[Reconstruction of Augmentation] A bulge appeared! A miraculous rescue after a failed augmentation; sharing my experience with my second augmentation reconstruction

想要精緻美鼻，怎知Augmentation Rhinoplasty失敗！

I've been very dissatisfied with my nose since I was a child, I feel...The bridge of the nose is too large, the nostrils are also too wide, and the tip of the nose is fleshy.，常常拍照都很不滿意，所以⼀直想Augmentation Rhinoplasty，想要有一個好看的鼻⼦，所以存到錢之後，我就找了⼀間診所去做了。怎知道剛做完開始就發現不對勁，因為The beam is a little crooked, and the holes are different sizes.Then, less than a month later, it was discovered...The scalp is red and inflamed.Then something even worse happened: the silicone punctured. That moment almost broke me. I cried every day during that time, and my family didn't understand. They kept thinking that I had made trouble for myself and that's why I ended up like this.

第一次Augmentation Rhinoplasty失敗的經驗使然

選擇Augmentation Rhinoplasty重修醫師更加謹慎

以前認為Augmentation Rhinoplasty⼿術很容易，不知道Augmentation Rhinoplasty的材質、類型、醫師的經驗與美感都會影響到⼿術的結果，所以那時候找的診所推薦我⽤L型的矽膠Augmentation RhinoplastyI didn't think too much about it and just did it. Little did I know that this was the beginning of a nightmare. After that, I felt very sad every time I looked in the mirror and saw my nose. I wanted to redo it, but I was afraid of having this bad experience again, so I hesitated.

在朋友的⿎勵之下，我來到Arsty Clinic診所找Dr. Wei-Cheng Ching諮詢，來之前還不放心，有先做了功課，真心覺得荊醫師的評價還不錯，⽽且經驗很豐富，這才放心預約諮詢，而且實際上諮詢當天，荊醫師的態度也⼗分專業，也很認真的分析我第⼀次隆⿐失敗的原因︰

「矽膠L型術式沒有不好，但適合本身條件就不錯的鼻型，在學理上⿐⼦依不同的組織構造可細分成許多區域。⼀般來說鼻樑是比較固定，⽽鼻頭則是有彈性、可以扭動的，同時鼻頭部位因為軟骨結構較柔軟有彈性，需要注意鼻頭⽪膚張⼒的問題，若是撐⾼⿐頭的⼒量太強會造成⿐頭組織的受傷，嚴重的話在Augmentation Rhinoplasty⼿術恢復期之後，就有可能出現鼻模穿出鼻頭的併發症。

這就是為什麼L型矽膠Augmentation Rhinoplasty不⼀定適合每個⼈的原因，因為L型鼻模是直接讓矽膠硬撐鼻頭，對於鼻頭⽪膚較薄、下鼻軟骨結構較弱的⼈來講，很容易就會發⽣穿刺及紅腫發炎的情況。」「比較安全且⾃然的Augmentation Rhinoplasty⽅式會是在鼻⼦的不同區域使⽤不同的⼿術設計，⽽在鼻頭的部份建議使⽤⾃⼰的軟骨，效果不僅更⾃然，也不容易有⼿術後的併發症。」

「那麼再⼀次Augmentation Rhinoplasty可以改善我的鼻型嗎?會不會有風險呢?」這是我非常在意的問題。

「⼆次Augmentation Rhinoplasty能夠⼀定程度的改善現況，不過必須老實說，在經過前⼀次⼿術後，鼻⼦或多或少會留下⼀定程度的疤痕、受損，也可能有沾黏的情況，所以我們會利⽤結構式Augmentation Rhinoplasty，先移除之前的植入物，再使⽤⾃體軟骨做鼻頭整型，並重新雕塑，盡量去做修飾和調整鼻型到理想⾃然的樣⼦。」

After reviewing Dr. Jing's cases and listening to his explanations, I decided to give myself another chance to change!

