Master, Doctor Nguyen Dinh Quan – Head of Plastic Surgery and Rehabilitation – Central Dermatology Hospital, said he has received many serious complications when doing ear piercing. According to Master Quan, the need for beauty is always present in everyone, but for people under the age of 18, it is best not to have cosmetic intervention, except in cases where there are physical defects that need to be repaired early to be able to normal development. Master Quan advises clients. The case of Nguyen Thu Anh (15 years old, Thai Binh city) was taken to the hospital by his parents when his ear was swollen like a bunch of figs. According to Thu Anh’s parents, she hid her parents to a barber shop to press 3 more holes in her ear. After finishing the press, Thu Anh got an infection and took anti-inflammatory drugs, but the pressurized ear points were still swollen and spread like a bunch of figs. Her entire ear rim was deformed. Doctors must perform plastic surgery on the ear for Thu Anh. Dr. Quan said this is just one of the many cases where children press their ears leading to complications. In particular, many people think that ear piercing does not bleed, so they choose to press in unsafe places, even through people who go for a walk. Dr. Quan said that when he punched the earlobe area, the rate of complications as above happened less often, but when pressing the earlobe cartilage, the risk of infection is very high. The cause may be that the earplug is not hygienic or the ear piercing care is incorrect, leading to infection. Concerned that young people will fall into an ‘aesthetic trap’ Master Quan heartily told about the case of a 16-year-old female student in Yen Bai determined to lift her nose because she was criticized. When seeing a spa advertising nose lift with filler only 2 million, this female student nodded in agreement. As a result, after injecting the filler, the female student suffered from blindness complications and currently, eyesight cannot be reversed. Master Quan said there are complications that can be corrected, but there are complications that cannot. Not only that, many young people love to beauty, but because they have no economy, they fall into beauty salons to recruit samples for free testing. Being both beautiful and free of money or just losing a small amount can expose many teenagers to unforeseen risks. Teens are often unaware of the long-term consequences and pay less attention to the risks of invasive beauty treatments because they simply think that surgery will be beautiful. Many young people think that cosmetic surgery is like a miracle that can quickly turn them from an ugly girl to a princess or have the beauty of a bright and beautiful movie star. This will make young people look for under-the-top plastic surgery facilities, leading to the risk of major complications. They will fall into cheap aesthetic traps, finding models for apprentices. Master Quan emphasized that it is best not to abuse cosmetic interventions. Teen girls just need to use lipstick, sunscreen, acne treatment.

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.

Park Moon Soo – director of a beauty salon in Gangnam, South Korea – shares the most popular plastic surgeries with male idols: facial botox injections and jaw injections because they like small faces with contours. delicate jaw.

Korean male idols have attractive beauty and harmonious facial features. Photo: A Little Braver, Cherubic.

In addition, this is also one of the methods that many Korean people love, not only famous stars.

The procedure involves injecting a drug called Botox into the face to weaken or paralyze facial muscles, while reducing their size, making the jawline smaller and more contoured.

And yet, face stretching, chin pad or injecting filler into the nose are the types of plastic surgery behind botox injection.

Park Moon Soo explained, “Many Korean men have flat noses. However, the standard of male beauty is usually a small, upturned nose.

They think that artists with beautiful faces like Jin (BTS) or Cha Eun Woo (ASTRO) become ideal models for other male idols.