Nose, Plastic Surgery FAQ

Can Pinching Your Nose Change Its Shape? Understanding Nasal Aesthetics

Nasal issues Can pinching the nostrils forcefully cause one side of the nostrils to become uneven? Thank you.

Dr. Lu Daokuan Reply:
Asymmetry in the nostrils is likely congenital, but when pressure is applied, slight swelling can accentuate the difference. If the disparity is significant, reducing the size of one nostril may help improve the appearance.

Understanding Scar Revision Surgery: Risks, Benefits, and Recovery

Scar revision Hello: I have a surgical scar on my left hand joint that resembles a zipper. This scar has been present for 15 years, measuring 6 cm in length and 1 cm in width, with no elevation. I previously consulted you about scar revision, and I would like to ask again: 1. Wil...

Dr. Zhou Hongzhang Reply:
1. After surgery, you will definitely feel tightness. 2. After some time, the dexterity and function of the hand should not be worse than before the surgery. 3. For example: wound infection, hypertrophic scarring, etc. 4. Treatments such as laser resurfacing or chemical pee...

Understanding Post-Rhinoplasty Complications: What to Do About Nasal Bumps

Post-rhinoplasty Hello, doctor. I had a rhinoplasty about 4 years ago. Since then, a small raised lesion has appeared on the inside of my nose. It is painless and does not affect the appearance of my nose, but I can feel it when I pick my nose. Is there a way to remove this forei...

Dr. Zhou Hongzhang Reply:
1. If you are using an "I" shaped model, it is more likely to displace and puncture the skin, leading to the formation of a raised lesion (a phenomenon that occurs just before puncturing), or 2. a raised lesion caused by infection (abscess) or fibrosis. It is best to vi...

Managing Sympathetic Dystrophy After Thumb Infection: Treatment Insights

Thumb infection with paronychia complicated by "sympathetic dystrophy." Dear Dr. Zhou, I am writing to discuss my condition following an infection of the left thumb that developed into paronychia and subsequently progressed to cellulitis. I was hospitalized earlier thi...

Dr. Zhou Hongzhang Reply:
1. Please return to the outpatient clinic; that would be more appropriate. 2. Abnormal sensations are common phenomena observed during the nerve regeneration phase. 3. Skin and nail indentations may require further evaluation after a consultation.

Understanding Scar Hardening After Rhinoplasty: What to Expect

Scar tissue becomes hardened? Hello, Doctor: I found online that scarring after rhinoplasty can cause tissue hardening inside the nose. Will the texture of the nose change after the removal of the artificial nasal implant? Thank you.

Dr. Zhou Hongzhang Reply:
Yes, there may be changes in sensation, but the abnormal feelings are not very pronounced. - Dr. Hong-Chang Chou, Orthopedic Surgeon

Understanding the Rhinoplasty Process: Concerns About Implants and Recovery

Rhinoplasty Procedure Doctor: During the process of rhinoplasty with the placement of an artificial nasal implant, will any tissue from the body cavity be involved? Because when I get older, I want to have this artificial material removed, and I'm very concerned that my nose...

Dr. Zhou Hongzhang Reply:
1. The artificial nasal bone is placed above the nasal bone, beneath the skin, and does not affect or obstruct the nasal cavity, thereby preventing other issues. 2. Therefore, after removal, the nose simply "returns to its original appearance" and will not become flatte...

Will X-rays, CT, or MRI Reveal Artificial Nose Implants?

X-ray, Computed Tomography (CT), Magnetic Resonance Imaging (MRI) Hello, doctor: I would like to ask if artificial nasal implants will be visible on X-rays, CT scans, or MRIs, and if doctors will be able to detect the rhinoplasty? Thank you.

Dr. Zhou Hongzhang Reply:
Artificial nasal bones can be visualized on X-rays, CT scans, and MRIs, and experienced physicians should be able to detect them. Dr. Hong-Chang Chou, Orthopedic Surgeon.

Understanding Rhinoplasty: Longevity, Risks, and Detection Concerns

Nasal augmentation issues? Hello, Doctor: My nose has no bridge at all, and the tip is slightly upturned. I would like to ask you how long the artificial nasal implant used in rhinoplasty can remain in place. Are there any adverse effects of this implant on the human body, such a...

Dr. Zhou Hongzhang Reply:
1. Artificial nasal bones are generally made of silicone, which is considered a biocompatible material for the human body. Most issues associated with them include A. displacement or extrusion through the skin, B. silicone allergy, and C. infection. 2. Rhinoplasty is not easily d...

Understanding Pediatric Arm Masses: A Guide for Concerned Parents

A child has a growth on their arm? A child has had a lump on their arm for almost a year. We have visited several hospitals, but none have provided a definitive answer. The child is only one and a half years old, and undergoing surgery requires general anesthesia, which makes us ...

Dr. Zhou Hongzhang Reply:
To definitively diagnose a subcutaneous tumor, a tissue sample must be obtained for laboratory analysis, which requires surgical excision of the tumor for pathological examination. Otherwise, the physician can only make an "educated guess" and cannot be 100% certain of ...

Understanding Rhinoplasty: Concerns About Nose Reshaping and Scarring

Rhinoplasty Hello, doctor. Last time I asked you about the issue of wanting to reduce the size of my nose tip because it is too large. How significant will the scarring be from removing excess tissue? Will it exceed 0.5 cm? Additionally, I am actually more concerned about the rou...

