JW Plastic Surgery before and after pictures, Korea plastic surgery
Hybrid septal extension graft for short nose correction
1. Man Koon Suh, M.D.
How to overcome troublesome obstacle inHow to overcome troublesome obstacle in
Asian short nose:Asian short nose:
Hybrid Septal Extension GraftHybrid Septal Extension Graft
JW Plastic Surgery Center, Seoul, Korea
AMERICAN SOCIETY OF PLASTIC SURGEONS
PLASTIC SURGERY 2013
28. Advantages of hybrid septal extension graft
1. Even small septal cartilage can be utilized
2. Can avoid donor site morbidity from use of
….autogenous rib cartilage
3. Compared to IHCC use alone
- Tip is more mobile
- Deformity is much smaller in case IHCC is
resorbed unexpectedly
29. -
A very small septal cartilage, the most common
obstacle of Asian short nose correction,
can be overcome by:
hybrid septal extension grafthybrid septal extension graft
Conclusion
Good afternoon, everyone. I am Dr. Suh, from JW plastic surgery center in Seoul, Korea. Today’s my topic is how to overcome troublesome obstacle in Asian short nose:
Hybrid septal extension graft
As you can see in screen, septal extension graft is the most commonly performed procedure for the short nose correction. For this, we need a certain length of septal cartilage.
However, very small and insufficient septal cartilage in Asian patient is common, which makes it difficult to do a septal extension graft effectively
Even though autogenous rib cartilage can be a alternative option, it can leave a scar on chest wall and some patients do not want a somewhat big surgery.
However, I have developed the HSEG.
Carve the irradiated homologous costal cartilage into a shape of thin batten, and securely fix them to caudal septum bilaterally.
Harvested septal cartilage should be located between the two IHCC batten grafts and fixed with sutures. Fix the alar cartilage at the end of septal cartilage graft. Ear cartilage could be used as an alternative to IHCC. If the septal cartilage is exceptionally small, septal cartilage can be pulled more caudally without touching the caudal septum.
If you look at 2nd pictures, there is a gap.
This is a acutual procedure. A pair of IHCC is fixed to caudal septum bilaterally.
And septal cartilage is fixed between them.
When the sepal cartilage is exceptionally small or the amont of lengthening is very large, then septal cartilage is located more caudally not touching the caudal septum
Ren jing ru사진, 배지은, 조희경 것도 있으니 참조할 것, Ear cartilage could be used as an alternative to IHCC
This is an
During a 3 year period, I performed 57 operations, primary 42, secondary contracted 15.
And results were:
Nasal lenghening was between 3 mm and 10 mm. I had zero complications with this procedure(up), though 3 clients asked for a slight revision(down).
This is an example of this procedure. She has had 3 times of operation before and now she has contracted short nose with too much visible nostril.
She has silicone implant and contracted capsule was removed. But her septal cartilaee is too small.
Hybrid spetal extension graft as I explained already. SC is not touching the caudal septum.
Preop. And postop. View. You can see lengthened nasal lenth and decreased nostril show.
Oblique view
Lateral view
This is another case. As you can see, he has short nose with too much visible nostril.
This is preoop. And postop. view
This is a contracted case. She…..
This is a before and after picture. Now(up),as you can see on the right, nose has been
Lengthened and nostril show corrected.
