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The appearance of the nose is predominantly determined by the shape and size of its skeletal structure (bone and chorrox). As a result, the rhinoplasty is mainly related to the modifications in this structure, ie the toe and the bones to achieve the desired appearance. But since the skeletal structure is coated with the skin and subcutaneous tissues such as the muscular and the sebaceous ones, the appearance of the skeletal structure is slightly similar to the final appearance of the nose. Although in the rhinoplasty, there are rarely modifications in the skin or subcutaneous tissues, because they mostly intervene only in kerchos or bones, the influences that these tissues give to the final result should not be neglected. Skin texture is one of the most important features that affect the rhinoplasty. An average thickness of the nose is what is required to achieve a better result, while very thin or very thick skin is less favorable.
Trends for signs and elasticities are two other important features of the nose skin that strongly affect the outcome of rhinoplasty.
Complications that bring on skin rhinoplasty thin.
In patients with very thin skin, there is a tendency for the lesions to heal with minimal signs and swings, but the negative side is that these skin make visible the imperfections with minimal in the skeletal structure of the nose. Another disadvantage for too much skin in the nose is the tendency to shrink after surgical interventions. The challenge for the aesthetic surgeon in such patients is to create a completely skeletal structure after the intervening. If this is not possible, the artificial thickening of the skin can be made in this area by placing subcutaneous grafts. Rash problems as a result of small veins in the skin, and their high visibility in skinny skin, are treated with lasers.
Importance of nose skin in Rhinoplasty
Thick skin: A real challenge in the rhinoplasty
Unlike thin skin of the nose, thick skin may also cover large imperfections in the skeletal structure of the nose. But the advantages end there, as a thick nose skin is considered as one of the challenges and obstacles to a good outcome in rhinoplasty
One of the reasons why it is seen as a challenge is that dull skin reduces nasal defect, masking the skeletal structure underneath.
Another reason that makes the skin thick in the nose obstruction in the rhinoplasty is its increased weight. Surgical modifications that weaken the structural support of the nose, when the skin over it is thick, are at increased risk.
If it is not enough to add weight and appearance from a thick skin of the nose, disadvantages are added to the tendency to create swelling and inflammation after rhinoplasty. In patients with thick skin, swelling may take up to 12 to 18 months to disappear after rhinoplasty. Thus, the final impact of rhinoplasty can not be seen more than a year ago. This time it is extended to patients with previous inflammatory history such as allergic rhinitis, acne etc.
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