Hump nose is a common nasal deformity, characterized by a protrusion in the middle or upper part of the nasal dorsum, resulting in an uneven appearance, often accompanied by problems such as decreased aesthetic appearance and disharmony of facial proportions. Hump nose correction surgery is a cosmetic plastic surgery that surgically removes or reshapes the nasal dorsum bone and cartilage to improve the appearance. Although this surgery is relatively common in plastic surgery, it still has significant surgical risks and complications. It is important for patients and clinicians to fully understand these risks before surgery.
1. Overview of surgical principles and operation methods
Hump nose correction usually involves removing the protruding nasal dorsum bone and cartilage to restore the nose bridge to a straight line, and pushing the nasal bone inward to reduce the width of the nasal dorsum, thereby making the nose shape softer and more coordinated. The surgery can be performed through an open or closed incision . The choice of surgical method depends on the patient's specific anatomical structure and aesthetic needs.
During the actual operation, the doctor needs to accurately judge the position and degree of the nasal dorsum protrusion, rationally plan the amount of bone tissue and cartilage to be removed, and avoid damaging surrounding structures during the operation, especially the nasal septum, maxillary bone and intranasal cartilage tissue.
II. Analysis of major risks and complications
1. Intraoperative bleeding and hematoma formation
During the cutting or stripping of the nasal bone and cartilage, blood vessels may be damaged and bleeding may occur. If the bleeding is not stopped thoroughly after the operation, local hematoma may occur, compressing tissues, causing secondary infection or delayed healing. For patients with abnormal coagulation function or who are taking anticoagulants, the risks should be strictly assessed before surgery.
2. Infection
Although rhinoplasty is a clean surgery with a relatively low postoperative infection rate, there is still a possibility of postoperative bacterial infection. The infection mainly manifests as redness, swelling, pain, and exudation. In severe cases, it may lead to implant rejection or wound rupture. Strict preoperative disinfection, intraoperative aseptic operation, and postoperative anti-infection treatment are the key to preventing infection.
3. Asymmetric appearance or undercorrection
After the operation, some patients may experience problems such as asymmetric nose bridge, residual hump or overcorrection, which are usually related to inaccurate judgment during the operation, uneven bone tissue removal or postoperative tissue retraction. Preoperative three-dimensional imaging evaluation and meticulous intraoperative operation can reduce the incidence to a certain extent.
4. Respiratory dysfunction
Hump nose surgery may involve changes in the nasal septum or nasal cartilage structure. If the supporting structure is damaged or the tissue is improperly arranged during the operation, it may affect normal nasal ventilation, leading to functional disorders such as difficulty breathing and nasal congestion.
5. Skin soft tissue relaxation and scar formation
After the nasal dorsum skin is peeled off during surgery, if the tension is not properly managed or tissue fluid accumulation occurs during the postoperative recovery period, it may cause the skin to loosen, sag, or irregular scar hyperplasia, affecting the appearance. In addition, if the open surgical incision is not sutured correctly, it may also leave an obvious scar on the columella.
6. Sensory impairment
The sensation of the nasal dorsum skin is controlled by the branches of the trigeminal nerve. If the nerve endings are damaged during the peeling process, numbness or insensitivity of the nasal dorsum skin may occur after the operation. This is usually temporary, but it may also leave permanent changes.
7. Postoperative tissue degeneration or instability
Cartilage or bone tissue may be absorbed, displaced or healed malformed after surgery, causing the shape of the nose bridge to change again within a period of time after surgery. In this case, a secondary corrective surgery may be required to restore the ideal shape.
3. Individual factors affecting postoperative results
The postoperative recovery effect is not only closely related to the doctor's technical level, but also affected by many factors of the patient:
Age and skin tension : Older patients or those with loose skin have insufficient skin elasticity and poor skin adhesion after surgery, which affects their appearance.
Physical constitution and healing ability : Patients with poor healing ability or scar-prone constitution are more likely to experience postoperative hyperplasia or tissue depression.
Previous surgical history : Patients with a history of nasal surgery or trauma may have had their tissue structure changed, increasing the difficulty of surgery.
Compliance with postoperative care : If you fail to follow the doctor's orders to avoid external collisions, smoking and drinking, and control infection, the risk of postoperative complications will increase significantly.
IV. Key points of preoperative evaluation and postoperative management
To reduce surgical risks, detailed evaluation and adequate communication should be conducted before surgery:
Medical examination : including blood routine, coagulation function, nasal CT and other examinations to exclude surgical contraindications.
Aesthetic communication : Through simulation design, we work with the patient to confirm the desired nose shape and clarify the realistic achievable effect.
Personalized plan formulation : Develop a personalized surgical plan based on the patient's bone structure and soft tissue characteristics.
Postoperative care focuses on:
①. Keep the wound clean and change the dressing on time;
② Take antibiotics orally or by injection as prescribed by the doctor;
③. Apply cold compress to the nose to reduce swelling;
④. Do not knead or bump the nose;
⑤. Avoid high temperature environment and strenuous exercise;
⑥. Regular follow-up visits to monitor recovery progress.
Beauty Encyclopedia Tips:
Although hump nose correction surgery is a routine rhinoplasty project, its operation involves cartilage, bone tissue and surrounding functional structures. Improper handling of any link may cause irreversible damage to the appearance or function. Before considering surgery, patients should choose a plastic surgeon with complete qualifications and rich experience to ensure the safety of the operation and the postoperative effect. At the same time, fully understanding the potential risks of the operation and scientifically assessing their own needs are the basis for achieving ideal aesthetic goals.