Health Zone Turkey: Revision rhinoplasty in Istanbul

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Monday, January 15, 2018

Revision Rhinoplasty Operation in Thick Skinned Nose

Revision Nose Job Surgery in Ethnic Noses

The revision nose aesthetic operation affects the final outcome and recovery properties of the patients who are planned, the thick skin structure that can occur after the operation.

Revision nose job operation is much more difficult than primary nasal aesthetic operation. When the nose skin is lifted, there are many different situations such as adhesions in the nose, asymmetric cartilage areas, stitching reactions. In patients with thick nose dystrophy, an additional difficulty is that thicker skin and dull skin pay more for normal, causing the cartilaginous structures in the prolonged and deep deep part of the healing period to be hidden.

Revision Rhinoplasty Operation in Thick Skin Patients

Dislocated slicone implant removal and revision rhinoplasty with rib cartilage in ethnic thick skinned nose

In revision nasal auscultation surgery patients, the presence of thick skin causes the following additional difficulties:

- more difficult skin dissection
- more nasal cartilage support is needed with grafting during surgery and more cartilage tissue is necessary in surgery
- during the operation, in order to minimize the volume of the nose it is necessary to additionally removal underskin tissue (bilevel dissection) or remove the tissue from the nose wings (alar base resection)
- in addition to the difficulties of ethnic nose aesthetics, surgery is an operation of revision rhinoplasty which makes operation more difficult. In one or more previously operated patients with thick skin, the expected postoperative nasal swelling may be greater, and the time required for remission may be much longer
- in patients with thick skin structure, thick skin that emerges after nasal surgery and camouflages the underlying cartlage grafts. This causes the expected result to be different and out of patient expectations.
- presenting possible results to the patient with digital nasal aesthetic animation in patients with thick-skinned and planned revision nose aesthetic operation may cause disappointment after surgery
- there are various suggestions such as the injection of cortisone under the skin after thick skinned nose job operation, the use of creams containing vitamin A, the using of vegetable edema and purifying products, and nasal massage with natural vegetable oils. Many of them are controversial.

Thick skin in revision rhinoplasty - Effect of skin thickness on nose job surgery - Revision nose job in thick skin patients - Revision rhinoplasty in İstanbul - Revision nose job in Turkey

Postrinoplasty taping helps reduce postoperative edema. The procedure can be used in patients with thick skin, especially where the skin covering and thinning of the nose are very important for the surgical outcome. In patients with thick skin, tape application is recommended immediately after removing the splint after rhinoplasty due to these benefits. However, it may be appropriate to clean the skin oils that have already accumulated under the splint before applying the tape. A natural and practical method for this is to remove the saline waters obtained by mixing 1 teaspoon of Himalayan Salt by mixing ready-made ocean waters or 1 cup of water and then applying tape.

In patients with very thick skin and excess subcutaneous oil, nose bands may not stand on the nose for a long time!

In patients with African origin and very thick skin features, you can see that the tapes that are glued on the nose can easily slip out in a few days due to the oil produced by the skin. Even; On the 3rd day, there are patients with a nose splint and skin oil dropping from the bottom. Although tape adhesive sprays are sprayed on the nose, the oil of the skin generally determines the time the bands leave the skin.

The shape of the nose mostly depends on the shape and structure of the underlying nasal skeleton. Therefore, aesthetic rhinoplasty is mainly aimed at shaping underlying bone and cartilage structures. The connective and adipose tissue and the skin are located on the nasal floor skeleton, which the surgeon may affect. Since the skin envelope shows different thicknesses and affects the tip of the nose more than the bridge of the nose, the final result of a rhinoplasty depends on the skin thickness, bone and cartilage interaction.

The extent of the nose change is skin thickness, the only factor that is marginally affected by the surgeon. Excessive tips, such as very thin or very thick skin, mean different surgical steps in rhinoplasty.

