Many cosmetic surgeons are not comfortable with upper lip lift surgery, let alone want to do it with rhinoplasty combine. However, this can be done without any risk to the patient.
The concern is that it is possible that the blood flow to the columella or the middle part between the two nostrils will be cut off, because if the blood does not reach this part, the result will be necrosis or dead tissue in the columella and an ugly wound will appear in that part.. what if rhinoplasty If it is performed endonasally, that is, inside the nose and in a closed way, there will be no need to worry, because in this method, the incisions are made inside the nose..
However, if the rhinoplasty surgery is performed with an open technique, caution should be taken. In the open technique, rhinoplasty is performed from the outside on the columella. The reason for using this technique is that in this method, the plastic surgeon has better access and visibility to the work and has more control over the operation. Since in the upper lip lift, it is necessary to cut the base of the columella, which is the place where it connects to the upper lip, the same part may be cut for nose surgery, and therefore, cutting this part is done with two different goals..
This situation becomes more complicated when the cut from open rhinoplasty surgery has not yet healed. In this situation, the plastic surgeon must be careful and cut in such a way that the blood supply path is not damaged. Often, the safer method is to have the incision site of the lip lift above the incision site in these reconstructive cases جراحی زیبایی Nose be separate. These precautions become more necessary when the nostrils are to be reduced during rhinoplasty.. Not only should the upper lip line up well with the columella, but it should also match the newly narrowed nasal bridge without being out of place after the restoration..
Delicate surgery with familiarity with the patient's anatomy and the biophysics of the upper lip lift are key factors in achieving the desired result in this combination surgery..
Dr Behnam khorami