Among those considering rhinoplasty, or considering revision surgery,some may have come across the term "contracted nose."
This "contracted nose" isone of the particularly high-difficulty states in rhinoplasty, a state in which the result tends to vary greatly depending on the physician's experience and philosophy.
In this article,Dr. Tetsu, the chairman of Zetith Beauty Clinic, who has been involved in rhinoplasty for many years, experienced numerous cases, and made presentations at academic conferences,,
- what a contracted nose is
- why treatment is difficult
- why trendy designs don't apply
- the perspective patients should know
regarding these,organizes and conveys them based on his own experience and philosophy.
Rather than a general theory or a textbook-style explanation,it is content that can be told precisely because of the standpoint of having actually faced many contracture cases — we hope you read it as such.
What is a contracted nose?
A contracted nose refers toa state in which, after nasal surgery, the tissue hardens and shrinks during the healing process, and an abnormality arises in the shape or movement of the nose.
According to research in the field of plastic surgery, the frequency at which a complication accompanying contracture in some form occurs after rhinoplasty surgery has been reported to vary depending on the type of surgery and individual differences among patients (Advances in Plastic and Reconstructive Surgery, 2023).
Among the contracted noses seen in actual practice,
- the nasal tip is lifted unnaturally
- the nose looks short
- the nasal tip is hard, with poor movement
- there is a tight, uncomfortable sensation when touched
- it is accompanied by discomfort, not just appearance
such symptoms can be seen.
In many cases,past nasal surgery (whether primary or revision)is involved, andthe point that it "gradually appears after some time has passed" is also one of its characteristics.
Why a contracted nose is called a "state considered very difficult to address"
In recent years,
- the unforgettable nose
- the straight nose
- the square nose
and so on — physicians who can reproduce trendy designs have certainly increased.
However,there is a domain where such "design sense" hardly applies — this is a view.
That is the contracted nose.
From a physician's perspective
Regarding the contracted nose, there is the following view.
"Some physicians describe the contracted nose as the ultimate in rhinoplasty because of the difficulty of its treatment."
In the treatment of a contracted nose,
- advanced technique
- experience in knowing diverse failure and trouble patterns
- the ability to predict the long-term postoperative course
andabilities that cannot be acquired in a short periodare required.
Because it is not merely "shaping the form,"but a design that discerns why the contracture occurred and does not repeat the same state againbecomes necessary.
The cause of contracture is not just one
Most of the contracted noses seen so farcannot be explained by a single cause.
- a design that applies excessive tension
- the choice of cartilage or material
- the fixation method
- damage to blood flow or tissue
- insufficient postoperative management or follow-up observation
these elements occurring intertwined in a complex way — such cases are the majority.
Therefore,
"this method will absolutely not contract""this country is safe"
such a simple answer does not exist — this is the firsthand feeling in actual practice.
It is not a matter of country or trend
When the topic turns to the contracted nose,debates such as "Japan or overseas (especially Korea)" sometimes arise.
However,the essence of the problem is not the country — this can be thought.
An important point
"One important element in managing the risk of contracture is the 'sense of speed' in noticing and responding to postoperative changes early."
The sense of speed referred to here means
- noticing the slightest postoperative change first
- intervening appropriately at the necessary timing
- not begrudging the frequency of visits when necessary
.
In the course of actually carrying out practice,cases in which the result might have changed greatly had the change been detected and responded to soonerare not few.
What is truly questioned in contracted-nose treatment
What is considered important in the treatment of a contracted nose is
- not trendy design ability
- a number of cases that look good on social media
.
Rather,
- how one has faced difficult cases and trouble cases
- how long one has kept watching the long-term course
- whether one has responded without running away when a problem occurred
such accumulation and attitude are considered to govern the result.
The perspective patients should know
For those who may have a contracted nose, or who are considering revision surgery,having the following perspectives is important.
- Do not judge by the words "we can revise it" alone
- Whether there is a concrete explanation about the cause of the contracture
- Whether a design and philosophy for preventing re-contracture are presented
- How the long-term course is considered
Valuing not the number or flashiness, but the content and philosophy of the explanation, leads to asatisfyingchoice.
SummaryA contracted nose is the domain where the "difference in experience and thought" most appears
A contracted nose isin rhinoplasty, one of the particularly high-difficulty states, a state in which differences among physicians tend to appear.
In plastic surgery research as well, the importance of each physician's level of experience in the prevention and treatment of contracture is pointed out (Plastic and Aesthetic Research, 2023).
When considering treatment,
- trend
- title
- flashiness
are not the key, but rather
- what kind of cases one has faced
- how one has responded to trouble
- how one considers the long-term result
we hope you organize information from such perspectives, andvalue whether you can receive a satisfying explanation.
"Zetith Beauty Clinic," where physicians with abundant rhinoplasty experience are present
Zetith Beauty Clinicpractices as a cosmetic clinic with rhinoplasty as its specialty field.
Procedures by physicians with abundant experience
Physicians with abundant rhinoplasty procedure experience are present In particular, Dr. Tetsu Shaku, the chairman of Zetith Beauty Clinic,has many years of rhinoplasty case experience.We strive for made-to-order design tailored to each patient's facial featuresWe also handle designs in which the result is natural and "hard to tell it was operated on," or that "can produce a solid change"
We aim for high-precision rhinoplasty utilizing 3D simulation and CT
At Zetith Beauty Clinic, located in Ginza,we have introduced the 3D simulation system "VECTRA", which can render the face in 3D in just 5 minutes andsimulate the postoperative completed form.With this technology, we conduct consultations while confirming the patient's facial form and condition from various angles, andwe aim to further improve precision and to share the ideal image.Also, in rhinoplasty using a prosthesis,after analyzing the bone structure in detail with a CT scan, we create a made-to-order 3D prosthesis tailored to each patient's bone structure, and we aim for a natural result
We strive for thorough aftercare
We carefully follow up the postoperative courseWe strive to also carefully explain the procedure's risks at the consultation
Check the actual case photos
Zetith Beauty Clinic publishes "before/after photos of procedures" on its official website.Those concerned about the change after a procedure,
References
- "Advances in Plastic and Reconstructive Surgery" (None)
- "Plastic and Aesthetic Research" (None) DOI: 10.20
Author of this article
Hiromitsu Nakamura Physician
Zetith Beauty Clinic Ginza, Osaka, Fukuoka
This article was written by Dr. Nakamura under the supervision of Dr. Tetsu. He has a track record of research presentations at domestic and international academic conferences, and is also engaged in technical guidance and education for Zetith Beauty Clinic as a whole. He specializes in precise rhinoplasty based on anatomical grounds, pursuing natural results tailored to each person's bone structure and tissue.
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