Health Zone Turkey: Dropped tip after a nose job

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Friday, June 30, 2017

Treatment of "Nasal Tip Drooping" and "Nasal Septum Perforation" After Septum Deviation Surgery

Nasal septal perforation - Repair of nasal septal perforation - Nasal septum perforation - Septal perforation - Surgical treatment of nasal septal perforation - Septal perforation repair surgery in Istanbul - Perforated septum treatment in Turkey

How does the nose drop after the septum deviation surgery (septoplasty)?

Especially in patients with deviations at the bottom and front of the caudal septum deviation or nasal septum, cartilage grafts may need to be placed at the tip of the nose in order to restore the nasal support when areas of the septum deviation in this section are removed. Patients who had undergone closed deviation surgery due to caudal septum deviation and who had a downward turn at the end of the nasal tip as a result of the removal of the curved septum section alone during surgery were also diagnosed as having a nose drop and small frontal septum perforation as a result of the examination of the whistle during breathing. We performed open technique nose surgery for treatment and simultaneous septum perforation surgery. Similar links and videos that I have already published about the subject >> How Can Nose Tip Drooping Appear After Septoplasty?

Open technique nose tip lift surgery

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The open technique nose lift is initiated with the "reverse wise incision" as it is with the normal open technique nose aesthetic operation, and if the previous remaining part of the nose septum is present, in the nose septum; If not available, the columellar strut graft is prepared to be placed at the tip of the nose using ribs or ear cartilages.

In this procedure, a cartilage graft is inserted between the inner legs of two alar cartilages, which are responsible for the essential shape of the nose tip, and the nose is directed forward. In fact, this graft placement on the tip of the nose can have multiple positive effects:
- nose tip lifting
- fixing of spreading at the tip of the nose when laughing
- Upward-forwarding of the tip of the nose leads to an increase in the angle of the nasal valve, the narrowest airway region between the nasal septum and the inner face of the nose wing, and a reduction in intranasal airway resistance.

The positive effects of this method are persistent (temporary nasal filling, unlike nose hanging methods). Breaking the placed cartilage graft without a trauma or changing the course is difficult. In patients with severe loss of support at the tip of the nose after a deviation surgery, it is inevitable for the patient to go downward at the tip of the nose and down at the tip of the nose due to gravity and mimic movements over time.

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Nasal septum perforation repair surgery

Nasal septum perforation can be repaired with closed technique in open field. In very large holes, the chances of success with a single operation are low. The placement of the hole in the Septum can be chosen according to the size of the technique.

The perforation in the nose of our patient, which is visible in the photograph, was closed using a cartilage graft obtained from the nasal cartilages and septum during open technique nasal surgery. It is seen before and 20 days after the photos below. In the area of the closed hole, white cartilage and healing mucosal area are seen.

Videos about nasal septum perforation:

You can find details about "Nasal septal perforation - Repair of nasal septal perforation - Nasal septum perforation - Septal perforation - Surgical treatment of nasal septal perforation - Septal perforation repair surgery in Istanbul - Perforated septum tratrment in Turkey" and before and after photos at >> Symptoms, Causes and Diagnosis of Nasal Septum Perforation

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

Private Office:

Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul

Appointment Phone: +90 212 561 00 52

E-Mail: muratenoz@gmail.com
Mobile phone: +90 533 6550199

Fax: +90 212 542 74 47

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