Abstract

How to remove nose skin excess?. Aesthetically reasonable approach

Highlights

  • From a large variety of external nose aesthetic deformations, big noses with thick porous skin are always operated on very unwillingly even by experienced rhinologists [1,2,3,4,5,6,7,8,9].Here are the reasonsThick porous skin does not contract properly during the postoperative period

  • The mentioned modification of open rhinoplasty can be effective in the case of rhinomegaly, when there is a sufficient excess of thick porous skin and rounded or long nasal tip and nostrils

  • The patients were divided into 3 groups, based on the difference in the volume of excess skin removal during the surgeries: 1. Patients who needed reduction of skin excess only from the nasal tip that could be attained by its excision in the columella area (19 persons – 39%)

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Summary

Introduction

From a large variety of external nose aesthetic deformations, big noses with thick porous skin are always operated on very unwillingly even by experienced rhinologists [1,2,3,4,5,6,7,8,9].Here are the reasonsThick porous skin does not contract properly during the postoperative period. Today only the method of shortening the nose length and decreasing of the nasal wings convexity with post-operative cicatrices in barely visible places is offered. It is not always enough for getting good results. Surgeons have to perform skin resections in visible parts of the nose (Figures 2, 2a, and 2b) [1,2,3,4,5] These methods do not have their followers because of the possibility of getting postoperative cicatrices on the aesthetically important nose parts. We either have never practiced such incisions or skin resections during rhinoplasty, we often have faced the necessity of using them [6]

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