Nassif Paul S, Lee Kimberly J
Department of Otolaryngology, University of Southern California School of Medicine, Los Angeles, California, USA.
Facial Plast Surg Clin North Am. 2010 Feb;18(1):153-71. doi: 10.1016/j.fsc.2009.11.018.
Asian rhinoplasty is one of the most challenging ethnic rhinoplasties that plastic surgeons perform because of the thick skin and soft-tissue envelope. There are three goals: pleasing the patient, achieving an aesthetically appealing result, and preserving a natural look. Of these goals, the most arduous is to satisfy the patient, as many patients have unrealistic goals and may desire an extremely narrow Western nose. Furthermore, patients may bring in celebrity or model photographs and expect that outcome, even though it may not be suitable for their face or appear over-resected and pinched. The surgeon's most important task is to attempt to persuade the patient that this result is nonfunctional, esthetically unfit, and difficult to achieve with their skin. For ethnic surgery, a clear and thorough grasp of nasal anatomy, function, and surgical techniques is paramount. An extensive preoperative discussion, including expectations, outcomes, and a detailed list of potential complications with the patient can prevent physician-patient miscommunication. Before surgery, it is essential to review the office examination, previous operative summary, photographs, nasal analysis sheet, problem list, and plan before proceeding with the surgical treatment.
由于皮肤和软组织包膜较厚，亚洲鼻整形术是整形外科医生进行的最具挑战性的种族鼻整形术之一。有三个目标：让患者满意、获得美观的效果以及保持自然外观。在这些目标中，最艰巨的是让患者满意，因为许多患者的目标不切实际，可能想要一个极其窄的西式鼻子。此外，患者可能会带来名人或模特的照片，并期望达到那样的效果，即使这可能不适合他们的脸型，或者看起来过度切除且显得紧绷。外科医生最重要的任务是试图说服患者，这样的效果没有功能性、美学上不合适，并且以他们的皮肤条件很难实现。对于种族手术来说，清晰而全面地掌握鼻解剖结构、功能和手术技术至关重要。与患者进行广泛的术前讨论，包括期望、结果以及详细的潜在并发症清单，可以防止医患之间的误解。手术前，在进行手术治疗之前，务必查看门诊检查、既往手术总结、照片、鼻分析表、问题清单和手术计划。
