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Assessment of nasal structure: Examine the nasal bridge, tip, nostrils, and skin thickness; evaluate cartilage quality (septal, ear, or rib) for optimal planning.
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Creating the nasal pocket: Carefully lift soft tissue from the underlying bone and cartilage to create a precise space for implants or cartilage grafts, minimizing trauma.
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Tip support reconstruction: Use autologous cartilage to reinforce the tip, adjust projection and rotation, ensuring a firm and long-lasting structure.
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Bridge augmentation: Place implants or layered cartilage grafts to raise and straighten the nasal bridge, achieving a smooth, natural contour.
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Tip reshaping: Trim, fold, or reshape the alar cartilage to refine the tip shape, narrow the tip, and improve symmetry.
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Alar/nostril adjustment: Reduce wide nostrils or flared alae using small, precise incisions tailored to the patient’s anatomy.
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Closure & stabilization: Meticulously suture all incisions and apply external splints or internal support to maintain the new nasal shape during early healing.
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Final adjustment & evaluation: Check bridge alignment, tip projection, and nostril symmetry; confirm airway function while preserving natural nasal aesthetics.