Cartilage Grafting from the Ear to the Nose

“The nose should fit the face”A strong jawline would suggest a stronger nose.

Auricular cartilage grafting and rhinoplasty and nasal reconstruction

What is auricular cartilage grafting?

Auricular cartilage grafting is taking cartilage from the ear to reconstruct the nose. Typically grafts are taken from the concha cymba and cavum of the ear (MARKED IN RED) to remove cartilage without changing the overall shape of the ear. The skin of the ear is intact.

What are the techniques to remove cartilage from me ear?

• An anterior or posterior approach are the two most common methods. In the anterior approach, the surgeon will make scar on the front surface of the ear.
• In the posterior approach, the surgeon will make the scar on the posterior surface of the ear.
• Surgeon’s team at Urban Beauty Thailand prefers the posterior approach because the scar is better concealed. Feels  more predicatable method to remove auricular perichondrium. Auricular perichondrium is the “carpet of the ear”. This carpet can be used to soften the use of grafts and make them much

Why is perichondrium so important?

• Perichondrium offers the surgeon a permanent solution to graft and tip camouflage.
• In thin skinned patients, the risk of shink wrapping is a very real phenomenon.
• By placing a natural barrier between the skin and the cartilage, this phenomenon can be reduced in appropriate patients. The thickest perichondrium is costal cartilage perichondrium. Auricular perichondrium is less thick.
• In the past, surgeons have used Alloderm to act as a buffer layer between skin and cartilage.
• However, Alloderm has several disadvantages.
• First of all, it is derived from cadaver skin (human). Additionally, Alloderm does not last permanently. It will act as a barrier early on, but will eventually dissolve, prolonging the shrink wrap phenomenon, but not preventing it.

Do you use Alloderm?

• I use Alloderm in two specific circumstances.
• First of all, in septal perforation repair ( a hole in the nasal septum), it acts as a barrier from both flaps adhesing.
• In dorsal augmentation, Alloderm (thick sheet) or even Permacol can act as a scaffolding for dorsal augmentation.
• My preference for dorsal augmentation is single pieces, carved and camouflaged with perichondrium.
• Sometimes multiple pieces of cartilage are sutured together. In order for the cartilage pieces to lay flat and attempt to recreate the feel of a single piece, our surgeon use Alloderm to act as PLATFORM.

Do you ever make an incision anteriorly along the ear?

• Yes, when harvesting composite cartilage grafts.
• Composite cartilage grafts are a composite of two different tissues, cartilage and skin.
• These grafts are used for a variety of purposes in nasal reconstruction and rhinoplasty including, alar retraction, short nose patients, overly narrow nostrils, soft tissue triangle absence, etc.
• They are valuable grafts in the revision rhinoplasty surgeon’s aresenal.
• Since skin is removed, the concha cymba is the preferred location for harvesting the conchal cartilage graft for several reasons.
• Its location facilitates easy closure, minimizes external ear changes, and the skin is tightly adhered in this location.

So will my ear look the same after auricular cartilage grafting?

• After typical auricular cartilage harvest, the ear will look the same. Early on during the healing process, the ear will stick slightly out from the head (proptotic) but will return once the swelling dissipates.
• Your ear will feel slightly softer than prior to surgery in the location of harvest.
• However, surprisingly, even then it is pretty difficult to determine, even by most plastic surgeons, that you have had ear cartilage removed.

I don’t want auricular cartilage grafting. I just want a rhinoplasty.

Unfortunately, some more complex cases benefit tremendously from cartilage grafting. Some cases need cartilage grafting to support the nose properly, augment the nasal bridge, support external and internal valves, etc.

What are the disadvantages of auricular cartilage grafting?

• Auricular cartilage grafting has several disadvantages due to its soft, curved nature.
• First of all, asymmetries are much more visible.
• Auricular cartilage is not the first choice for dorsal augmentation.
• For severe alar collapse, auricular cartilage does not offer significant enough support.
• My preference for auricular cartilage is in reconstruction of the middle vault, radix grafts, alar rim grafts, tip contouring grafts, and columellar filler grafts.

Due to its lack of significant strength, I do not like to use auricular cartilage for total septal reconstruction, septal extension grafts. Due to the prominent curves associated with it, I do not like to use it for lateral crural repositioning. I have used auricular cartilage grafting in the past for all of these reasons with satisfactory results. However, I think better grafting options are available to the surgeon.

• At first our surgeon preference for cartilage grafting is septal.  Depending on the needs of the patients, costal cartilage or auricular cartilage may be my next preference.
• “The nose should fit the face”
  A strong jawline would suggest a stronger nose.

