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Pleasing nose can be designed more than before |
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| Even there are general standards for nose dimensions, the most important aspect of nose job is to achieve harmonious state with the rest of facial composition. |
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| Nose surgery is the second most common aesthetic procedure in Asian. More sophisticated nose procedures are developed in the last decades especially in Korean society. Korean style rhinoplasty becomes an idol nose for many Asian people. Besides the height of nasal bridge, the nasal tip that is the most crucial part of nose is carefully performed to produce an aesthetically pleasing nose. The masculine or feminine look is also a necessary detail that cannot be omitted when nose job is performed. |
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| AUGMENTATION RHINOPLASTY |
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| To increase the nasal bridge and to reshape the Asian nose, there are many implant materials can be used according to doctors and patient agreement. |
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| Filler |
| Hyaluronic acid is a temporary dermal filler that is popularly used to enhance the nose shape and height. It’s easily performed with less recovery time but some drawbacks of nose filler should be recognized for long term using. Other long lasting or permanent filler are not recommended due to its unknown future side effect. |
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| Silicone Implant |
| Silicone implant has been used for many years, and is stills a popular grafting device all over the world. Besides flexible properties for carving, silicone is easily removed if there is anything wrong. Anyway, silicone implant has to be carefully performed to prevent the possible complications like as graft movement, infection, extrusion and scar formation. |
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| Dermal Fat Graft |
| This autogenous tissue is occasionally used for patient who don’t require to use artificial material or in revision rhinoplasty case. The graft is commonly harvested from buttock region. Unpredictable size and shape due to the resorption rate is the disadvantage by this kind of implant. |
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| Cartilage Graft |
| Cartilage graft is very popularly used autogenous tissue in Asian Rhinoplasty. Several sources of donor cartilage are used for different purposes. Ear and nasal septal cartilage are commonly used to extend the nasal length and tip plasty. Rib cartilage is used in major reconstructive nasal surgery or very small nose. |
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| To create the natural looking nose and to prevent the long term side effect, combination of implant material with autogenous tissue procedure comes to be goal standards for augmentation rhinoplasty in Asian people. |
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| POSSIBLE SIDE EFFECT |
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| Redness, skin necrosis, infection and obtuse nose are commonly reported side effect from nasal filler. Prolong using nasal filler probably create more scars that are permanently obtuse the nasal shape. |
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| Deviation, infection and extrusion of silicone implant is not uncommon when improper placement and handling are performed. |
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| Uncertain resorption rate and deformation of cartilage graft are possible long term drawbacks. Scar at donor site is unavoidable for cartilage harvesting. |
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| RECOVERY |
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| Bruising and swelling usually subside in one week. Natural appearance occurs in 3-4 months. |
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| RESULT |
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| Augmentation rhinoplasty can make a remarkable difference in facial profile. The nose appears more proportion to the face. The degree of improvement varies to the details and design of procedure. |
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