阅读说明：本技术 一种改善鼻尖鼻小柱的美容技术 (Beauty treatment technology for improving nasal tip and columella nasi ) 是由 王心营 欧阳则军 于 2019-10-25 设计创作，主要内容包括：本发明公开了一种改善鼻尖鼻小柱的美容技术,第一步,术前准备,第二步,配制肿胀液；第三步,切开鼻小柱皮肤及皮下组织,并沿鼻前庭外侧软骨下缘,顺着倒V形切口向左右延长切开；第四步,用组织剪分离剪开鼻小柱及双侧W形切口；第五步,紧贴鼻背皮下深层脂肪层进行钝性分离；第六步,为假体置入提供充分的鼻背腔隙；第七步,用组织剪锐性分离鼻中隔表面组织,分离出鼻中隔软骨的背侧和尾侧；第八步,肋软骨获取；第九步,选取其中两片肋软骨片作为鼻小柱支撑移植物；剩余两片肋软骨片作为鼻中隔延伸移植物；第十步,修整鼻尖支架复合体顶端；本发明的改善鼻尖鼻小柱的美容技术,利用鼻中隔软骨保护鼻尖软组织并使重塑的鼻尖形态更自然。(The invention discloses a beauty treatment technology for improving nasal tip and columella nasi, which comprises the steps of preparing before an operation, and preparing tumescent liquid; thirdly, incising the skin and subcutaneous tissues of the columella nasi, and incising the columella nasi along the lower edge of the cartilage at the outer side of the nasal vestibule in a left-right extending manner along the inverted V-shaped incision; fourthly, separating and shearing the columella nasi and the W-shaped incisions on the two sides by using a tissue shear; fifthly, closely attaching to the subcutaneous deep fat layer of the nasal back for blunt separation; sixthly, providing sufficient nasal and dorsal lacunae for prosthesis implantation; seventhly, separating the tissue on the surface of the nasal septum by using tissue scissors to separate the back side and the tail side of the nasal septum cartilage; eighthly, acquiring costal cartilage; selecting two costal cartilage pieces as a columella nasalis supporting implant; the remaining two costal cartilage pieces were used as nasal septum extension grafts; step ten, trimming the top end of the nose tip support complex; the beauty treatment technology for improving the nasal tip and the columella nasi utilizes the nasal septum cartilage to protect the soft tissue of the nasal tip and enables the reshaped nasal tip to be more natural.)

1. A cosmetic technique for improving the nasal tip and columella nasi is characterized by comprising the following steps:

the first step, preoperative preparation,

(1) the patient enters an operating room, wears an operating cap, collects hair in the cap, lies on the back on an operating bed, is subjected to general anesthesia, and after oral intubation succeeds, vibrissa is cut off and the nasal cavity is cleaned;

(2) winding and fixing the hair line edge at the top of the head by using a common bandage;

(3) the nasal columella and nasal vestibule incision are marked by methylene blue, and are in an inverted V shape;

(4) conventional disinfection of iodophor, wrapping the vertex with sterile towel, spreading sterile towel around the operation area, smearing erythromycin ointment on eyes, and sticking eye protecting film on eyes to protect eyeball;

step two, preparing swelling solution: 10ml of 0.9% physiological saline and 0.1ml of epinephrine;

thirdly, a sharp blade is used for making an inverted V-shaped incision along the middle lower 1/3 position of the columella nasi, the skin and the subcutaneous tissues of the columella nasi are incised, and the skin and the subcutaneous tissues are incised along the lower edge of the cartilage at the outer side of the nasal vestibule and are incised in a left-right extending mode along the inverted V-shaped incision to form a W shape;

fourthly, separating and shearing the columella nasi and the W-shaped incisions on the two sides by using a tissue scissors, then pulling open the tip of the nose by using a draw hook, separating the tip of the nose from the columella nasi and fixing the draw hook;

fifthly, closely attaching to the subcutaneous deep fat layer of the dorsum of the nose for blunt separation to free lacuna and fully stop bleeding;

sixthly, inserting a bone stripper into the infranasal keystone area along the cavity space subjected to blunt separation, and continuously stripping upwards by clinging to periosteum to provide sufficient dorasal cavity space for prosthesis implantation;

seventhly, separating the tissue on the surface of the nasal septum by using tissue scissors to separate the back side and the tail side of the nasal septum cartilage;

