How to Choose the Right Nasal Tip Support for Rhinoplasty!

#NasalTipSupport #AutologousRibCartilage #SeptalCartilage #EarCartilage #DonatedRibCartilage #Rhinoplasty #HumpNose #ShortNose #LongNose #DeviatedNose #ContractedNose #RevisionRhinoplasty #GangnamRhinoplasty #GangnamRevisionRhinoplasty #SeoSeungJo #ShimJungHwan #Weverse

Hello,

💖your beauty universe! This is Weverse Plastic Surgery :)💖

Hello, I am Dr. Seo Seung-jo, head director at Weverse Plastic Surgery.

In today's video, I would like to talk about nasal tip supports (struts).

Q: Do many people look for autologous rib cartilage for nasal tip support these days?

Dr. Seo Seung-jo: I think the demand for autologous rib cartilage has increased recently.

Because it provides an abundant amount of cartilage and is very sturdy!

It definitely seems to have increased significantly since COVID-19.

Before that, donated rib cartilage was widely used.

*What is donated rib cartilage? Rib cartilage donated from a cadaver. It involves less burden as there is no harvesting surgery required.

Since the results of those who had surgery with autologous rib cartilage

are maintained much better than with donated rib cartilage, patients often ask for it first.

Q: Do you also prefer autologous rib cartilage the most, Doctor?

Dr. Seo Seung-jo: I value efficiency and cost-effectiveness.

It is good to use when the nose needs to be raised significantly and requires sturdy support,

but is there a need to use autologous rib cartilage when you don't necessarily need something that sturdy or in large amounts?

In such cases, it is better not to use it.

Q: Are there criteria for choosing a nasal tip support?

Dr. Seo Seung-jo: 1. The distance the nose needs to be moved

2. The degree of skin elasticity (stretchiness)

1. The distance the nose needs to be moved

If the columellar retraction is severe, the amount the columella needs to be lowered is large.

In that case, just opening and closing it will cause it to pull back in due to the force of the scar tissue.

If the columella sinks right in when touched -> I recommend a sturdy material (rib cartilage).

2. The degree of skin elasticity (stretchiness)

For those whose skin stretches well when pulled with a cotton swab!

Skin that stretches well has a weak recoil force, so even a soft material can hold up well,

but if the skin is tight, the support will not be able to withstand it if soft cartilage is used.

*Skin elasticity is very important.

Q: Rib cartilage for primary rhinoplasty VS No rib cartilage

What are your thoughts on this, Doctor?

Dr. Seo Seung-jo: Whether it is a primary surgery or a revision surgery is not what matters; understanding the current condition of the nose is what's important.

I believe we need to carefully find a method to avoid revision surgery.

★ A simple surgery with no need for revision and a good aesthetic outcome is the absolute best.

❤ Want a quick consultation?

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Frequently Asked Questions

Is autologous costal cartilage often preferred as a nasal tip support these days?

Yes, the demand for autologous costal cartilage has significantly increased recently. Patients often seek it first because it provides sufficient quantity and firmness, leading to much better sustained surgical results compared to donor costal cartilage.

What is the most important criterion when choosing a nasal tip support?

The most important factors are the amount of nasal tip projection needed and the elasticity of the nasal skin. If there is severe columellar retraction requiring significant nasal tip lowering, or if the skin is tight, it is advisable to use firm costal cartilage. Conversely, if the skin is elastic, softer cartilage can provide sufficient support.

What type of cartilage should be used if the nasal skin is tight?

It is recommended to use firm costal cartilage. If soft cartilage is used as a support when the skin is tight, it may not withstand the skin's tension and could collapse, thus requiring a firm material.

Is it advisable to use autologous costal cartilage even for a first rhinoplasty?

There is no absolute need to avoid or insist on autologous costal cartilage just because it's the first surgery. The key is to accurately assess the current condition of the nose and choose the most suitable material to prevent revision surgery, rather than focusing on whether it's a primary or revision surgery.