Why did the nasal bones pushed inward grow back? What should I do?

Oct 18, 2024 Source: Cainiu Health
Dr. Lu Cheng
Introduction
In general, the reversion of nasal bones after osteotomy may be caused by factors such as insufficient surgeon experience or inadequate postoperative care. If the surgeon lacks sufficient experience, they may fail to accurately determine the location, angle, and extent of nasal bone fracture and inward repositioning during surgery. Additionally, if the patient does not follow medical instructions for postoperative care, it may also affect proper healing of the nasal bones.

In general, the recurrence of nasal bones returning to their original position after medial osteotomy may be caused by factors such as insufficient surgeon experience or inadequate postoperative care. If the surgeon lacks sufficient experience, they may fail to accurately determine the location, angle, and degree of nasal bone fracture and inward repositioning during surgery. Additionally, if patients do not follow medical advice for postoperative care, it may also affect proper healing of the nasal bones. This issue can usually be improved through methods such as using nasal splints for fixation, revision surgery, autologous cartilage grafting, or implant rhinoplasty. It is recommended to visit a reputable hospital and undergo corrective surgery under the guidance of a qualified specialist.

Methods to improve recurrent displacement after nasal bone medial osteotomy:

Procedure Name

Nasal Splint Fixation

Revision Surgery

Autologous Cartilage Grafting

Implant Rhinoplasty

Principle

A nasal splint applies external pressure on the nose, compressing the nasal bones inward to achieve a certain degree of reshaping.

Surgically re-fracture the rebounded nasal bones and reposition them inward to the correct location.

Harvest an appropriate amount of cartilage tissue from the patient’s own body (e.g., ear or rib), then transplant it into the gap created by nasal bone repositioning or onto the nasal dorsum.

Select suitable implant material, carve it into a shape matching the nasal contour, and place it on the nasal dorsum or in the area adjacent to the nasal bones after medial osteotomy.

Indications

Suitable for mild rebound with minimal movement of nasal bones after medial osteotomy.

Suitable for obvious rebound of nasal bones after medial osteotomy.

Suitable for cases with nasal bone rebound accompanied by insufficient nasal dorsum projection or requiring further improvement in nasal contour.

Suitable for patients experiencing nasal bone rebound who also wish to enhance overall nasal height and three-dimensional appearance.

Reference Price

20–200 CNY per unit

20,000–50,000 CNY per session

30,000–80,000 CNY per session

30,000–60,000 CNY per session

Advantages

1. Simple and quick procedure
2. Non-invasive

1. Precise adjustment of nasal bone position
2. Enhances overall facial aesthetics

1. Excellent biocompatibility
2. Improves nasal shape

1. Implant can be precisely sculpted according to patient needs
2. Good material stability

Potential Risks

1. Skin indentation on the nose
2. Redness and swelling

1. Risk of infection
2. Localized swelling

1. Risk of infection
2. Scar formation

1. Implant displacement
2. Capsular contracture

Duration

1–6 months

10–15 years

10–15 years

10–20 years

After surgery, avoid strenuous activities such as running or jumping rope, and refrain from smoking and drinking alcohol to prevent interference with recovery. Maintain a light diet and avoid spicy or irritating foods such as Sichuan pepper, chili peppers, and onions, which are detrimental to health.