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
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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