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A comprehensive approach to rhinoplasty for thick-skinned patients

Published online by Cambridge University Press:  07 December 2023

Brajendra Baser ,
Sreena Dev Open the ORCID record for Sreena Dev [Opens in a new window]  and
Shangorav Mukhopadhyay
Brajendra Baser
Affiliation:
Department of ENT, Jaslok Hospital, Mumbai, Department of ENT, Sri Aurobindo Institute of Medical Sciences, Indore, and Department of ENT, Akash Hospital, Indore, India
Sreena Dev*
Affiliation:
Sreena Dev, Department of ENT, Akash Hospital, Indore, India
Shangorav Mukhopadhyay
Affiliation:
Shangorav Mukhopadhyay, Department of ENT, Sri Aurobindo Institute of Medical Science, Indore, India
*
Corresponding author: Sreena Dev; Email: Sreenadev27@gmail.com
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Abstract

Objective

This study aimed to propose a systematic approach for managing thick-skinned rhinoplasty patients.

Methods

A retrospective review of the treatment of 26 thick-skinned patients with aesthetic and/or functional problems over a period of three years from January 2018 to January 2021 with a follow up for one year. A presurgical evaluation of skin was carried out initially. Skin thickness due to sebaceous overactivity was treated with retinoic acid derivatives, and skin thickness due to increased adipose tissue or hypertrophic fibrofatty layers was treated surgically. Open rhinoplasty was performed in all patients and a strong osseocartilaginous framework was created with the skin stretched as much as the aesthetic tolerance allowed.

Results

Post-operative outcomes were based on subjective assessment, photographic evaluation and the Rhinoplasty Outcome Evaluation questionnaire, which indicated significant patient satisfaction.

Conclusion

Using this systemic approach for treating thick-skinned rhinoplasty patients, predictable results with improved aesthetic satisfaction in patients were achieved.

Keywords

Rhinoplastyisotretinointriamcinolonesubcutaneous tissue

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 5 , May 2024 , pp. 512 - 519
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Sreena Dev takes responsibility for the integrity of the content of the paper

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