Reconstructive rhinoplasty for congenital nasal deformities

What's the difference between shaping a deformed nose and a normal nose?

Theo ThS.BS Le Viet Tri- Director of JK Nhat Han Aesthetic Hospital, cosmetic plastic surgeon with more than 20 years of experience: "Creating deformed noses is different from normal noses in many aspects, from surgical techniques to treatment goals. Deformed cases will have deformities or severe defects, while normal people only focus on correcting high noses or lines for a more harmonious and delicate nose shape."

Experts further analyze important differences in rhinoplasty including:

• Characteristics of nose deformities:Deformed noses often have abnormal structures due to birth, accidents, or the consequences of previous surgery. Some common defects include cleft palate, cleft lip, crooked nose, and unbalanced nostrils. Severe deviated septum causes difficulty in breathing and loss of aesthetics. More serious cases may include loss of part of the nasal structure: Due to injury or disease (eg, cancer, infection).
• Objectives of deformity rhinoplasty surgeryis to focus on improving the aesthetics of the nose shape, correcting defects to give priority to having a stable nose shape like a normal person. Doctors can lift the bridge of the nose, adjust the tip of the nose, reduce the wings of the nose and contribute to improving the respiratory functions of the nose. At the same time, it helps create an aesthetic shape so that the nose shape is balanced with the face.

MSc's effective solution for shaping deformed noses. Dr. Le Viet Tri

Having traveled for many years, I have encountered many cases of nose defects, especially cases of nose defects caused by cleft lip and palate. MSc. Dr. Le Viet Tri has diligently researched and successfully applied two exclusive techniques, which are extremely effective in deformed nose surgery.

Pyramid nasal pillar reinforcement technique

Nose pillar reinforcement techniquePyramiddesigned to improve deviated nasal septum and increase the stability of the nasal columella. Especially in cases of nasal deformities caused by cleft lip and palate, this technique is effective in treating cases where the septum is weak or the nasal columella is not able to support the nasal structure.

By directly intervening at the nasal pillar position, the doctor will dissect the entire nasal cavity, thereby correcting the nasal bone and nasal pillar. Using autologous cartilage material combined with artificial cartilage for treatment.

The anchor between the materials will be fixed at the position of the two alar cartilages, thereby pushing the alar part of the nose up, slimming the tip of the nose and straightening the nasal septum. This technique is simulated like a pyramid shape, creating a solid foundation for the nose pillar, so if you have a high nose lift, you won't have to worry about crookedness.

To perform the surgery, the customer will be given general anesthesia to ensure safety and not cause pain or discomfort during the procedure. The purpose of surgery needs to meet the following issues:

• Improves the durability and resistance of the nasal columella
• Maintain and improve nose shape, making it slimmer and taller after shaping
• Ensure respiratory function, improve deviated nasal septum after intervention, maintain long-term stable results

V-Y-Z technique for shaping broken nose wings

V-Y-Z flap transfer technique is performed in cases of nose wing reconstruction with special defects, in cases of tissue deficiency and severe defects in nasal cartilage.

This is one of the most difficult and effective techniques for restructuring skin and soft tissue. From there, it allows the doctor to flexibly restore the shape of the nose without creating large scars or losing the aesthetics of the face.

Surgery is optimal for the following problems:

• The alar of the nose on the deformed side is pulled outward and downward.
• The tip of the nose on the deformed side is lower and tends to be hooked.
• The nose wing is broken right at the lower edge of the alar cartilage.
• The base of the alar base of the nose is wider than the healthy side.
• The nasal vestibule right at the lower edge of the alar cartilage is narrowed.
• The septum pillar shifts to the healthy side.

The V-Y-Z flap transfer technique will solve the following problems:

• Restore malformed nose wings that pull downward or outward.
• Correction of low nasal tip, hooked nose, and broken nasal alar at the lower border of the cartilage.
• Widen the nostrils and adjust the height of the nasal arches to balance both sides.
• The shape of the nose after surgery is balanced, significantly improving aesthetics and respiratory function.

More than 12,000 deformed nose surgeries have been successful

What you need to know about rhinoplasty with deformities

Deformed nose surgery has a direct impact on the nose structure, thereby creating a solid foundation for a balanced, harmonious nose and improving respiratory function. This procedure requires high precision and extensive experience from the doctor.

Complexity of surgery

The nose structure consists of many components such as bone, cartilage, mucosa and soft tissue, all of which need to be protected during surgery. Intervention in one part can completely affect other parts, especially when the nose has deformities, leading to problems such as nasal wing deviation, deformation and tissue shrinkage.

Choose a doctor with a good reputation and professional experience to ensure the most optimal results.

A deformed nose has a missing or very weak structure

Nasal cartilage in deformed cases is often misaligned, weak or severely deformed. To correct malformation of the nose, the doctor must use support materials and carefully calculate the implants so that they are as adaptable and effective as autologous tissue, ensuring stability for the nasal columella.

Improper intervention techniques can cause narrowing of the airways and scarring, especially in cases of nose deformities. Controlling scars and limiting tissue contraction is a big challenge, requiring doctors to use appropriate suturing and flap transfer methods to maintain post-operative aesthetics.

Surgery may be performed multiple times to achieve optimal results

Surgery to correct nose deformities is not just a one-time intervention. In many cases, the doctor needs to perform multiple treatments to achieve optimal results. The first surgery will create an important foundation for subsequent soft tissue revisions.

The entire process can last from 4 to 8 hours, with a recovery time of about 2 to 4 weeks, requiring proper care and follow-up visits as prescribed.

Be realistic about your situation

Clients with deformed noses often experience low self-esteem, and doctors need to help them determine realistic expectations about surgical results. Understanding your condition and possible changes will help you feel more satisfied with the end result.

Rhinoplasty surgery is a complex and challenging procedure, requiring a doctor with high expertise and solid experience. To achieve optimal results, customers need to carefully research information and choose a reputable surgical specialist.

If you need further advice, contact the team of experts at JK Nhat Han Hospital for support and free appointment via Hotline: 094 1800 999 (Zalo/Viber/Facetime).