eighthly, obtaining costal cartilage, selecting the 7 th costal cartilage on the right side, partially cutting, incidentally carrying partial chondroplasts, cutting the costal cartilage into long strips along the long axis of the removed costal cartilage, and designing the costal cartilage into four pieces with different lengths; cutting off part of costal cartilage membrane for at least 40min, and soaking costal cartilage and cartilage membrane in 0.9% physiological saline;

selecting two costal cartilage pieces as a columella nasalis supporting implant, clamping the costal cartilage pieces at the caudal end of the nasal septum and descending to anterior nasal spines; fixing the nasal septum caudal end by using 5-0 absorbable thread, and trimming the height of the nasal septum caudal end to a proper length; then, the remaining two costal cartilage pieces are used as nasal septum extension grafts, the upper ends of the two costal cartilage pieces are trimmed to form grooves, so that the costal cartilage pieces can be tightly clamped in the corresponding key stone areas on the two sides, and the lower ends of the costal cartilage pieces and the nasal columella support grafts are spliced together in a staggered mode; then, 5-0 absorbable thread is used for sewing and fixing the absorbable thread at the back side end of the nasal septum to form a nasal tip L-shaped composite stent; then sewing and fixing the splicing parts of the nose tip brackets together;

step ten, trimming the top end of the nose tip support complex to ensure that the surface of the nose tip support complex is neat and smooth; then sewing the cartilage tuberosity parts of the two lateral nasal wings on the nasal tip bracket by using 5-0 absorbable suture, and fixing the two lateral arches by adopting a penetration sewing method; taking out the prepared cartilage membrane, building plasticity, and fixedly suturing the cartilage membrane on the top end of the nose tip bracket by using a 5-0 absorbable suture line to modify the nose tip;

step ten, a nose back prosthesis is placed, a silica gel prosthesis is adopted, the nose back prosthesis is carved into a fusiform shape by using an operating sharp knife, one end of the prosthesis is slightly clamped by using a small curved forceps, and the nose back lacuna stripped before the nose back lacuna is slowly fed in so as to achieve the ideal height and line of the nose back; the size and the thickness of the prosthesis can be adjusted in time; carefully stanching; loosening the nose tip draw hook, resetting the nose tip, and closing the suture nose incision;

twelfth, suturing the nasal columella and the skin incision of the nasal vestibule, suturing the skin incision of the nasal columella by adopting a pure tip of a 5-0 absorbable suture line, suturing the skin incision of the nasal vestibule by adopting a pure tip of a 6-0 absorbable suture line, placing a drainage tube on one side of the nasal columella, and performing negative pressure suction on the tail end by adopting a 10ml vacuum injector for periodic replacement;

step thirteen, fixing the back of the nose by a nose back thermoplastic splint, and fixing the splint on the back of the nose by an adhesive tape; the nostrils at both sides are respectively stuffed with the expanding sponge;

and step fourteen, the operation is smooth, the anesthesia is satisfactory during the operation, the patient can be recovered well after the operation, the patient returns to a ward, the general condition is good, and the vital signs are stable.

2. The cosmetic technique for improving the nasal tip columella according to claim 1, wherein in the preoperative preparation of the first step, when conventional disinfection is performed by iodophor, the disinfection range includes face, external nose, bilateral nostril and nasal cavity, oral vestibule and bilateral external ear.

3. The beauty treatment technology for improving the nasal tip and the columella as claimed in claim 1, further comprising postoperative return visit, wherein the postoperative return visit is 3-14 months, the patient is satisfied with the operation effect, the appearance is natural and vivid, and the shapes of the nasal back, the nasal tip and the columella are obviously improved.

Technical Field

The invention relates to a beauty treatment technology for improving nasal tip and columella nasi, and belongs to the technical field of beauty treatment of nasal tip and columella nasi.

