fc2blog_20160228224108364

【隆鼻術】理想の鼻の形と手術方法/使う材料の種類と特徴

低い鼻を高くする隆鼻術

鼻が低い場合適切な材料をつかい鼻筋と鼻先を高く変えることができます。
理想の鼻(あくまで美容的にいわれているものでそれぞれ好みによって変わってくると思います。)

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理想的な鼻の比率は顔の長さの3分の1と言われております。鼻先が鼻筋より1~2mm高いのが理想と言われております。
理想的な鼻の角度は人中と鼻柱の角度が95°~105°、鼻筋と額は115°~135°と言われております。
隆鼻術の方法

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切開方法は開放型と非開放型があります。図の方法は開放型となります。開放型であっても傷跡はほとんど残りません。

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鼻筋の高さを出すためにシリコンを使うことが多いです。以前はL字型のシリコンを使うこともあったのですが最近はI字型を使います。鼻先は自家軟骨を使うため触感が柔らかくよりナチュラルに見えます。自家軟骨は耳介軟骨と鼻中隔の二つを用いることが多いです。鼻中隔が耳介軟骨より硬いため鼻柱として使われます。数回の手術でもつ使う軟骨がない場合最後の手段として肋軟骨を使うこともあります。
鼻を高くする程度
ーまず鼻先をどのくらい高くできるかを決めそれぬ合わせ鼻筋の高さを決めます。
ー眉間が近い場合鼻筋を高くしすぎてはいけません。顎が小さい場合も同じです。
ー皮膚が薄い場合透ける可能性を考える必要があります。皮膚の厚さを考慮して高さを調節する必要があります。
隆鼻術に用いる材料
鼻中隔

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鼻の中央に位置している軟骨となります。機能に損傷がない量を採取します。硬いため鼻柱をつくる際に用いられます。
耳介軟骨

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鼻先を高くするために使われます。鼻中隔が足りない場合も使うことができます。
肋軟骨

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最も多い量の軟骨を得ることができます。短い鼻を長くする際に有効です。再手術の際に再建目的にも使われます。
シリコン

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鼻整形の際に最も多く使用されるプロテーゼとなります。鼻筋の形をつくるに最も適している都言われております。
ゴアテックス
1969年ゴアという人がつくりました。e-PTFTという物質で人体に無害と言われております。ただ除去することがシリコンより難しいです。厚くすることも難しく高さを出すにも限界があります。
筋膜

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皮膚が薄い場合シリコンが透けて見える可能性があります。その場合にシリコンを包む材料としてよく使われます。
Alloderm
人の真皮を加工処理したもので拒否反応が起こりません。形態がなく柔らかいため鼻先に耳介軟骨の代わりに使用することもできます。
専門医に自分の理想とする鼻の形をしっかりつたえるために鼻先と鼻筋で考えてみてください。鼻先の高さに合わせ鼻筋を考えるため鼻先の高さをどのくらい出したいかと向きは下上それとも中間くらいがいいのか、少しだけ上向きがいいのかも考えください。鼻筋の場合カーブラインがいいのか直線がいいのか、鼻筋の幅も狭くしたいのかなど考えることができると思います。よくわからない方は高さと形を専門医と相談することで理想の鼻を具体化することもできると思います。
ただ専門医がいちいち高さをどうしたいのか形をどうしたいのか詳しく聞かないかもしれないので事前に自分で高さを今より出したいけど自分に似合う高さはどのくらいなのか、鼻先はどの角度が一番似合うのか、皮膚が薄くはないのかなど質問を具体化しておくといいと思います。

【隆鼻術】理想の鼻の形と手術方法/使う材料の種類と特徴」への57件のフィードバック

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