Management of Thick Skin in Rhinoplasty - 29/07/24

Doi : 10.1016/j.fsc.2024.06.004

Roxana Cobo, MD ^a,^⁎ , Lucas G. Patrocinio, MD, PhD ^b, Bahman Guyuron, MD ^c,^d, Marco Swanson, MD ^e
^a Facial Plastic Surgery, Department of Otolaryngology, Clinica Imbanaco, Carrera 38A #5A-100 cons 222A, Cali 760045, Colombia
^b Private Practice, Otoface, Uberlandia Medical Center, Rua Rafael Marino Neto, 600 - Jardim Karaiba, Uberlandia, Minas Gerais 38411-186, Brazil
^c Zeeba Clinic, 29017 Cedar Road, Lyndhurst, OH 44124, USA
^d Case School of Medicine, University Hospitals Case Medical Center, Cleveland, OH, USA
^e Dermatology and Plastic Surgery Institute, Cleveland Clinic, Cleveland Clinic Foundation, 2049 East 100th Street, Crile Building, A60 Plastic Surgery, Cleveland, OH 44106, USA

^∗Corresponding author.

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Monday 29 July 2024

Résumé

Rhinoplasty in thick skin patients is challenging because the skin soft tissue envelope (S-STE) is more inelastic, and has a tendency for prolonged postsurgical edema, increased dead space formation, and underlying scar tissue formation. Changes in the S-STE will have an impact on how the final rhinoplasty result will look. When performing surgery, approaches should be targeted to the underlying bony-cartilaginous framework and the S-STE to obtain consistent, improved long term results. In this article, 3 experts will be discussing up to date medical, topical, and surgical management key points, as well as diagnostic options and post-operative treatments.

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Keywords : Rhinoplasty, Thick skin, Thick skin soft tissue envelope, Sebaceous skin, Undefined tip, Dead space