Correction of drooping nose tip with tip plasty surgery in Iran

- People who have already had rhinoplasty can use the Tip plasty surgery method instead of secondary rhinoplasty; Of course, this choice depends on the appearance of the face and the size of the nasal disorder.

 

Types of nose lift methods:

- Nasal lift with gel (nasal filler)

- Nose lift with thread

-Tip plasty surgery

 

Nasal lift with gel injection (nasal filler):

In the nose lift method, gel-compatible materials are injected into the nose through the gel injection, and the shape of the nose finds its desired shape.

The filler is injected under the layers of skin and between the cartilage tissue and the skin, and the injected gel retains its shape and form after injection. The shelf life of nasal fillers and gels depends on the type of skin and gel used for the injection. Injection gels have different modes with short shelf life, medium shelf life and long shelf life, and usually the gels used for nasal fillers have a shelf life of three years.

It takes 15 to 45 minutes to inject the gel into the nose. After the injection, a light bruise appears at the injection site, which disappears in a short time, and the positive effects of the gel injection can be seen on the face immediately after the injection.

 

Types of nasal lift gels:

Gels that are injected into the body are divided into several groups based on the main ingredients.

Hyaluronic acid is a synthetic substance which is found in our body and has the appropriate structure of the body and the protein structure of our body. These gels absorb water and are also useful for maintaining facial moisture and make the skin shiny and rejuvenated. This filler has a shelf life of 6 to 12 months; This solution is FDA approved. Hyaluronic acid is mostly used for injecting and shaping the nose more than other fillers. Gels that contain the main ingredient of hyaluronic acid have different brands, including Restylane, Belotero, Elevess, Perlane, Hylaform and Captique.

Calcium hydroxyapatite:

Gels that contain the main ingredient of calcium hydroxyapatite, such as Radiesse filler, which is very effective for collagen production.

- Polylactic acid:

Polylactic acid is a synthetic substance that is compatible with the structure of the body and has a medium-term effect in terms of durability. This type of gel has collagen-forming effects that are used to remove small bumps and also form, and even after absorption, the effects of collagen-making remain. These gels include Sculptra and Aesthetic.

 

Nose lift with thread

nose lift with thread is a new method for removing bumps, asymmetry and lifting of the nose. In this method, the nose is shaped using surgical sutures according to the needs and the initial shape of the nose. The number of stitches depends on the patient request. These threads are along the septum.

 

Durability of nose lift with thread:

The durability of a nasal lift depends on the type of floss. Yarns can have effects of several months to several years depending on the absorbency. If they repeat it once after the lift, it can have more lasting effects. The durability of the lift depends on the length of the thread, the material of the thread and the number of stitches on the skin.

 

Types of threads for nose lift:

Absorbable yarns are absorbed by the body over time and have effects for 6 to 24 months; Of course, collagen fibers are also created around them, which can help lifting nose and perpetuate the effects of the lift.

Non-absorbable yarns are made of polypropylene.

Polydioxanone surgical suture: 6 months shelf life - thread material: absorbable

PLA thread for nasal lift: shelf life 12 months - thread material: absorbable

Polycaprolactone (PCA) yarn: 24 months shelf life - thread material: absorbable

There are several types of yarn in terms of shape: barbed yarn (two types of barbed in one direction and in two directions) and non-barbed yarn

Barbed wire has better effects for face or nose lift. These threads lock into the skin and underlying tissues and stimulate collagen production, so the effects of barbed wire in two directions are certainly greater than barbed wire in one direction.

 

Who is a nose lift with thread suitable for?

Lift with thread is suitable for those who have a fleshy nose and have protrusions and asymmetry, but have a suitable nose size.

For lift with thread, there should be no infectious problems or autoimmune diseases or uncontrolled diabetes because it causes side effects in people.

 

What is nose tip plasty surgery?

Nose tip plasty surgery is very important to create facial harmony. Among all rhinoplasty procedures, rhinoplasty surgery is the one that requires the most technical skill. Many characteristics of the nasal tip, including rotation, projection, shaping, and symmetry, must be considered to achieve an aesthetic result.

Nose tip surgery is an important part of cosmetic rhinoplasty surgery. In 1966, Anderson introduced the three-legged theory of the nasal tip to explain the dynamics of the nasal tip, leading to the development of several related techniques, including the columellar strut, the nasal tip suture method, and grafting.

 

Iran as a country with reasonable costs for Tip plasty surgery:

Tip plasty surgery in Iran is an excellent choice for health tourists who can receive cosmetic and tourism services through Tourism Angels Company. Reasonable costs, tourist attractions and skilled surgeons encourage a large number of tourists to travel to Iran for Tip plasty surgery every year.
 

