5位国内最为专业的隆鼻及鼻整形少壮派医生齐聚郑州为他们参与翻译的达拉斯鼻整形（简体中文版）这本巨著的首发式助兴

大连的王艇医师 西宁的徐航医师 郑州的牛永敢医师 北京的李战强医师 大连的何栋良医师 从左到右

I am sorry to hear you're disappointed with your result.

You describe yourself as African Cuban. Although every individual is unique, there are some generalizations that can be made about the noses of people of African-- Cuban descent.

In general, the skin is very thick. The cartilages of the tip tend to be weak and have a more round angle to them. The tips of the cartilages also tend to be wide apart.

Rhinoplasty is challenging in people with this kind of nose. The reason is that the cartilage must be shaped aggressively in order to provide more definition. Since they are weak and more round to start with, this makes it more difficult to achieve the desired result.

Also, even if the cartilages are shaped exactly as desired, the thick skin will "hide" the result to some extent.

For these reasons, it is often difficult to make the nose very narrow and defined.

However, if you are disappointed with your result, I recommend you obtain a consultation with another surgeon who may have more experience with your type of nose. It is possible that another surgery might be able to give you a result you will be happy with.

Just realize that because of the limitations I mentioned above, it may be impossible to get your nose extremely narrow and defined.

google 自动翻译：

约翰迪亚兹博士-比华利山塑料外科医生 我很遗憾听到您对结果感到失望。 你描述为非洲古巴人。虽然每个人都是独特的，有一些可以对非洲人的鼻子-古巴血统作出概括。 一般来说，皮肤很厚。叶端的软骨往往是软弱的，有一个更圆的角度。对软骨的可塑性也往往相距甚远。 这一种隆鼻是在挑战人们的鼻子。必须的软骨形成激进，以提供更多的定义。因为他们弱，更圆，首先，这使得更难以达到预期的效果。 此外，即使软骨的外形完全一样不完善的地方，厚厚的皮肤在一定程度上会“隐藏”的下面的效果。 由于这些原因，往往很难使鼻子非常狭窄和界定。 不过，如果你对自己的结果感到失望，我建议您获得与另一名外科医生谁可能有更多的与您的鼻型经验的咨询。有可能再手术也许能够给你一个结果，你会满意。 只要认识到，因为我在上面提到的限制，可能无法得到你的鼻子极为清晰的棱角。 More answers to “European Rhinoplasty for African-Cuban nose” A: Bulbous Tip 1 month ago By Richard W. Fleming, MD - Beverly Hills Facial Plastic Surgeon This facial plastic surgeon is a member of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), the world's largest association of facial plastic and reconstructive surgeons. Learn more Tip contour is influenced be the size,shape, and strength of the underlying cartilages. These cartilages can be modified by changing their shape with sutures and adding cartilages taken from the ears or ribs. These underlying skeletal structures can be changed, but thick overlying skin which contributes to the bulbous appearance cannot be significantly thinned. Therefore you need careful evaluation by a surgeon with experience in treating Africans and other thick-skinned ethnic groups.

鼻子基础算是不错吧，之前没做过任何鼻子手术。

经讨论的问题是，鼻头问题比较多。

1，鼻小柱有退缩，
2，鼻唇角过大，
3，鼻头表现点偏上，
4，基底凹陷，指鼻小柱基底和鼻翼旁基底

讨论后达成统一，用自体肋软骨重点纠正鼻头的问题，再根据鼻头高度适当铺垫鼻梁。

术前术后7天对比照片
整体鼻子的高度和长度得到增加，鼻子不显短；基底填充后，上唇显得不那么上翘了；鼻小柱和2侧鼻翼的关系正常化；小柱得到适当的下拉

图片2：术前术后7天对比照片
正面0度可以看到对露鼻孔的纠正程度，鼻孔暴露过多难看，不是不露，要露的好看，恰到好处的露；7天拆线鼻头还稍显大，加以时日消肿。

鼻尖的软骨结构

鼻中隔来源的Sheen移植物抬高鼻尖

　　
鼻尖，是由支撑鼻头的支架结构决定的，起主要作用的是鼻背软骨内、外侧脚和穹窿部；其次是鼻侧软骨，鼻中隔软骨部。一般来说，理想的鼻尖具备适宜的突度、角度和一些精致的点和面。欲获得这几个特点，要求

1. 美容外科医生着眼于这些的弧度、突度、角度和一些精致的点和面。
2. 鼻小柱与上唇的角度；
3. 永远高于鼻背的鼻头。

其中的最后一点是说明从各个角度看，鼻尖均是最突出的部分，这是手术成功的最重要要求。

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