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Grafts & Surgeries Popular in India & there Benefits

Grafts & Surgeries Popular in India & there Benefits


Rhinoplasty/Nose Surgery: Grafts & Surgeries Popular in India & there Benefits

Rhinoplasty is a nose reshaping surgery, which helps to adjust the shape of nose and its angle in relation to the upper lip;alter the nose tip;and correct indentations, bumps, and other imperfections, which tends to interfere in the breathing process. Rhinoplasty is quite prevalent in Indian as well as in western countries. However, the treatment techniques in India are different from that of western countries.

In India, Rhinoplasty surgeons strengthen and preserve the cartilage, whereas, in western regions, they remove the cartilage from skin. It is because, firstly, Indians have thick skin and thin cartilage. On the contrary, Westerns have thin skin and thick cartilage. Secondly, in Western people, the dome or tip of nose is divided into two. This is quite uncommon among Indians.

 

Implications of Having a Weak Nasal Cartilage in Rhinoplasty

There are two main types of tissues, which provide support to the nose: bone and cartilage. The terms “strong cartilage” or “weak cartilage” are just phrases which are used to describe the quality of cartilages of patients. Weak cartilage means that the cartilage is thin, or has an improper angle or orientation, or has suffered a damage (by previous Rhinoplasty). If patients have weak cartilages, it must be treated with different techniques to get the suitable amount of nasal support and produce the desired cosmetic result.
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Through Rhinoplasty, all such complications need to be permanently healed. At the same time, potential problems, and the need for another surgery, must be avoided. In the Rhinoplasty surgery, two common methods: Suture Techniques and Cartilage Grafts are implemented for providing the required strength and support to the nose. Cartilage grafts like columellar strut are taken from the nasal septum, and place just below the cartilage tip. It helps to increase the height, support, and projection of the nasal tip. Cartilage grafts, when properly done, and if combined with suture techniques, results in appropriate size and aesthetically pleasing nose.

In order to have the desired shape and structure of nose, surgeons add cartilage or re-arrange the existing cartilage. Often, they re-sculpt, reposition, are-orient, and enlarge the present cartilage to enhance strength and simultaneously, form an aesthetic shape. Under any circumstances, patients cannot aesthetically shape their nose, without maintaining or improving its strength.

 

In the light of the above implications, the following grafts are most ideal for Indian skin, and provide desired results:

  • Alar strut grafts:The alar strut grafts are placed beneath the alar. Such grafts help to improve breathing, and also re-shapes the lower-third of the nose. It straightens the lateral crus of the lower lateral cartilage, thereby making the nasal tip less round and boxy, in appearance.
  • Alar batten cartilage graft: The alar batten cartilage grafts are thin and oval-shaped. These grafts are placed along the sidewall of nasal in the super alar crease area or in the region of lateral wall weakness. Alar batten grafts mainly provide support to a pinched or weakened external nasal valve, and are highly beneficial in curing dynamic external valve collapse.
  • Alar rim graft:Also known as alar contour grafts, the alar rim grafts help to improve the triangular shape of nose. These grafts are mostly placed in the caudal aspect of nasal ala to restrict the appearance of pinched nose. With alar rim grafts, patients can improve the transition from a narrow area, to one, without support.
  • Lower lateral cartilage strut grafts: These grafts are primarily used in the Rhinoplasty procedure, to support the lateral crus. In order to reshape and re-position the lower lateral cartilage, such grafts are placed right beneath the lateral cartilage. This is one such graft, which is useful for both concave cartilages and convex cartilages.

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