Ultrasonographic evaluation of long‐term results of nasal tip defatting in rhinoplasty cases

Nemati, Shadman; Banan, Rahmatollah; Alizadeh, Ahmad; Leili, Ehsan Kazemnejad; Kerdari, H

doi:10.1002/lary.23862

Cited by 21 publications

(16 citation statements)

References 19 publications

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“…Many intraoperative and postoperative methods have been described in the literature to avoid supratip fullness. [3][4][5]8,18,19 Although investigators have achieved a consensus of opinion on most postrhinoplasty practice patterns, PRT and its effects are fairly unknown and not studied in terms of evidencebased medicine. 20 Hoefflin 9(p375) was the first investigator to report the effect of PRT with the following: "4 to 6 weeks of nighttime postoperative nasal taping will help decrease swelling, and will give patients something to do."…”

Section: Discussionmentioning

confidence: 99%

Effect of Postrhinoplasty Taping on Postoperative Edema and Nasal Draping

Özüçer

Yıldırım

Veyseller

et al. 2016

JAMA Facial Plast Surg

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BACKGROUND Edema persists for months after rhinoplasty. Numerous modalities have been described to counteract postoperative edema. OBJECTIVE To evaluate the effect of postrhinoplasty taping (PRT) on nasal edema and nasal draping. DESIGN, SETTING, AND PARTICIPANTS In this randomized clinical trial, 57 patients undergoing rhinoplasty at a tertiary reference center from August 1, 2014, to January 31, 2015, were assigned to a control group or to 2-or 4-week PRT groups. Baseline nasal thickness was measured with ultrasonography at the nasion, rhinion, supratip, and tip, and mean nasal skin thickness (MNST) was calculated. Participants in each group were categorized by the baseline MNST measurement from the lowest to greatest MNST; those in the upper half were categorized as having thick skin; those in the lower half, thin skin. The control group underwent no PRT after the removal of external packing. Patients in the 2-and 4-week PRT groups

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Section: Discussionmentioning

confidence: 99%

Effect of Postrhinoplasty Taping on Postoperative Edema and Nasal Draping

Özüçer

Yıldırım

Veyseller

et al. 2016

JAMA Facial Plast Surg

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“…1,23 Excessive defatting and thinning of the skin is a very risky procedure that may result in irreversible complications as skin atrophy and necrosis. Additionally, Wright 20 and Nemati et al 24 showed that the skin defatting failed to guard against pollybeak formation. In our study, skin defatting was limited to the loose fibrofatty tissue and no attempt was made to thin the actual dermis.…”

Section: Discussionmentioning

confidence: 99%

Pollybeak Deformity in Middle Eastern Rhinoplasty: Prevention and Treatment

Hussein

Foda

2016

Facial plast Surg

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The pollybeak deformity is one of the commonest causes of revision rhinoplasty. The Middle Eastern nose has certain criteria that predispose to the development of pollybeak deformity. The aim of this study is to detect the factors contributing to the development of pollybeak deformity in the Middle Eastern nose and methods used to prevent as well as to treat such deformity. Out of the 1,160 revision patients included in this study, 720 (62%) patients had a pollybeak deformity. The commonest contributing factors included underprojected tip with poor support in 490 (68%) patients, excessive supratip scarring in 259 (36%) patients, overresected bony dorsum in 202 (28%) patients, and high anterior septal angle in 173 (24%) patients. The methods used by the authors to treat the pollybeak deformity are described, along with the local steroid injection protocol used to guard against the recurrence of pollybeak deformity.

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“…Different measuring mechanisms have been used, including sonograms and computed tomography with varying results. [5][6][7] Other authors have proposed different skin evaluations where skin texture and characteristics are evaluated as well as skin thickness. 8,9 All of these quantitative methods could eventually aid the surgeon in planning a surgical approach or in evaluating surgical or minimally invasive procedures on the skin, but results are not conclusive.…”

Section: The Skin Evaluationmentioning

confidence: 99%

Integrated Management of the Thick-Skinned Rhinoplasty Patient

2018

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Patients with thick skin are a challenge in facial plastic surgery. Rhinoplasty is still the most frequently performed facial plastic procedure worldwide and it becomes very difficult to obtain optimal consistent results in these patients. A systematic presurgical skin evaluation is performed dividing skin into type I-III depending on the elasticity, oiliness, presence of skin alterations, size of skin pores, and laxity. Depending on the skin type, presurgical, surgical, and postsurgical management of the epidermis and dermis is defined. Preconditioning and treating thick skin can improve postsurgical results and reduce postsurgical unwanted results.

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Ultrasonographic evaluation of long‐term results of nasal tip defatting in rhinoplasty cases

Abstract: Defatting techniques have no effect on reducing tip and supratip skin thickness after rhinoplasty in moderate to thick skins.

Cited by 21 publications

References 19 publications

Effect of Postrhinoplasty Taping on Postoperative Edema and Nasal Draping

Effect of Postrhinoplasty Taping on Postoperative Edema and Nasal Draping

Pollybeak Deformity in Middle Eastern Rhinoplasty: Prevention and Treatment

Integrated Management of the Thick-Skinned Rhinoplasty Patient

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