This is the surgery protocol and subsequent recovery process for thick-skinned noses, which can be considered the most difficult nose surgeries for plastic surgeons. It is very important to talk to the patient in detail beforehand and inform the person. While most patients know that surgery is difficult on noses with thick skin, some patients are disappointed after meeting with the plastic surgeon. The important thing here is that the patient knows that he cannot have a very small and thin nose, but that a nose that suits his face shape can be made.
Plastic Surgery Specialists essentially shape the bone and cartilage tissues that form the nose skeleton during nose surgeries. Then, he wants the nasal skin to completely cover this skeleton and take the shape of the underlying mold. If nasal aesthetics will be performed on patients with significantly thin nasal skin, it is necessary to be very careful when shaping the bone and cartilage tissue. Because even the slightest asymmetry will reveal itself from the outside. In patients with thick nasal skin, many of the asymmetries and deformations of the underlying bone and cartilage tissue are masked and do not stand out. The disadvantage of the thick-skinned nose structure for the surgeon is that he can only see the underlying bone and cartilage tissue when opened during surgery.
Skin thickness. As it rises above a critical level, it becomes such that the nasal skeleton is formed by the skin layer itself. No procedure performed on the bone and cartilage roof will cause a change in the shape of the nose. When viewed from the outside, the nose can be observed as a pile of meat. This type of nose is also generally called (bulbous nose). In the bulbous nose structure, unlike the outer skin, the cartilage tissue is often wide but extremely thin and weak. This situation is a difficult situation for the surgeon who tries to give a permanent shape to the cartilage during the surgery.
Another application that can be performed in thick-skinned rhinoplasty is the stripping of the subcutaneous tissue. The most important reason for the thickness is the layer formed by loose connective tissue, fatty tissue and muscle layer in the subcutaneous tissue. During nose surgery, the nasal skin is removed by stripping the bone and cartilage tissue. After the skeleton is given the necessary shape, the subcutaneous tissue is peeled off from the skin very carefully throughout the entire skin, It is possible to achieve at least 50% thinning of the skin. In such noses, it is extremely important to increase the resistance of the cartilage skeleton by placing plenty of supports, especially when shaping the cartilage tissue.
In rhinoplasty with thick skin, the problem cannot be completely solved by thinning the nose skin. While thinning the skin, excess tissue must be removed and placed on the bone tissue without leaving any excess. It is important. Another important point that should not be forgotten is that since edema formation will be more in thick-skinned noses, it will take 1 year for the nose to take full shape.
Before the thick-skinned nose aesthetic surgery, especially if skin thinning is to be performed, the patient should quit smoking, if any, 15 days before. It is very important for post-operative recovery. If the patient is working, he can return to work after exactly 7 days.
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