To successfully shape the tip of the nose, achieving a properly protruding tip and clear contour is important. Therefore, a basic understanding of the anatomical components that provide support for the nasal tip and their influence on the shape and form of the nasal tip is necessary. The position, length, width, strength, and shape of the lower lateral cartilages and the ligaments that attach between these paired structures create the tip of the nose. The tip definition is ideally evaluated from a frontal and basic perspective. The presence of domal asymmetry or head dysmorphology, the degree of nostril exposure, columellar redundancy and caudal septal deviation, and a depressed or hyperkinetic head should be noted. Animated views should be obtained to diagnose nasal septal inhibitor overactivity, which can lead to hyperactive ptosis of the head. The projection of the head in lateral view was assessed by determining the ratio of the head in front to a vertical line drawn adjacent to the most prominent part of the upper lip. Fifty to 60% of the head should be forward of this vertical line and less than this is defined as the lower part of the head. The exact projection of the tip of the nose can also be measured as 0.67 times the ideal nose length. Treatment-induced loss of tip support may result from inadvertent violation of critical tip support structures. Additionally, the open approach may result in reduced nasal tip projection due to disruption of skin and soft tissue support. Additionally, caudal septal excision, subcaudal cartilage excision, dorsal reduction, penetrating incisions, and alar base excision will affect nasal tip support and may result in a significant reduction in nasal tip support.

 

Tip Plasty surgery methods:

The main suture methods today are medial crura suture, medial cura suture, medial curatum suture, transverse suture, lateral curura suture, medial anchor suture, cephalic rotation suture, medial base plate suture, and lateral crura convexity control suture. Cartilage grafting may be necessary in cases where the desired projection or fineness of the nasal tip cannot be achieved through basic suturing methods.3 Nose tip grafting can add volume and structure to the tip nose3; If the grafts are too visible through thin, soft tissue, adding a temporal graft or other onlay, or freely diced cartilage, may mask the hard edges and corners of the graft. . To date, there are many head screening techniques.

 

The best method of nose lift:

The best method for nose lift is selected according to the condition and shape of the nose and the doctor's decision. But using the combined method of injecting gel and lift with thread at the same time can have more lasting and beneficial effects.

 

Preparations before nose lift:

- Do not take aspirin, blood thinners, non-inflammatory analgesics (NSAIDs) and vitamin E.

- Take vitamin K supplements and foods containing vitamin K to reduce the chance of bruising.

- Fluid consumption.

 

Nose lift after care:

- After injecting the gel or threading, there is a possibility of bruising and pain. To reduce these complications, an ice pack is used at the injection site of the gel or lift.

- Nasal bruising disappears completely in about 2 to 7 days. The bruising created in the thread lift is more than the gel injection lift.

- To experience more lasting effects in your nose lift, before the end of the previous lift period, take action for your next period so that the positive effects and the shape of the nose are not lost.

- Avoid putting pressure on the nose. Avoid wearing heavy glasses and swimming goggles or nose goggles.

 

Advantages of nose lift:

- Fast recovery

- Lack of anesthesia

- Low cost

 

Disadvantages of nasal lift:

- The effects are not permanent

- Bruising and swelling

 

Comparison of nose lift and nose job surgery:

There are a few things to keep in mind when choosing a method to improve the appearance and shape of your nose between rhinoplasty and a nose lift.

Nasal filler has no lasting effects and rhinoplasty is recommended for the lasting effects.

Nasal filler needs to be repeated every 1 to 2 years, but rhinoplasty surgery is performed once and the durability of rhinoplasty is longer than nasal filler and is permanent.

The cost of rhinoplasty is higher than the cost of a nose lift but does not need to be repeated.

 

Tip plasty cost in Iran:

The cost of a Tip plasty surgery in the United States or Europe is very high because it is a cosmetic surgery and is not covered by insurance. Tip plasty cost in Iran is 400-600$ without surgery and 1500-2500 with Tip plasty surgery in Iran. To choose the method of rhinoplasty, send your request through the website or WhatsApp for free and receive cosmetic medical advice from a plastic surgeon, and for detailed information about our prices and discounts, enter your request so that our medical experts can call you.

Sources:

https://e-aaps.org/journal/view.php?number=75

https://journals.sagepub.com/doi/abs/10.1177/07488068221145086

https://www.sciencedirect.com/science/article/abs/pii/S1748681519304255

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