Thick skin: Difficulty in nose aesthetics

Extremely thick skin covers the nasal skeleton very well over the area, but this is a limiting factor while desiring for a nose, a small nose, especially a small tip of the nose. Patients often suffer from the large end of their nose and large, thick nostrils. Likewise, the widened nose tip feels rough compared to the facial proportions.

Thick skin is not always the cause of a thick tip of the nose (for example, soft-tipped) - a relatively wide nose-wing cartilage can also make the tip of the nose appear larger in the thin skin. Extremely thick skin is a challenge for the surgeon. Surgical techniques that severely weaken the cartilage of the tip of the nose result in a plump and compressed-looking tip of the nose due to the lack of support. In this case, it is recommended to obtain a structural stabilization of the nose and a well-formed nose.

Above, open technical nose aesthetic surgery of the patient is present before and 1 week after surgery. There is a lot of comedones on the nose. Apart from this, it can be understood how thick the skin is by squeezing between the index finger and thumb before the operation. In this patient, banding was performed for 2 more weeks after the oil on the skin was cleaned.

Thick skin thinning

Thinning means the removal of adipose and connective tissue, especially the nose tips, under the skin. The limiting factor is vascular feeding of the tip of the nose. Too much damage should not be done under thinning under the net that provides the feeding of blood vessels under the dermis. For this reason, it is necessary to dilute the skin very carefully during the procedure (clear technical nasal aesthetics and removal of subcutaneous tissue at the tip of the nose with two levels of dissection).

Prolonged edema due to thick skin

Thick skin causes the nose to swell longer and increased scar formation, especially under the tip of the nose. In patients with thick skin, swelling can last up to 24 or even 36 months. The final effect of nasal aesthetics can only be evaluated after this period.

In some cases, steroids can be injected into thickened skin just under the tip of the nose just a few weeks after surgery to prevent strong scars from forming to reduce a stronger connective tissue reaction.

The expected amount of edema and duration of edema may be higher than normal, especially after thick skin revision rhinoplasty surgeries.

It may be necessary to evaluate whether patients with thick-skinned nose and thin, elegant, angular nose shape have unrealistic expectations before surgery and if necessary, the operation should be rejected.

Below you can find some before and after photos of patients with thick nasal skin who undergone nasal aesthetic surgery or nose tip plasty operation :

before and after photos of patients with thick nasal skin who undergone nasal aesthetic surgery or nose tip plasty operation

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Tertiary Revision Ethnic Rhinoplasty Before and After Photos

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Similar links about "Thick skin rhinoplasty in İstanbul - Rhinoplasty in İstanbul - Thick skin nose job - Etnik burun estetiği - Ethnic rhinoplasty - Ethnic nose job in İstanbul, Turkey" >> Ethnic Rhinoplasty in Istanbul / Kalın Derili Burun Estetiği - Etnik Rinoplasti (Thick Skin Rhinoplasty - Ethnic Rhinoplasty) / Revision Rhinoplasty Operation in Thick Skin Patients / Effects of Skin Thickness on Rhinoplasty Healing Time

Bosphorus - Istanbul - Turkey - ENT Doctor Istanbul - ENT Specialist Istanbul - Nose Job Istanbul - Rhinoplasty Istanbul - ENT Office Istanbul - Dr.Murat Enoz - ENT Clinic Istanbul - ENT Doctor in Istanbul - Nose Job in Turkey

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

Private Office:

Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul

Appointment Phone: +90 212 561 00 52

E-Mail: muratenoz@gmail.com
Mobile phone: +90 533 6550199

Fax: +90 212 542 74 47

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Monday, January 15, 2018

Revision Rhinoplasty Operation in Thick Skinned Nose

​Revision Nose Job Surgery in Ethnic Noses

In patients with very thick skin and excess subcutaneous oil, nose bands may not stand on the nose for a long time!

Tertiary Revision Ethnic Rhinoplasty Before and After Photos

Revision Nose Job Surgery in Ethnic Noses