結構式Augmentation Rhinoplasty關鍵在「鼻頭」！

Structural breast augmentation is a surgical design that extends and adjusts the natural structure of the breast. The key is the "breast." From the perspective of facial aesthetics, a higher breast provides more space for the bridge of the nose or the root canal. The support of the breast can be achieved using various implants (human bone) and autologous cartilage (diaphragmatic cartilage, lateral cartilage, autologous rib cartilage, allogeneic rib cartilage) with different surgical designs. In addition, a type I mold (silicone, Gortex, Camera) suitable for each person's breast shape is inserted into the root canal to increase the height.

其中Dr. Wei-Cheng Ching最常⽤的便是⿐中膈軟骨，因為有以下的優點︰

1. It has moderate softness and elasticity, and its support is between that of human cartilage and costal cartilage.

2. It can be removed simultaneously with the implant without affecting the structure, and without additional trauma.

3. It will not increase the recovery period after the augmentation surgery, and the shape is more stable.

4. There is little risk of postoperative perforation because the entire implant head is made of your own soft tissue. If necessary, additional cartilage can be added to adjust the shape and height of the implant head. (This means the entire implant head is made of your own cartilage, which not only provides a stable augmentation effect but also eliminates any concerns about complications from the implant.)

However, the size and thickness of the septum vary from person to person, and the size and shape that can be safely used in head shaping also vary. It is necessary to take into account the individual's body condition, the depth and position of placement, and face shape, etc. In addition to the head, the connection between the bridge of the head and the eyebrows and forehead also needs attention in order to sculpt a natural and perfect head shape!

Augmentation Rhinoplasty重修術後心得

Before the surgery, I trusted Dr. Jing completely. However, after the surgery, I still had all sorts of fantasies and imaginings. The result was even better than I expected. At first, I only hoped to improve the areas I was unhappy with after the first surgery. But Dr. Jing not only solved my problems but also shaped my hair naturally, making it exactly the hair I had always dreamed of. The bridge of my neck is of moderate width and height, and the tip of my hair is slightly upturned. Most importantly, I experienced absolutely no discomfort after the surgery. This made me realize that cosmetic medicine is not just about "medical skills" but also about "aesthetics." I am so glad that I found a clinic and doctor who possessed both skills and saved my dream!

PureForm GORE-TEX Material Properties and Advantages

3D unibody design, superior quality, exquisite perfection
The 100% ePTFE material undergoes a compression process, resulting in excellent rigidity and resistance to deformation.
Controllable organizational integration - shrinkage rate <5%, predictable and satisfactory results.
Made in the USA, made with materials suitable for long-term medical use, ensuring high safety.
Highly biocompatible, with low rejection reaction
Low capsular contracture, excellent fixation, and not easily displaced.
The material is soft, and the appearance and feel are natural.
Improves upon the drawbacks of traditional materials being difficult to remove.
Special microporous structure, with micropores approximately 20~40µm in size.
It allows new tissue to grow in and gradually integrate with the body's own tissues.

The Gore-tex material imported by Taiwan is divided into two main categories: sheet-like and three-dimensional molded.

Gore-tex can be imagined as a very dense sponge structure, filled with tiny pores (20-40 μm), into which blood vessels and tissue cells can grow. It has high biocompatibility and stability, and is not prone to capsule or contraction problems.

During the surgery, the procedure can be sculpted to the desired shape. Although it connects with the surrounding tissue, removing Gore-Tex in a second surgery is not difficult, and it doesn't leave material residue like Camera. The downsides are that the volume will shrink slightly after the surgery, and the price is higher. PureForm, which has been imported from the United States to Taiwan in recent years, is a 3D molding procedure with a stronger structure, designed to meet the needs of different parts of the face.

So how should I choose?

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 that combines silicone and Gore-tex. The inside is silicone and the surface 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, giving doctors more options for beautifying the patient's nose.

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，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。