Rhinoplasty cartilage TIP Modification with the highest standards of safety and aesthetic rhinoplasty by Dr.Peera
Tip cartilage Modification ( PSC technique ) : New era of nose augmentation by Dr.Peera .( Nose cartilage by creating the PSC with techniques – from past to present)
The problem of plastic surgery of the past to the present in Thailand is nose surgery with silicone to the tip of the nose. If many years have passed, the tip of the nose will become so thin that the silicone can be seen. The reason is that silicone is a foreign object when it touches the tip of the nose causing problems to resolve. And the most serious symptom is that the nose cannot return to its original state Why is the cause on the tip of the nose because the tip of the nose is Friction and shearing force.
Doctors have started to develop techniques. To create quality, safe and permanent work with a new nose implantation technique.
Many years ago The doctor has experience in rhinoplasty and has conversations with surgeons from other countries. Makes the doctor find that Creating safe and beautiful works can be done in parallel. But requires a very high ability of the surgeon because Is a complex surgical procedure Must have merit and takes 5 times longer than normal silicone surgery, but surgery is needed to adjust And arrange the cartilage into layers, one piece at a time Together with nose implants with other soft parts such as cartilage behind the ear and nose bridge No silicone is added to the tip of the nose, so it is known as 100% natural nose tip.
The doctor has been thinking about this for a long time. Until one day, the doctor canceled silicone rhinoplasty and changed the method of real bone augmentation at the tip of the nose. After that, the patient’s doctor reduced. For the first patient to use this technique Is the doctor’s relative, but the doctor had to sit and explain about rhinoplasty in this way for 1 hour, causing other patients to sit and wait for the examination to complain, but for the doctor, thank you for this case, which allowed the doctor to accept the rhinoplasty by using cartilage in the city. Widely Thai Many years ago The doctor once told the magazine that Thai rhinoplasty has to come a long way in 5-10 years.
In the beginning, In Thailand, it is considered strange and abnormal. Some people think that the face of Thai people is not like Korean. From my experience, I have been critical, but I understand that leadership for change has to be friction or Insult, as well as doctors began making Shaped breast implants.
For doctors, it is believed that patients will understand the efforts of doctors. About what the doctor did for him and how much it was worth If starting to think that the cost is high, but if long-term thinking is 10 years or more, will find the answer that it is worth it. And this is an artwork Impatient And starting from 1 since no one knows this method until now, this technique is a unique technique of PSC and a nose correction is considered necessary. If having to adjust the shape of the nose or make it prominent The only exception is if the patient’s nose is already complete or the patient does not want to correct the area at the nose.
The benefits of 100% true tissue are the skin, adjusted to the desired end of the nose. And no damage was caused in the long run. This result makes it permanent Can be used for new cases and old cases Even the skin case is almost so thin. It can be modified to return to the original condition because the body responds and blood circulation is normal.
The surgery is the cartilage that covers the tip of the nose. The doctor did not use it because the cartilage has a chance of death, and when the silicone is being pushed, the skin is only slightly left and the can see bones are clearly visible.
Surgery requires a specialist patch that has knowledge of the structure of the nose. And know the procedure and procedure for the surgery so as not to cause nose problems later Natural nose augmentation like real For a surgeon or a doctor involved in surgery, you must be confident. And causing patients to have no future corrections And another important factor is Makes the patient feel the passion for the most beautiful nose surgery, also called passion.
The doctor is happy to be a part of the nose surgery development in Thailand. To move forward unceasingly And hope that the Thai plastic surgery industry will be the leader in plastic surgery in Asia Must use the power of the plastic surgeons, seniors, juniors, all professionals, finally, if asked me what my aspiration for surgery is And here is what is obtained from the development of this new rhinoplasty is “Elaborate creating the best art and nothing more than an attempt”
Technique Nasal Augmentation with Tip modification 100 %
( Nasal Augmentation with Tip modification by Dr.Peera PSC Technique) Many of you may have wondered that The nose shape of each person is different. Why do some people have a more beautiful nose than others? that is because the structure of the nose is different For this idea is “If you can edit all types of structures to be pretty similar Can naturally adjust the shape to any shape as well ”
The structure consists of a nose
1. The bones include the nasal bone and upper maxilla, which two things will determine the shape of the base of the nose and the width or narrowness of the nose side.
