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南国の美容クリニック。宮城美容外科クリニックです。

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ダンゴ鼻対策
Cosmetic Care for
BULBOUS NOSE TIP

It is quite well-known that the Westerners and Asians have opposite desires of how they want their cosmetic nose jobs done. To put it simply, while Asians are longing for enhanced nose contour, Europeans or Americans are busy thinking of reducing their noses' peaks and bumps.

However, both of these races or any other ethnicities in this globe share a common opinion about a certain nose shape that is not popular to, or sometimes hated by most of the individuals of these cultures. It is the bulbous nose tip. Every race might have different reason why they dislike wider nose tips, but treatment for this concern is usually universal.









The followings are techniques for treatment of ’bulbous nose tip':

1.Y-ko Thread Petit Nose Lift     The latest main trend in instant nose lift is the usage of Y-ko thread. Dissolvable threads used in thread face lifts turn out to be helpful also of lifting nose tip( and also nose bridge). By doing so , lifted tip shows thinner or narrower shape that is ideal for repairing wider nose tips.











The downtime(recovery time) for this procedure is the same with filler injections. Faster and swells less, but more effective and long lasting than fillers such as HA(hyaluronic acid).





Since it is made of safe dissolvable thread, it is expected to melt away within 6 months. But during this process, collagen fibers interact with the thread to take place of its function as the lifter of the nose tip.




Humps on nose bridge sometimes make nasal tip look lowered, and in this case Y-ko threads can help lift the lowered tip of the nose.









In actual insertion of the thread, a set of a blunt cannula and a thread is introduced directly along the columella(nose part that connects nose tip and nose base) to push or lift the tip with the thread and its barbs(spikes), leaving a needle point on the tip. Performed under local anesthesia.











2.BNLS Liposculpting Method    Bulbous tip usually is an indication of the excessive volume of nose tip cartilages and subcutaneous tissues over them. BNLS is a lipolysis injection substance that can react with the fat tissue richly found in the soft subcutaneous tissue. Melting the fats creates narrower nose tip that is a good remedy for the bulbous nose shape.










BNLS is the newest mesotherapy that contains 8 types of lipolysis and lymph circulation enhancing substances. It is different from the previous mesotherapy that required 10 to 20 weekly treatments. Even with 1 treatment you can soon observe changes with BNLS few days later. 3 or more treatments are recommended.








Treatment is done with a blunt canulla to avoid swelling or bruises.





This method focuses mainly in fat melting, so nose that has an accompanied excessive cartilages concern should be treated with the conjunction of another procedure such as Y-ko Thread, or cartilage transplant which is mentioned in the later statement.








3.Hyaluronic Acid(HA) Injection    By injecting HA to enhance the middle portion of the nose tip may show a narrower appearance, but subjects that have thicker skin might not benefit from this method. Injecting more HA may spread the substance to the unwanted areas and this act may turn out to add more volume all over the tip, meaning worsening of the issue. So HA injection needs a precise diagnosis before performing it to the patient.







Subjects with thinner skin might be good candidates for this method.






HA to the nose and other filler(such as Radiesse bone content filler) procedures are the main stream of quick nose lift for the past decade, but recently, in spite of its simplicity and easiness as a procedure, it is intentionally avoided by most of the cosmetic surgeons because of its damaging effect to the surrounding skin tissues just immediately after the procedure. So safer procedures such as Y-ko thread nose lift are the main alternative now for lunchtime nose lift.
4.Cartilage Transplant      The 1-3 methods stated above are all temporary nose lift remedies for bulbous nose. If permanent method is the method of interest, cartilage transplant should be the simplest and the most effective way. Instead of using dissolvable thread or fillers, the lasting autologous(self-derived) cartilages(mainly from ear) are good graft material to project the flat skin of the nose tip for a sharper tip contour.





Since this is a surgical procedure, a short duration of downtime is expected, mainly due to the 4-day(at least) taping of the nose tip and the stitches for securing the transplanted graft not to deviate to the unwanted loation. Swelling after nasal tip operation is not that of great deal. Might be easy to cover with make-up after tape and stitches removal.








To be specific, the irregular-shape cartilage taken from the ear auricle is cut into smaller rhombus or rectagular shapes that can fit the nose tip. 2-3 pieces of these chips will be piled in the center of the tip cartilages, secured by stitches to the skin. Wounds for approaches are done inside the nose, not noticeable at the exterior.




5. Nasal Tip Reduction          Cartilage grafts mentioned above might be the answer for cases that need more volumes on their tips. But if the volume itself is the problem, such as thicker skin and excessive tip cartilages, transplanting graft is not enough. Nasal Tip Reduction surgery is necessary to correct these issues.
The actual procedure goes as follows: first, removal of the soft subcutaneous(under skin)tissues is performed, then the pair of tip cartilages are bound together in the middle to narrow the tip, upper half of them removed to reduce volume, finally, transplant some grafts if more detailed tip contour is desired.






The process postoperatively proceeds similarly with cartilage transplant method. Compression with taping and the swelling is not severe if the surgery is just limited at the nose tip. Wounds are made inside the nose, calling it the "
close method" (some clinics performed with "open method).







During Nasal Tip Reduction, correction of lowered nose tip (
Nasal Tip Elevation) or shortened nose tip (Nasal Tip Elongation) can be performed simultaneously.










These are the latest cosmetic cares for Bulbous Nose Tip. Ask your doctor which one fits you well.


さらなる詳細
 、 further details

Miyagi Cosmetic Surgery宮城美容外科クリニック

〒900-0016
沖縄県那覇市前島2−2−1(3F)

2-2-1-3F Maejima, Naha City
Okinawa, Japan 900-0016

TEL 098-860-9120
FAX 098-860-9176

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