title: [Complex of auto-cartilage grafting and silicone implant for open nasal plasty].
abstract: OBJECTIVE
  To investigate the surgical methods and outcome of reshaping the nose by using autologous cartilage grafting-silicone gel complex combined with trimming the lower lateral cartilages and thinning the superfluous tissue of the tip.
  
  
  METHODS
  Between May 2006 and July 2008, 36 patients with ugly nose shape received open nasal plasty by thinning the superfluous tissue and trimming the lower lateral cartilages combined with implant of auto-cartilage and silicone gel complex. There were 3 males and 33 females with an average age of 23 years (range, 18-36 years), including 20 cases of hypertrophy and obtuse round of nasal tip, 10 cases of flat of nasal tip, 2 cases of slight nostril exposure, and 4 cases of small whole nose with hypertrophy of nasal tip. Among them, 8 cases received 2-time operations.
  
  
  RESULTS
  All incisions achieved healing by first intention. No deformation and complication occurred at donor sites of cartilage. The appearance, contour, color, and touch sensation of the nose were satisfactory and no complications of prosthesis exposure and skin redness of the nasal tip occurred. At 3-5 months after operation, the appearance of the nasal tip was satisfactory when part of the soft tissue was absorbed. Thirty-two patients were followed up 3-12 months (6 months on average), who were satisfied with the appearance of nose with good correct rate.
  
  
  CONCLUSIONS
  Nasal plasty by using auto-cartilage grafting and silicone implant combined with trimming the lower lateral cartilages and thinning the superfluous tissue of the tip is an effective method especially for round or bulbous nasal tip.
authors.affiliation: Weifang Plastic Surgical Hospital, Weifang Medical College, Weifang Shandong, 261042, P R China.
authors.forename: Xiaobo
authors.initials: X
authors.lastname: Han
authors.forename: Xiaoqin
authors.initials: X
authors.lastname: Liang
authors.forename: Chunlei
authors.initials: C
authors.lastname: Miao
authors.forename: Biaobing
authors.initials: B
authors.lastname: Yang
authors.forename: Shaochun
authors.initials: S
authors.lastname: Mou
authors.forename: Zhaohui
authors.initials: Z
authors.lastname: Zhai
authors.forename: Li
authors.initials: L
authors.lastname: Li
authors.forename: Baoyan
authors.initials: B
authors.lastname: Zhang
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
authors.forename: Shengjian
authors.initials: S
authors.lastname: Tang
mesh_terms: D000293:Adolescent; D000328:Adult; D002356:Cartilage / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D009666:Nose / Q000601:surgery*; D019736:Prostheses and Implants; D012225:Rhinoplasty / Q000379:methods*; D012828:Silicones; D014182:Transplantation, Autologous; D055815:Young Adult
chemical_list: D012828:Silicones