Background

The traditional plastic surgery gradually falls off in the innovation pace of the times, and medical cosmetology is born and favored by more and more beauty-seeking people; the rapid growth of economic foundations and the increasing abundance of superstructure; people are not only satisfied with the material requirements singly, but also have more and more exquisite satisfied requirements on the mental experience, and in the 'face watching' era, people are more and more reluctant to crave for perfect appearances; among them, nasal shaping is gradually gaining public expectations compared to challenging cosmetic surgery; the population attempting rhinoplasty is increasingly bulky, especially women's dementia with beauty. In the overall feeling of the face, the nose portion has a unique influence because the nose portion is located at the center of the five sense organs; the height of the nose, the tilted straight butt joint, affects the objective first impression. The nose tip is the most prominent part of the nose, namely the region enclosed by the connecting lines drawn at the upper edge of the nostril, the upper folding point of the nose tip and the outer side foot of the nasal alar cartilage, the ethnicity is different, the nose forms have respective characteristics, and Asians have typical nose form characteristics; the nose tip has thick skin, round and blunt appearance and is spherical; the nasal back collapses to be saddle-shaped; the alar cartilage is not fully developed and is small; the columella nasi is short and small; the base of the nose wing is wide; the nasolabial angle is sharp; the nostrils are oval and the like; many asians want to improve their own nasal profile through surgery, and plastic surgeons have made the ideal nose shape to meet the needs of these patients, but this nose shape is round and blunt to the tip of the nose, and asians with short columella of the nose always look unnatural; therefore, improving the contour of the nose is one of the key factors for the success of the nose cosmetic plastic surgery.

Disclosure of Invention

In order to solve the problems, the invention provides a beauty treatment technology for improving the nasal tip and the columella nasi, which flexibly selects the operation type, fully utilizes the nasal septum cartilage to protect the nasal tip soft tissue and leads the reshaped nasal tip shape to be more vivid and natural.

The beauty treatment technology for improving the nasal tip and the columella nasi comprises the following steps:

the first step, preoperative preparation,

(1) the patient enters an operating room, wears an operating cap, collects hair in the cap, lies on the back on an operating bed, is subjected to general anesthesia, and after oral intubation succeeds, vibrissa is cut off and the nasal cavity is cleaned;

(2) winding and fixing the hair line edge at the top of the head by using a common bandage;

(3) the nasal columella and nasal vestibule incision are marked by methylene blue, and are in an inverted V shape;

(4) conventional disinfection of iodophor, wrapping the vertex with sterile towel, spreading sterile towel around the operation area, smearing erythromycin ointment on eyes, and sticking eye protecting film on eyes to protect eyeball;

step two, preparing swelling solution: 10ml of 0.9% physiological saline and 0.1ml of epinephrine;

thirdly, a sharp blade is used for making an inverted V-shaped incision along the middle lower 1/3 position of the columella nasi, the skin and the subcutaneous tissues of the columella nasi are incised, and the skin and the subcutaneous tissues are incised along the lower edge of the cartilage at the outer side of the nasal vestibule and are incised in a left-right extending mode along the inverted V-shaped incision to form a W shape;

fourthly, separating and shearing the columella nasi and the W-shaped incisions on the two sides by using a tissue scissors, then pulling open the tip of the nose by using a draw hook, separating the tip of the nose from the columella nasi and fixing the draw hook;

fifthly, closely attaching to the subcutaneous deep fat layer of the dorsum of the nose for blunt separation to free lacuna and fully stop bleeding;

sixthly, inserting a bone stripper into the infranasal keystone area along the cavity space subjected to blunt separation, and continuously stripping upwards by clinging to periosteum to provide sufficient dorasal cavity space for prosthesis implantation;

seventhly, separating the tissue on the surface of the nasal septum by using tissue scissors to separate the back side and the tail side of the nasal septum cartilage;

eighthly, obtaining costal cartilage, selecting the 7 th costal cartilage on the right side, partially cutting, incidentally carrying partial chondroplasts, cutting the costal cartilage into long strips along the long axis of the removed costal cartilage, and designing the costal cartilage into four pieces with different lengths; cutting off part of costal cartilage membrane for at least 40min, and soaking costal cartilage and cartilage membrane in 0.9% physiological saline;

selecting two costal cartilage pieces as a columella nasalis supporting implant, clamping the costal cartilage pieces at the caudal end of the nasal septum and descending to anterior nasal spines; fixing the nasal septum caudal end by using 5-0 absorbable thread, and trimming the height of the nasal septum caudal end to a proper length; then, the remaining two costal cartilage pieces are used as nasal septum extension grafts, the upper ends of the two costal cartilage pieces are trimmed to form grooves, so that the costal cartilage pieces can be tightly clamped in the corresponding key stone areas on the two sides, and the lower ends of the costal cartilage pieces and the nasal columella support grafts are spliced together in a staggered mode; then, 5-0 absorbable thread is used for sewing and fixing the absorbable thread at the back side end of the nasal septum to form a nasal tip L-shaped composite stent; then sewing and fixing the splicing parts of the nose tip brackets together;