Dr. Zhou Hongzhang Reply:
1. The tip rhinoplasty procedure involves incisions made through the nostrils and the columella, resulting in scar lengths of approximately 2 to 4 centimeters (though some scars may be located inside the nostrils). 2. If you only wish to "sharpen the nasal tip" without ...

Options for Reducing a Bulbous Nose: Surgical Solutions Explained

I want to reduce the size of my nasal tip? Hello doctor, I would like to ask about my nose tip, which is a bit large, and I want to reduce its size. Is there a surgery for this? Could you please explain the different methods available?

Dr. Zhou Hongzhang Reply:
A large nasal tip can be addressed through a soft tissue excision surgery via an incision made beneath the nose. If there is excessive skin laxity, it may be necessary to excise some skin, which could result in visible scarring. Generally, there are not many patients undergoing t...

Does High Heat Affect My Artificial Nose After Rhinoplasty?

Post-rhinoplasty care in high temperatures? Doctor, I had a rhinoplasty a year ago using an artificial nasal implant. Recently, while burning some wood and waste, I stood nearby, and the high temperature caused my face to feel extremely hot. Will this situation affect the shape a...

Dr. Lu Daokuan Reply:
The high temperatures from burning can cause skin injuries and increase the risk of pigmentation. Artificial nasal bones will not be affected.

Will Nose Surgery Affect My Recovery? Common Concerns Explained

Will having undergone rhinoplasty affect anything? I had a rhinoplasty over a year ago, using an artificial nasal implant. I took good care of it for the first six months, but now I'm concerned about certain situations that might affect the results, such as: 1. Rubbing my ey...

Dr. Lu Daokuan Reply:
It should be a psychological effect; as long as the body does not produce rejection, causing the artificial nasal bone to become increasingly prominent, it should be suitable for long-term use.

Effective Scar Management After Stitches: Tips for Healing and Prevention

How to treat scars? My daughter is 16 years old and was bitten on the nose by a dog, requiring five stitches. The stitches are scheduled to be removed tomorrow. What should we do for post-removal care to minimize scarring? Thank you.

Dr. Lu Daokuan Reply:
After removing the stitches, you can use beauty patches or artificial skin as auxiliary treatment. After some time, you can apply topical L-ascorbic acid to assist in healing. If there is still pigmentation after six months, you may consider using scar cream or laser treatment.

Understanding Tattoo Removal: Common Concerns and Solutions

Deinking I had 6 tattoos removed using electrolysis at a beauty salon, 3 of which had been removed once before two years ago. One tattoo seemed to have just appeared, but after removal, it looked like it hadn't been removed at all, showing minimal effect. The other 2 tattoos...

Dr. Lu Daokuan Reply:
Tattoo removal? It's somewhat like removing a mole! Regardless of whether the procedure done at a beauty salon is legal or not, when we consult a plastic surgeon, we often find ourselves unsure of how to respond.

Understanding Congenital Finger Deformities: Treatment Options and Outcomes

Finger deformity The child is currently 3 years and 11 months old. At birth, the second and third segments of the left pinky finger were bent and could not be straightened. The child has previously seen a pediatric orthopedic specialist who suggested waiting until the child is ol...

Dr. Lu Daokuan Reply:
This type of congenital anomaly is indeed difficult to conclude. You may consider consulting a hand surgeon. Professor Chuang Chui-Ching from Chang Gung Memorial Hospital in Linkou and Professor Lin Kao-Tien from Kaohsiung Medical University are both renowned experts in this fiel...

Understanding Lipomas: Surgical Options for Forehead Lumps

Zhi-Fang tumor I have a hard lump swollen on my forehead. After being diagnosed by Dr. Hong, it is a lipoma. How should I proceed with the surgery?

Dr. Lu Daokuan Reply:
If it is a lipoma, the surgery is not difficult; however, scar concerns on the forehead should be taken into account. Consulting with a plastic surgeon is advisable, and there are instances where individuals opt for endoscopic surgery to avoid scarring (by concealing the incision...

At What Age Do Facial Features Fully Develop?

At what age does it become established? Doctor: Hello! I would like to ask at what age does the nose become fully formed? Do the other facial features also become defined around the same time as the nose?

Dr. Lu Daokuan Reply:
Basically, a person's facial features become fixed after puberty, with only minor adjustments occurring over the years.

Effective Solutions for Acne and Scars: A Guide for Oily Skin

Is there? Hello~ I have a lot of comedones (almost all over my face, including my forehead, chin, nose, and cheeks) and acne scars. I have oily skin. Are there any methods to remove them, especially the comedones? How much would it cost? Will they grow back? What should I do then...

Dr. Lu Daokuan Reply:
Many acne lesions indicate poor facial metabolism. Using a gentle cleanser to wash your face, avoiding squeezing pimples, and applying glycolic acid gel before bed are more conservative approaches. Glycolic acid peels and blue light therapy are also effective treatments.

Can Nose Surgery Correct Septal Deviation and Sleep Apnea?

Deviated septum and nasal bone reduction..? Hello Dr. Lu, I have a deviated septum that has led to sleep apnea. Can I undergo a nasal bone reduction and rhinoplasty? I would like to ask: 1. Will the surgery improve my sleep apnea? 2. Is it covered by health insurance? Thank you.

Dr. Lu Daokuan Reply:
A deviated septum can be corrected through septoplasty by an experienced physician, and this procedure is covered by health insurance. It can certainly lead to significant improvements.

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