Preparing for your
Rhinoplasty and Ear Cartilage in Thailand:

• Take a few moments to review your desired outcome to make sure that you and our plastic surgeon are on the same page.
• At Urban Beauty Thailand, We guarantee you that this short session will be the creation of the best facial contouring.

When you contact Urban Beauty Thailand, we will not only set you up with our best surgeons team, we will also assist you in any way we can when it comes to finding accommodation. Thanks to our contacts in various Thai cities, we can secure discounted prices for you in luxury accommodation. And unlike other companies in the region, all our prices are upfront. When you book with us, there are no hidden fees or charges as you will pay directly to hospital, what you see is what you get!

Let’s Us Help you with Rhinoplasty and Ear Cartilage Thailand

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Why A Lip Plumping Injection Is The Quickest Way To Get That Pout!

The eyes may be the windows to the soul but the lips are what give many women their allure. If you look closely at men and women’s lips and compare the differences, you will notice that women’s lips tend to be fuller, more curled up and with a greater propensity to show the upper teeth. Women’s lips are also shorter so to gain the same head turning set of lips as a beautiful woman, you need to look for a lip plumping injection.

An injection is a convenient alternative to surgery and we offer it here at Urban Beauty Thailand. If you are fearful of your face being scarred with surgery, a lip plumping injection will allay your fears. There are no scars, little recovery time and amazing results.

Lip Plumping Injection Procedure

The procedure is fast so here is a simple overview of what will happen:

• Your lips will be injected with a filler that gives you sexy lips without the pain or recovery time associated with surgery.
• The entire procedure lasts less than 10 minutes.
• You only need a local anesthetic to numb the injection. It is not very different to a flu jab except for the fact that it’s in your lips and it takes slightly longer.
• The effects of the injection will last several months.
• You will feel some pain immediately after the procedure when the local anesthetic wears off.

Alternative Lip Plumping Injection Procedures

• Gortex is a substance that is used if a patient is after a more permanent effect.
• This material gets injected into the lips and they increase in size.
• You also have another solution which involves fat injections.
• This procedure involves taking fat from your own body (normally the abdomen or buttocks).
• This fat is then washed before being injected into the lips.
• The main problem with this procedure is that the fat gets absorbed into the body relatively quickly and the lips start to deflate.

Am I A Good Candidate For A Lip Plumping Injection?

Like with all other forms of cosmetic surgery, you need to be in good general health. For our patient’s own safety, we generally disallow applicants with the following conditions:

• Blood clotting
• Lip scarring
• Serious illnesses such as lupus or diabetes
• Cold sores

Recovery

As a lip plumping injection doesn’t require any surgery, you are free to leave soon after the procedure. At Urban Beauty Thailand, you can ask one of our staff to accompany you back to your hotel as there is a chance you may feel a bit uncomfortable for a few hours. You could return to work within a few days but we would prefer if you stayed and enjoyed the sights and sounds of Thailand!

Your transformation into a woman is not complete unless you have the head-turning, fuller lips of a beautiful female. Book an appointment with us today and we can give you lips that Angelina Jolie would be proud of!

The post Lip Plumping Injection (MtF) appeared first on Urban Beauty Thailand.

Lips Surgery Facts

There is something seductive about female lips that drive men wild. If you truly wish to finish your journey and become a fully-fledged woman, lips surgery is essential. It can help you perfect the pout that is synonymous with womanhood. Like most other cosmetic surgery procedures we have discussed, lips surgery is very different when performed for facial feminization purposes.

When it comes to having lips surgery, you need to realize that the upper lip is of paramount importance. While there are differences in the lower lip too, they are not nearly as pronounced as those in the upper lip. Next time you see a woman with her mouth half open, notice how her upper teeth are exposed. This happens in most women.

The female upper lip is usually shorter than its male counterpart when the overall height of the face is taken into account. These upper teeth are not often exposed in men. This feminine trait is also indicative of youth because as women get older, the upper lip starts to droop and cover their teeth.

Lips Surgery For Facial Feminization

The upper lip lift is another one of the simplest cosmetic procedures available and also has among the quickest recovery times. Yet despite this, it creates a feminizing change that is noticeable and permanent.

