How to fill the nasal base depression
Give a direct answer first
nasal basal depressionIt refers to the lack of bone support on both sides of the nasal alae and the base of the nasal column, resulting in the nose being "weak at the foundation", showing a convex mouth, and deep nasolabial folds. The improvement method isAdditive filling on the base of the nose: Light to moderate, want to try at low cost optionalhyaluronic acidThe pursuit of lasting stability and obvious depression are optionalProstheses (e.g. silicone/expanded base pads)Those with mid-face depression can be consideredautologous fatIt can improve the visual perception of "pseudobulge", butUnable to correct real teeth/bony buck teeth。
First, what is a nasal basal depression?
The nasal base is the "foundation" that connects the nose with the upper lip and cheeks. When this area of the maxilla is underdeveloped or retracted, there will be a depression next to the nasal alae, the corners of the nasolabial lips become dull, and the mouth appears forward convex (pseudobulge) when viewed from the side, and the nasolabial folds are also deeper. Many people think that the "mouth convex" needs to grind teeth, but in fact a considerable part of it is an optical illusion caused by the depression of the nasal base. By filling the "flat foundation", the lateral face line can be significantly improved.
It is necessary to distinguish first:Dental/bony buck teeth(Tooth protrusion, maxillary protrusion) should be solved by orthodontics or orthognathia, and the filling of the nasal base cannot be improved; only the pseudo-convex mouth, mainly "depression and contraction", is an indication of filling. This boundary must be judged by the doctor during the interview.
How to choose three kinds of filling materials?
| material | fit the situation | hold time | advantage | Attention |
|---|---|---|---|---|
| hyaluronic acid | Light to moderate depression, want to try the effect first | About 6 - 18 months | Non-invasive, immediate, reversible | Regular replenishment is required, and the dose is large and the cost is high. |
| Prosthesis (Silicone/Expanded Base Pad) | The depression is more obvious and requires durability | long term | Support stable, one-time molding | Surgical implantation, risk of infection/displacement |
| autologous fat | With the overall depression of the middle face and sufficient tissue | Survival portion long term | Self-contained, soft and natural | The survival rate fluctuates and may need to be replenished |
Simple decision-making caliber:Mild, want to try → hyaluronic acid; obvious, long-lasting → prosthesis; with depression in the surface → autologous fatThe nasal uses and risks of hyaluronic acid are detailed in-app.Full analysis of hyaluronic acid rhinoplastyHorizontal comparison of prosthetic materialsHow to choose rhinoplasty materials。
III. Suitable for the crowd and unsuitable for the crowd
- fitNose: next to the depression, nose and lips blunt, false mouth convex, nasolabial folds deep, side face is not three-dimensional.
- common nasal syndromeNasal base filling can be designed at the same time as rhinoplasty to coordinate the entire nose.
- Not suitable/requires referral: True dental or bony buck teeth (orthodontic/orthognathic should be seen first), the filling area is in the stage of inflammation or infection, the scar constitution needs to be evaluated, and the expectations are unrealistic.
IV. Cost, recovery and risk
The cost depends on the material (hyaluronic acid by branch, prosthesis by surgery, fat by donor area and number of times), the degree of depression and whether it is combined with nasal synthesis. See in-app for the specific composition.How much is a rhinoplasty?. Hyaluronic acid basically has no recovery period; the prosthesis and fat have a swelling period, and the recovery rhythm can be referred toRhinoplasty recovery scheduleThe main risks include: injectable vascular embolization, transfer of infection from the prosthesis, uneven fat absorption - all performed by a doctor familiar with anatomy in a formal setting
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V. FAQ
Q 1: Can nasal base filling improve mouth convex?
A: It can improve "pseudo-convex mouth" - that is, the visual lordosis caused by the depression and contraction of the base of the nose; but the real dental/bony buck teeth need to be orthodontic or orthognathic, and filling cannot be corrected. Whether it is suitable requires face-to-face evaluation.
Q 2: Will the nose base filling look big?
A: Appropriate filling only "flattens" the depression, so that the side face is more three-dimensional and will not appear larger; excessive or improper layers may appear bloated, so the dose and location should be controlled by the doctor.
Q 3: Which is better, hyaluronic acid or prosthetic nasal pad base?
A: Hyaluronic acid is non-invasive and reversible, suitable for mild and test results, but needs to be replenished regularly; the prosthesis is stable and long-lasting, suitable for obvious depression, but it is surgery and there is a risk of infection displacement. Determined according to the degree of depression and expectations.
Q 4: How long does the nasal base fill last?
A: Hyaluronic acid is about 6 - 18 months; the prosthesis is stable for a long time; the surviving part of the autologous fat can be retained for a long time, but the survival rate fluctuates and may need to be replenished once.
Q 5: Can nasal base filling and rhinoplasty be done together?
A: Yes. The nasal base filling is often designed simultaneously with the nose to coordinate the nose and the middle face. The specific plan will be evaluated by the doctor.
Q 6: Is nasal base filling risky?
A: Yes. Injections need to be vigilant against vascular embolism, prostheses need to prevent infection from shifting, and fat absorption may be uneven. Choosing a regular institution, a doctor familiar with facial anatomy, and standardizing operations can significantly reduce the risk.
VI. Related nose topics
- Rhinoplasty strategy
- Introduction of Dr. Tang Yuxiang
- Full analysis of hyaluronic acid rhinoplasty
- How to choose rhinoplasty materials
- How much is a rhinoplasty?
Medical Disclaimer: This article is the content of nasal science popularization, does not constitute diagnosis and treatment suggestions, and does not guarantee any surgical results. The relevant plan needs to be interviewed by professional physicians such as Dr. Tang Yuxiang, and determined after comprehensive evaluation of personal nasal conditions and health conditions. There are individual risks and differences in medical aesthetics, please make rational decisions.
