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Last updated date: 09-Mar-2024

Originally Written in English

Soft Mesh Rhinoplasty

    Overview

    The nasal tip remains tight when it is supported by nasal septal cartilage. In contrast, when the nasal tip is touched, the nose tip is inflexible and frequently incapable of making a pig-nose. Soft Mesh Rhinoplasty resembling nasal septal cartilage, produces a high nose bridge and a strong structural support. This surgery method does not require or use nasal septal cartilage at the same time. The nasal tip is not stiff, and it is possible to make a pig nose, which is the natural movement of nasal tips.

     

    What is Rhinoplasty?

    Rhinoplasty

    Rhinoplasty, often known as nose job or nasal reconstruction, is a cosmetic surgical operation used to reshape and reconstruct the nose. Plastic surgery is classified into two types: 

    • Reconstructive surgery, which restores the form and function of the nose, and 
    • Aesthetic surgery, which alters the look of the nose. 

    Reconstructive surgery tries to repair nose damage produced by a variety of traumas, including blunt, piercing, and blast injuries.

    Birth defects, respiratory issues, and failed initial rhinoplasties can all be treated with reconstructive surgery. Rhinoplasty can be used to eliminate a bump, restrict the nostril width, adjust the angle between the nose and the mouth, or treat injuries, birth deformities, or other breathing issues like a deviated nasal septum or a sinus ailment. A septoplasty is surgery that just involves the septum.

    A rhinoplasty can adjust the:

    • Reduce or increase the size of the nose
    • Narrow the span of the nostrils
    • Change the angle between the nose and upper lip
    • Change the tip or bridge of the nose

    Rhinoplasty can be done as a closed or open procedure:

    • Closed procedure - the surgeon works from inside the nose by making a cut or incision inside the nose.
    • Open procedure - the surgeon works from the outside by making a small incision across the tissue that divides the nostrils.

    Nasal surgery to open an obstructed airway necessitates a careful examination of the nasal structure. A deviated nasal septum, a common cause of breathing difficulties, can be corrected surgically by adjusting the nasal structure to produce better alignment.

     

    What is Soft Mesh Rhinoplasty?

    Soft Mesh Rhinoplasty

    Mesh Rhinoplasty Surgery is a nose augmentation procedure that increases the tip of the nose. Ear cartilage and nasal septal cartilage are the most often used materials for nose tip enlargement. However, if you are unable to utilize your own cartilage tissues due to a variety of factors, such as having too thin or missing cartilage, the second best alternative is to use Mesh, which is exceptionally soft and flexible, resulting in a natural, flexible nose tip.

    Polycaprolactone (PCL) is used to create a dense network in the mesh. Because PCL is an FDA-approved substance, it is known to be safe, and it has been utilized in thread lifting and Ellanse, a long-lasting filler. This PCL is 3D printed into a net structure to generate the mesh.

     

    Who is Mesh Rhinoplasty for?

    Mesh Rhinoplasty

    It is especially beneficial for persons who have a low and soft nose. The lower and softer the nose, the weaker your septum, which frequently necessitates revision surgery following rhinoplasty. As a result, it is critical to employ high-quality materials, such as mesh, during the initial rhinoplasty surgery. By employing mesh, it functions like a pillar, allowing you to keep the tip of the nose at the same height. 

     

    The Advantages of using Mesh

    The advantages of using Mesh

    One advantage is that it is elastic, allowing you to move your nose freely following surgery. When you reposition your nose or face after rhinoplasty with additional materials, the results sometimes seem strange. Because the mesh is a flexible material, it may twist back and forth and on both sides, which can relieve this worry.

    Mesh exerts less physical pressure than silicon and has the advantage of stabilizing the tip of the nose, as in rhinoplasty surgery utilizing your nasal cartilage. Furthermore, because the foreign body fades and vanishes after two to three years, there is reduced danger of unwanted consequences.

    This mesh is made of an absorbable polycaprolactone that melts and vanishes after two to three years. Many people are concerned that the effect of the operation may be lost as the mesh melts. However, if you look at the structure of the mesh, you can see that there are gaps between the mesh, and the dermis will spread out and fill in the gaps over time. Even after the mesh is removed, the dermis that has filled in the gaps will retain its shape, allowing the results to last even after the mesh is removed.

    You may produce a pig nose after surgery by lifting your nose up. The nasal tip is rigid when nasal septal cartilage from the inner nose is utilized to produce pig nose. When it is touched, it produces an awkward feeling. 

