Ethnic Revision Rhinoplasty in Istanbul, Turkey
Difficulties of ethnic revision rhinoplasty
Ethnic nose structure may vary according to genetic characteristics, but may include the following different features:- Thicker skin structure characteristics
Thick skin and oily skin characteristics may cause the expected amount of edema after rhinoplasty to be greater than normal, and the recovery time is longer than the orbit. During surgery, "thick skin rhinoplasty algorithm" is required to perform procedures. Open technique nasal aesthetics may be preferred, and bilevel serial dissection and subcutaneous tissue removal may be required.
Due to these properties, different bone fractures (osteotomy) and nasal tip skin removing or stitching procedures (such as alar base resection techniques) may be required.
- Flattened nose root
Particularly in patients from some African countries and the Far East, due to this particularity, "augmentation" of the nasal arch may be required to reconstruct the "nasal arch" instead of bone tissue resection during rhinoplasty operation. For this purpose, subcutaneous tissue, cartilage and bone powder, muscle membrane can be used.
- More fleshy and heavier nose tip!
Because of this feature, it may be necessary to consolidate the nasal tip support cartilage tissues and additional cartilage graft applications.
- Unexpected tissue edema (especially at the tip of the nose)
Ethnic rhinoplasty surgery, especially in patients with oily skin structure, more than normal tissue edema and sometimes appear as a round ball appearance. Although there are many different suggestions such as various meikal products and herbal edema bruising products, cortisone njection, salt restriction in meals; the impact of many is controversial.
- In addition to the risks involved in all revision rhinoplasty operations, thick skin properties are added!
In addition to the changes in tissue structure, fibrosis and tissue blood supply due to recurrent anatomic trauma; It is not enough that the surgical experience and knowledge of the doctor alone is sufficient. The patient's healing characteristics and the patient's postoperative care affect the outcome.
I wish success in your surgery and hope you will be have a nose that meets your expectations.
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Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
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