step ten, trimming the top end of the nose tip support complex to ensure that the surface of the nose tip support complex is neat and smooth; then sewing the cartilage tuberosity parts of the two lateral nasal wings on the nasal tip bracket by using 5-0 absorbable suture, and fixing the two lateral arches by adopting a penetration sewing method; taking out the prepared cartilage membrane, building plasticity, and fixedly suturing the cartilage membrane on the top end of the nose tip bracket by using a 5-0 absorbable suture line to modify the nose tip;

step ten, a nose back prosthesis is placed, a silica gel prosthesis is adopted, the nose back prosthesis is carved into a fusiform shape by using an operating sharp knife, one end of the prosthesis is slightly clamped by using a small curved forceps, and the nose back lacuna stripped before the nose back lacuna is slowly fed in so as to achieve the ideal height and line of the nose back; the size and the thickness of the prosthesis can be adjusted in time; carefully stanching; loosening the nose tip draw hook, resetting the nose tip, and closing the suture nose incision;

twelfth, suturing the nasal columella and the skin incision of the nasal vestibule, suturing the skin incision of the nasal columella by adopting a pure tip of a 5-0 absorbable suture line, suturing the skin incision of the nasal vestibule by adopting a pure tip of a 6-0 absorbable suture line, placing a drainage tube on one side of the nasal columella, and performing negative pressure suction on the tail end by adopting a 10ml vacuum injector for periodic replacement;

step thirteen, fixing the back of the nose by a nose back thermoplastic splint, and fixing the splint on the back of the nose by an adhesive tape; the nostrils at both sides are respectively stuffed with the expanding sponge;

and step fourteen, the operation is smooth, the anesthesia is satisfactory during the operation, the patient can be recovered well after the operation, the patient returns to a ward, the general condition is good, and the vital signs are stable.

Further, in the first preoperative preparation, when conventional disinfection is performed by iodophor, the disinfection range includes face, external nose, double-sided nostril and nasal cavity, oral vestibule and double-sided external ear.

Furthermore, the postoperative return visit is included, the postoperative follow-up visit is 3-14 months, the patient is satisfied with the operation effect, the appearance is natural and vivid, and the shapes of the dorsum of the nose, the tip of the nose and the columella nasi are obviously improved.

Compared with the prior art, the beauty treatment technology for improving the nasal tip nasal columella of the invention flexibly selects the operation style, fully utilizes the nasal septum cartilage graft, applies the nasal septum cartilage and silica gel prosthesis compound transplantation to the patient with low nasal deformity, utilizes the nasal septum cartilage to protect the nasal tip soft tissue and make the reshaped nasal tip form more vivid and natural, has satisfactory effect through long-term observation after the operation, and has no obvious operation cut scar.

Detailed Description

The beauty treatment technology for improving the nasal tip and the columella nasi comprises the following steps:

the first step, preoperative preparation,

(1) the patient enters an operating room, wears an operating cap, collects hair in the cap, lies on the back on an operating bed, is subjected to general anesthesia, and after oral intubation succeeds, vibrissa is cut off and the nasal cavity is cleaned;

(2) winding and fixing the hair line edge at the top of the head by using a common bandage;

(3) the nasal columella and nasal vestibule incision are marked by methylene blue, and are in an inverted V shape;

(4) conventional disinfection of iodophor, wrapping the vertex with sterile towel, spreading sterile towel around the operation area, smearing erythromycin ointment on eyes, and sticking eye protecting film on eyes to protect eyeball;

step two, preparing swelling solution: 10ml of 0.9% physiological saline and 0.1ml of epinephrine;

thirdly, a sharp blade is used for making an inverted V-shaped incision along the middle lower 1/3 position of the columella nasi, the skin and the subcutaneous tissues of the columella nasi are incised, and the skin and the subcutaneous tissues are incised along the lower edge of the cartilage at the outer side of the nasal vestibule and are incised in a left-right extending mode along the inverted V-shaped incision to form a W shape;

fourthly, separating and shearing the columella nasi and the W-shaped incisions on the two sides by using a tissue scissors, then pulling open the tip of the nose by using a draw hook, separating the tip of the nose from the columella nasi and fixing the draw hook;

fifthly, closely attaching to the subcutaneous deep fat layer of the dorsum of the nose for blunt separation to free lacuna and fully stop bleeding;

