Romo Thomas, Soliemanzadeh Peyman, Litner Jason A, Sclafani Anthony P
Department of Otolaryngology-Head and Neck Surgery, The New York Eye and Ear Infirmary, New York, NY, USA.
Facial Plast Surg. 2003 Nov;19(4):309-15. doi: 10.1055/s-2004-815650.
The aging nose presents a difficult challenge for the rhinoplastic surgeon. To best address the patient's wishes, the surgeon must possess a sound understanding of the atrophic changes associated with the aging nose, including tip ptosis, increased nasal bulbosity, a lengthened nasal appearance, and altered nasal airflow patterns. Surgical emphasis is placed on conservative structured reduction to address functional concerns. Overresection risks destabilizing the nasal tip and altering the patient's concrete self-image. This article outlines our approach to rhinoplasty in the aging nose with a special emphasis on the use of porous polyethylene alloimplants to provide added structural support.
衰老的鼻子给鼻整形医生带来了艰巨的挑战。为了最好地满足患者的需求，医生必须充分了解与衰老鼻子相关的萎缩性变化，包括鼻尖下垂、鼻球部增大、鼻外观变长以及鼻气流模式改变。手术重点在于进行保守的结构重塑以解决功能问题。过度切除有使鼻尖不稳定并改变患者具体自我形象的风险。本文概述了我们针对衰老鼻子的鼻整形方法，特别强调使用多孔聚乙烯异体植入物来提供额外的结构支撑。