    • My Nose Stays High – Soft Mesh Rhinoplasty
    • With effective fixation, nasal tip does not fall

    If various materials are utilized for the nasal bridge and nose tip in rhinoplasty but are not tightly attached, an empty gap may form between the silicon prosthesis and the ear cartilage. The nasal tip lowers or goes lower in this scenario, forming a line on the nasal bridge. Inflammation is more likely in an empty space.

    1. Long and thin silicon connects to the ear cartilage
    2. Leaving no space between nasal tip and prosthetics, almost no inflammation
    3. Mesh material strongly fixates and creates firm support for the high nasal tip

     

    Short surgery time minimizes swelling and bruises, faster recovery time

    More bleed occurs during surgery as the procedure time increases. As a result, there will be more swelling and bruises. If the surgery site is oxidized for an extended period of time, the chances of inflammation increase.

    1. Minimal incision and microsuture minimizes incision marks
    2. Little bleeding and almost no swelling and bruises thanks to short surgery time
    3. Short recovery period, able to return to daily life without surgery marks

     

    Can Mesh be used for the nose bridge?

    Nose bridge

    The mesh serves as a supporting framework for the tip of the nose rather than filling it in. Your cartilage or a prosthetic can be used to operate on the nasal bridge. Some patients believe that the mesh may be utilized on the nasal bridge, however it is not appropriate for nose bridge surgery. To identify the best nose surgery approach, it is best to see an expert specialist who can propose the proper prosthesis based on your specific nose shape and type.

     

    What are the side effects?

    Mesh side effects?

    Mesh, like other foreign materials placed in the body, is susceptible to infection. Before deciding on a rhinoplasty implant, it is important to obtain the advice of an experienced, board-certified plastic surgeon. 

     

    How is soft mesh rhinoplasty is created?

    soft mesh rhinoplasty

    Mesh, new cartilage material, and rhinoplasty technology work together to create a natural line.

    • Nasal ridge surgery : Create a nasal ridge using a custom designed
      silicone implant.
    • Nasal tip surgery (Mesh) : Firmly secure nasal tip using mesh and
      achieve similar tightness as using septum cartilage.
    • Nasal tip Surgery (Ear cartilage) : When used together with ear cartilage, it promotes cell proliferation and differentiation,
      resulting in firm adhesion to nasal tissues to maintain a sharp nose line.

     

    What are some aftercares to reduce pain and swelling?

    When considering rhinoplasty, most people are concerned about the discomfort and the extended recuperation period. Incision and hemorrhaging after surgery produce pain, edema, and bruising. The quantity of blood loss will naturally reduce if a skilled rhinoplasty surgeon conducts the operation fast and with the shortest incision possible. As a consequence, post-surgery discomfort, edema, and bruising will be reduced, and recovery will be significantly faster.

     

    Is it possible to have a rhinoplasty with no side-effects?

    Rhinoplasty side view

    Side effects can be produced by a variety of circumstances, however they can be considerably decreased depending on the surgical method and the surgeon's expertise. Rhinoplasty is one of the most delicate surgeries because it involves many nerves and vessels passing through our nose, but safe surgery with no side effects can be ensured if you have surgery with a trained specialist who has a deep understanding of the anatomy of the nose and years of surgical experience.

    Possible complications of a rhinoplasty may include the following:

    • The requirement for more surgery. In rare situations, a second operation may be required to correct a small fault caused by the previous surgery.
    • Complications after surgery as with every operation, there is a danger of infection or anesthetic response. Nosebleeds can also arise following surgery.
    • Blood vessels have burst. Small blood vessels might rupture and cause tiny red patches on the nose. The spots are usually inconspicuous, but they can be permanent.
    • Scarring. With the open procedure, scarring on the base of the nose is possible. 

     

    Mesh Rhinoplasty Q&A

       1. How long does the swelling last after rhinoplasty?

    Each person's bruises and swelling will be different. On the seventh post-operative day, stitches, tapes, and nasal splints are removed. Following that, major swelling will subside in one month and minor swelling will gradually subside in 36 months.

       2. When used cartilage, will the nose bridge get lower again as time passes by?

    Because cartilage is an autologous cell, it can be absorbed by the patient. 20% to 30% of the grafted cartilage is absorbed, with the remainder remaining permanent depending on the individual's body condition.

     

    Conclusion 

    Mesh Rhinoplasty Surgery is a nose augmentation procedure that increases the tip of the nose. Ear cartilage and nasal septal cartilage are the most often used materials for nose tip enhancement.