sixthly, inserting a bone stripper into the infranasal keystone area along the cavity space subjected to blunt separation, and continuously stripping upwards by clinging to periosteum to provide sufficient dorasal cavity space for prosthesis implantation;

seventhly, separating the tissue on the surface of the nasal septum by using tissue scissors to separate the back side and the tail side of the nasal septum cartilage;

eighthly, obtaining costal cartilage, selecting the 7 th costal cartilage on the right side, partially cutting, incidentally carrying partial chondroplasts, cutting the costal cartilage into long strips along the long axis of the removed costal cartilage, and designing the costal cartilage into four pieces with different lengths; cutting off part of costal cartilage membrane for at least 40min, and soaking costal cartilage and cartilage membrane in 0.9% physiological saline;

selecting two costal cartilage pieces as a columella nasalis supporting implant, clamping the costal cartilage pieces at the caudal end of the nasal septum and descending to anterior nasal spines; fixing the nasal septum caudal end by using 5-0 absorbable thread, and trimming the height of the nasal septum caudal end to a proper length; then, the remaining two costal cartilage pieces are used as nasal septum extension grafts, the upper ends of the two costal cartilage pieces are trimmed to form grooves, so that the costal cartilage pieces can be tightly clamped in the corresponding key stone areas on the two sides, and the lower ends of the costal cartilage pieces and the nasal columella support grafts are spliced together in a staggered mode; then, 5-0 absorbable thread is used for sewing and fixing the absorbable thread at the back side end of the nasal septum to form a nasal tip L-shaped composite stent; then sewing and fixing the splicing parts of the nose tip brackets together;

step ten, trimming the top end of the nose tip support complex to ensure that the surface of the nose tip support complex is neat and smooth; then sewing the cartilage tuberosity parts of the two lateral nasal wings on the nasal tip bracket by using 5-0 absorbable suture, and fixing the two lateral arches by adopting a penetration sewing method; taking out the prepared cartilage membrane, building plasticity, and fixedly suturing the cartilage membrane on the top end of the nose tip bracket by using a 5-0 absorbable suture line to modify the nose tip;

step ten, a nose back prosthesis is placed, a silica gel prosthesis is adopted, the nose back prosthesis is carved into a fusiform shape by using an operating sharp knife, one end of the prosthesis is slightly clamped by using a small curved forceps, and the nose back lacuna stripped before the nose back lacuna is slowly fed in so as to achieve the ideal height and line of the nose back; the size and the thickness of the prosthesis can be adjusted in time; carefully stanching; loosening the nose tip draw hook, resetting the nose tip, and closing the suture nose incision;

twelfth, suturing the nasal columella and the skin incision of the nasal vestibule, suturing the skin incision of the nasal columella by adopting a pure tip of a 5-0 absorbable suture line, suturing the skin incision of the nasal vestibule by adopting a pure tip of a 6-0 absorbable suture line, placing a drainage tube on one side of the nasal columella, and performing negative pressure suction on the tail end by adopting a 10ml vacuum injector for periodic replacement;

step thirteen, fixing the back of the nose by a nose back thermoplastic splint, and fixing the splint on the back of the nose by an adhesive tape; the nostrils at both sides are respectively stuffed with the expanding sponge;

and step fourteen, the operation is smooth, the anesthesia is satisfactory during the operation, the patient can be recovered well after the operation, the patient returns to a ward, the general condition is good, and the vital signs are stable.

In the preoperative preparation of the first step, when conventional disinfection is performed by iodophor, the disinfection range comprises the face, the external nose, the nostrils and the nasal cavities at both sides, the oral vestibule and the external ears at both sides.

The postoperative return visit is also included, the postoperative return visit is 3-14 months, the patient is satisfied with the operation effect, the appearance is natural and vivid, and the shapes of the dorsum of the nose, the tip of the nose and the columella nasi are obviously improved.

The beauty treatment technology for improving the nasal tip nasal columella of the invention flexibly selects the operation type, fully utilizes the nasal septum cartilage graft, applies the nasal septum cartilage and silica gel prosthesis compound transplantation to the patient with low nasal deformity, utilizes the nasal septum cartilage to protect the nasal tip soft tissue and leads the reshaped nasal tip shape to be more vivid and natural, has satisfactory effect through long-term observation after the operation, and has no obvious operation cutting scar.

The above-described embodiments are merely preferred embodiments of the present invention, and all equivalent changes or modifications of the structures, features and principles described in the claims of the present invention are included in the scope of the present invention.