• One of our surgeons will cut and remove a piece of skin and muscle that is located just below the nose.
• The resulting gap’s lower border is pulled towards the upper border with stitches used to join them together.
• As a result, the upper lip’s external face will become shorter. This causes the lip to roll up and leave a larger visible vermillion area, the extra curvature increases the lip projection and the patient’s upper teeth will be exposed by up to half a centimeter.
• If the lip is still too thin after this particular lips surgery, we can use an injectable product which will increase the size and give you a fuller, sexier upper lip.

Additional Information

This type of lips surgery is extremely quick and easy which is why it is available for approximately 45,000baht/appx 1,500usd. Our medical team will only need to use local anesthesia and the whole procedure could be completed in less than an hour. There will be a small piece of gauze below your nose for 48 hours after the surgery but this can be replaced by a regular band-aid. There will also be a small scar below the nose which is visible for a few weeks. Swelling and bruising will last for 2-3 days and the stitches are taken out after a week.

Are you eager to not just become a woman on the outside, but to be extremely sexy?
Do you want confidence and become the bright, carefree woman you’ve always wanted to be?
Are you hoping to attract a few members of the male sex with your sexy new look?

If so, book an appointment with Urban Beauty Thailand today and we can perform quick, painless lip surgery that gives you that little piece of extra femininity that you so desperately crave.

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Proper Botox, Real Results! Botox Thailand cost 250bath/approx. $7 USD per unit

For some reason, Botox has gained a bad reputation in some quarters and is even derided in some places. However, we know that the reason for this mainly boils down to botched Botox procedures which almost seems to be the norm in the West. Celebrities pay tens of thousands of dollars for Botox but are robbed of their facial expressions. Many of these celebrities are in the movie industry so their problem is even more apparent!

Instead of taking out a second mortgage for a procedure that will make you look like a mannequin, book an appointment with Urban Beauty Thailand for a botox injection today that will make you look years younger, will not break the bank and most importantly, will ensure that you remain looking like a person and not a statue!

Why Botox Thailand?
We all develop wrinkles which are a combination or stress, lifestyle and general aging. Although these wrinkles took many years to manifest themselves, we tend to wake up one day and see these imperfections all at once. The sight horrifies us and we feel as if our lives are basically over because we are so aged. Thankfully, a botox injection is one of the simplest, safest and most effective ways to deal with wrinkles. Botox  Thailand will:

• Botox Thailand – improve deep and moderately visible lines on your forehead
• Botox Thailand – remove obvious furrows from your eyebrows
• Botox Thailand – remove crow’s feet and eye wrinkles
• Botox Thailand – relax the muscles in your face
• Botox Thailand – remove wrinkles from all over your face, resulting in clearer skin

The Botox Procedure in Thailand

• As Botox only involves an injection, the entire procedure takes less than 30 minutes from start to finish. In fact, the injection itself only takes approximately 10 minutes.
• There is no anesthetic required though a special cream can be applied to the area(s) being injected to reduce the pain of the needle.
• You need to contract your muscles before the first injection so that our surgeon can find the exact spot to place the needle.
• The Botox will then be injected into the muscles of the face which are known to cause wrinkles, furrows and other facial imperfections.
• You can leave the clinic virtually any time after the procedure as long as you feel fit and well enough to do so.
• In general, a Botox injection will last for approximately four months.
• Before and After Botox Thailand

Botox Thailand Side Effects

• The Botox Thailand injections are performed by expert surgeons with decades of international experience. As a consequence, the few side effects associated with Botox Thailand injections are even rarer when the procedure is performed in an Urban Beauty Thailand centre.
• However, there can be some minor side effects including numbness, a small amount of bruising and swelling, nausea, symptoms reminiscent of the flu and headaches.
• Avoid Botox if you are currently on antibiotics, anti-inflammatory medication or herbal remedies as these could react badly with the Botox. Otherwise, any pains and aches can be dealt with thanks to painkillers administered by Urban Beauty Thailand staff.

Don’t listen to the stories you hear about celebrities who have problems with Botox. Many of these people have already ruined their face with numerous other procedures and are blaming Botox for their predicament. There is also the possibility that their surgeon is asked to inject too much of the substance which is why their faces become rigid.

At Urban Beauty Thailand, we know exactly how much Botox is required to make you look and feel younger. Book an appointment today and allow our team to make you feel like one of the family at one of our clinics which located all over Thailand.

 Considering Botox Thailand but don’t know how many units you need? Here’s a guideline to help! Ready to discuss with one of our beauty experts? Contact us at inquire@urban.nginnu.com or www.urbanbeautythailand.com or +66(0)86 376 4826/086 655 2462 for voice call, WhatsApp, Viber, WeChat, Tango & Line chat.

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