2.Cartilages, which are a component of the complex and delicate assemblies thread a small piece of cartilage lot together. Will determine the shape of the cartilaginous the external nose and the Nasal Tip how beautiful.
3.Nasal soft tissue coverage is the one that makes the shape of the nose, exiguous or larger. And if talking about various techniques in the current rhinoplasty and the pros and cons – can be divided into 3 ways as follows
- Conventional Nasal implant technique means is the removal of silicon for the subcutaneous, placed on the spine and the addition of autologous nasal tissue. Therefore, the method used for more than 10 years. However, after about 2 years, the silicone may be softness or durability may occur on the skin, nose, causing imperfections. And see silicone, or sometimes silicone can penetrate and restore to survivability is not the same for the nasal tissue, some of the damage and the wound.
The most cause of skin Atrophy problems at the tip of the nose is because
- if silicone implants high tension nose implant at tip medication than fit Causing the surface tension of the tip Nasal implant technique.
- Should not rub a serious nose and be careful to touch the tip of the nose.
- Conventional Nasal implant technique + Cartilage graft ( PSC Clinic didn’t use this )Means surgery under Article 1 but cartilage to cover the front of the silicone. To reduce the thinning or puncture of the skin around the nose can increase the safety to a certain extent. However, the problem that may be encountered is
2.1. If skinny tip plasty may be new cases or fix and have opportunity naturalistic fallacy.
2.2 There is a chance that the bones do not work. or disappear Because the blood that can come to feed only one side is the side that touches the skin Because the other side rests directly on the silicone Cannot have blood to raise. (As in the picture in both cases, found that when the cartilage is broken, the silicone and skin on the thin tip can be seen as before.)
The survival of the cartilage The medical profession is called grafting. Cartilage pieces that are transferred from one another are parasitic. Need new nutrients and blood vessels from the surrounding tissue that should place to the surround close and proper.
- Nose augmentation by placing silicone. Or other materials such as Gore-tex for extra support on the bridge of the nose Nasal bridge implant + Nasal tip framework reshaping + cartilage graft ( Dr. Peera has been continuously developing it to become a special technique PSC Technique). The tip of the nose is called Tip Modification. But in truth the person who put the concept This story was long ago, Professor Jach H. Sheheen, currently in California, USA, who used cartilage at Septum, but now in the cartilage industry. From the back of concha or the bone in the nose.
Cartilage will be modified to create a new trick with a beautiful shape
This method is currently highly regarded in rhinoplasty and is published in many international medical journals. And has been proven to be the safest and durable for the following reasons :
- Silicone or nose material will be placed in a safe position and very few problems are On the bridge of the nose only.
- At the tip of the nose which is at high risk, no use of silicone But mainly depends on the actual structural adjustment, including the adjustment of natural cartilage, size, arrangement of angles and degrees, short lengths and various cartilage The natural nice nose structure may be combined with the use of extra cartilage at the tip of the nose to mimic the natural cartilage. Therefore, there are no problems in seeing the circles, cartilage, very thin skin, or when editing work, etc.
- Skin at the end Can stretch according to the real bone Without long-term thinning Due to no atrophy Because it is not exposed to artificial materials.
- The cartilage at the tip of the nose is an integrated feature. Between the real cartilage, and moved the cartilage in And without the use of silicone inserts Therefore there is almost no problem atrophy or cartilage dissolution But requires knowledge and Techniques for Caring for a soft Nosal.
- The structure of the ear or the nose bone is lost because of the hidden shapes used only partially.
- The advantages are durable, beautiful and safe in the long run. While touching the true feeling, it was the tip of the cartilage.
- The disadvantages The surgery process is very complicated because it takes many hours for surgery and the cost is high, the result depends on the technique and if there are no correction skills and precision, it is more difficult for surgery.
In the case of using artificial cartilage to actually try to replace the cartilage of this kind, the material is actually MEDPOR or a porous polyethylene with a porous tissue attached. Doctors have stopped using it for many years because of a major problem, which still has a good chance of piercing through, and the tip of the nose is hard. Currently, famous nose surgeons in foreign countries are not popular as well.
Examples of rhinoplasty and nose correction