balance, fat mesoderm).

Group 3: Using artificial cartilage (silicon / ePTFE) to lift the bridge of the nose, the tip of the nose uses artificial mesoderm material (alloderm / megaderm).

Group 4: Must intervene in the septum using TnR Mesh material (is a biodegradable polyester) or Medpor, used in combination with artificial cartilage lift (silicone or gore-tex).

Group 5: Using artificial cartilage to lift the bridge of the nose (silicone, gore-text), combined with rib cartilage to make the septum and tip of the nose.

Group 6: Use whole cartilage itself, rib cartilage or a combination of fatty mesoderm and rib cartilage.

Dr. Huan warned, capturing the beauty of many women, there are many spas, hairdressers also advertise nose lift.

“Because the workers do not have surgery expertise, they often make the wrong incision, there is a straight incision in the tip of the nose or the incision on the nasal cylinder, making the post-implant material exposed”, Dr. Huan shared.

Exposed filler material causes scarring of the nose difficult to fix

Necrotic necrosis (left photo) and wrong incision indicated

In addition, during the implementation process, choosing the wrong materials, the sterilization is not good, the cutting is not standard, so the post-lift nose is curled, rough, the risk of major bleeding, infection. In the worst case, it is possible to get infectious diseases such as HIV, hepatitis … due to poor sterilization of tools.

Dr. Huan said that almost every month, she receives at least 2-3 cases of complications due to rhinoplasty in the spa.

Therefore, all people who want to beautify need to specialized in plastic surgery hospitals, plastic plastic surgery departments in general hospitals; Clinic specialized in cosmetic plastic surgery to ensure safety and aesthetics.

First, you should choose fresh, freshly picked oranges that show no signs of crushing. That will be preserved for a long time. You can easily tell if the fruit is fresh or not by looking at the stalk.

When buying, choose heavy-handed oranges, the fruit will be succulent, so choose ripe oranges with yellow spots, not the same color. Oranges that are overripe and yellow in color may have been soaked in medicine.

With Sanhed Orange, choose fruits that are neatly shaped, not skewed.

Preserving oranges with hydrated lime

After buying oranges, wash them with water and let them dry completely. Cut the orange stalk to about 0.5cm long. Apply lime to the cut. This method helps prevent oranges from rotting or invading pests.

Illustration.

Store fresh oranges with sand

If your house has sand, prepare a small container, cover with a thin layer of sand, then put oranges in turn. Every layer of orange covers a layer of sand. When arranging, remember to turn the orange stalk up.

You can also incorporate the use of hydrated lime on the orange stem and then put in the sand to keep the oranges fresh longer. Place the orange barrel in a dry, airtight place.

Store oranges with baking soda

Soak oranges in a baking soda solution for about 15 minutes. After that, take out the oranges and let them water.

Then, put oranges in a plastic bag sealed and put in the refrigerator cooler. This helps the oranges stay fresh and delicious after 1-2 months.

Illustration.

Pay attention to the end of a cucumber when shopping at the market and choose to buy cucumbers. If you see any fruit with flowers attached to it, it is a very fresh cucumber, maybe just picked early or last night. In particular, the fresher the flowers are, the less abundant the melon is and you should choose to buy.

Look at the stem at the top of the fruit

Another way to choose a fresh and delicious cucumber is when the flowers are lost due to the transportation process: If the melon has no flowers, look at the stem. Cucumber stalks that are fresh and juicy are freshly picked melons. On the contrary, if the stem of a withered melon turns black, it has been a few days.

Observe the shape and characteristics of a melon

• In terms of color, choose fruits with bright green color. Delicious cucumbers are usually fairly uniform color, with no bruises or yellow stains.

• In terms of shape, choose a straight fruit, with little or no warping.

• The long, thick melons will eat crunchy and delicious when choosing short, round fruits.

• Need to choose heavy hand held fruit, smooth skin, no roughness.

• Small fruit cucumbers will be sweeter than large ones.

• Avoid buying large, bulging melons in the middle or large heads with small tails (and vice versa) because these are old melons, with lots of seeds and lots of water, not delicious.

• Cucumbers with yellow stains on the body show that melons have been left for a long time and begin to show signs of deterioration. These melons are not eaten very well and may have a bitter taste.

• Some melons will have a thin layer of chalk on the outside. This layer works to keep water for cucumbers, bringing fresh taste, not wilting. To clean this powder you need to use water mixed with lemon, vinegar or hot water. And you should choose those with such protective chalk. These are young fruits, with few seeds.