A Comparison of Fillers and Implants for Sculpted Nose and Three-Dimensional Facial Features

(This article is quoted from)NOWNEWS Health Section)

The nose, located in the center of the face, plays a crucial role in facial features and overall appearance. With the advancement of cosmetic surgery technology, plastic surgery procedures have become quite diverse. Changes to the appearance of the nose can be broadly categorized into two types: minimally invasive injectable fillers and implant surgery.

Dr. Wei-Cheng Ching, director of Arsty Aesthetic Plastic Clinic, stated that injectable fillers include hyaluronic acid and Radiesse, with hyaluronic acid being the most common. The wounds are only the size of pinholes, and the effects are immediate, resulting in a higher nose bridge or fuller facial contours. It's an additive concept that increases volume and fills in depressions. There is almost no recovery period after the procedure, with only minor bruising. Convenience and speed are its advantages. However, excessive dosage or repeated injections can easily lead to a blunt or widened nose bridge, resembling that of the Na'vi from Avatar. Furthermore, caution must be exercised when injecting into areas such as the tip of the nose or between the eyebrows, as there is a risk of skin necrosis.

Augmentation Rhinoplasty手術顧名思義耗時較久、有術後恢復期，但置入假體材質與注射玻尿酸相較，會有絕對支撐性，鼻樑線條相對較為立體，至於鼻頭部分則因為軟骨組織柔軟富彈性，需要額外增加支撐力，來增高或延長鼻頭形狀，合併鼻翼的修飾，又稱為結構式Augmentation Rhinoplasty方式，能依照鼻部不同區域使用不同手術設計，打造出趨近自然的鼻形。

荊院長指出，目前Augmentation Rhinoplasty的假體材質包括矽膠、Gore-tex和卡麥拉等，傳統的矽膠假體，使用歷史最悠久、材質穩定，但有容易產生位移和莢膜攣縮問題；Gore-tex材質猶如緻密的泡棉，人體組織會隨時間包覆進入假體材質，不位移、感染風險也低，唯一的缺點是材料內部的細小孔洞經時間一久，會有體積壓縮減少15%至20%的情形。

Camera is a composite implant material combining silicone and Gore-tex. The inner part is silicone and the outer layer is covered with Gore-tex material. It is designed to be compatible with body tissue, reduce the chance of capsule and displacement, and stabilize the shape of the nose. The second-generation Camera implant has greatly improved the redness problem that was prone to occur after the first-generation Camera implant. It also offers a variety of nose shapes and sizes to choose from, giving doctors more options for beautifying the patient's nose.

In addition, East Asians tend to have flatter mid-faces than Westerners, and some even have more prominent mouths. Clinically, second-generation Camellia is used to augment the forehead and fill in nasolabial folds to reduce nasolabial folds and improve mid-face hollowness, or to augment the chin to modify the face shape and enhance the overall beauty of the facial lines.

想藉由Augmentation Rhinoplasty手術改善五官視覺上的比例，除應考量預算選擇適合材質外，醫師的經驗與技術也不容忽視。荊偉政強調，消費者術前應先向專業醫師諮詢溝通，做出最好的判斷；術後1周應切實遵照醫囑，冰敷並按時服抗生素、止痛消炎藥，維持規律作息，避免激烈運動，手術前後2周盡量配合戒菸，有助讓術後感染機率降至最低。

(This article is quoted from)NOWNEWS Health Section)