3D Radiance Part 1 - Nose Contouring 3D的亮采Part 1 - 鼻子轮廓

Facial contouring entails enhancing these facial structures; forehead, nose, cheeks, lips, chin and jawline.

This blog will address nose contouring. 

The nose is the second most prominent feature on the face after the eyes. Besides contouring the cheeks, nose contouring is powerful in restructuring the face. A higher, narrower nasal bridge and tip can make the face appear slimmer and more radiant. East Asians (Orientals) by and large have a different bony structure compared to Caucasians. The nasal bone (nose bone) and zygoma (cheek bone) are less prominent, giving them a rather "flat" facial features. In addition, a prominent mandible bone (jaw bone) give a broad jawline and weak chin further "flattens" the face. 

Traditionally, nose contouring is achieved through surgery using implant such as ear, septal cartilage or synthetic material like silicone. Now with non-surgical techniques, the nose can also be recontoured to achieve a more 3-dimensional (3D) effect which gives definition and illumination to create a sleek, sculpted look. 

This patient's nose was contoured which created a natural 3D effect
with a more well defined nasal bridge, body and tip.

这名患者的鼻子轮廓的创造了一个自然的3D效果 

一个更明确的鼻梁，身体和鼻尖

Google Translate:

面部轮廓限嗣继承增强这些面部结构;额头，鼻子，脸颊，嘴唇 和下巴。 

这个博客将针对鼻子的轮廓。 

鼻子上的眼睛后，面临的第二个最突出的特点。除了轮廓的脸颊，鼻子轮廓是重组面前的强大。更高，更窄的鼻梁和小费可以使脸显得更苗条，更容光焕发。东亚人（东方人）大体上有不同的骨性结构较白种人。鼻骨（鼻梁骨）和颧弓（颧骨）不太突出，给他们一个比较“平”的面部特征。此外，一个突出的下颌骨（下巴骨）给出了广阔的下巴和下巴疲软进一步“变平”的脸。 

传统上，鼻子轮廓是通过手术来实现，其中植入物，如耳朵，鼻中隔软骨或类似硅合成材料。现在，随着非手术技术，鼻子可以的轮廓，以实现更3维（3D），它给出了定义和照明营造一个时尚，雕刻的样子。

Doctor Help! I can't close my eye! 医生帮帮我！我不能闭上我的眼睛！

Lagophthalmos is a condition whereby one is unable to close the eyelid completely. It can be seen in a variety of conditions involving the facial nerve or eyelid itself. The common causes involving facial nerve is trauma, stroke or tumor. However, more commonly lagophthalmos is due trauma to the eyelids which form cicatrix, or after eyelid surgery whereby excessive eyelid skin has been removed. Lagophthalmos can also be seen in certain patients with prominent eyes such as Thyroid Eye Disease or high myopia. This condition may appear inconsequential but can be detrimental in the long run. Constant eye exposure to the air may dry the eye which leads to dryness, discomfort, foreign body sensation and reflex tearing.

Before and 4 days after scar subcision and hyaluronic acid gel filler

 The patient above sustained a full thickness eyelid laceration 2 years ago. She developed a notched eyelid margin and a contraction band that pulled the eyelid upwards causing lagophthalmos. She has been having tremendous discomfort and unable to sleep at night due to chronic exposure.

The definitive treatment for such condition is a reconstructive surgery. The eyelid margin needs to be reconstructed to yield a smooth alignment. The contraction band can be released by means of a Z-plasty. However, she has limited time in Malaysia and wanted a minimally invasive approach.

The contracted scar band was subcised and stented with hyaluronic acid gel filler. A few days later, I injected 5FU into the subcised scar band. She felt much more comfortable now and she told me she managed to sleep through the night, which she couldn't do in a long time.

This is not the definitive treatment but may help her to buy time while she arranges for the next visit to Malaysia for reconstructive surgery.