Postrhinoplasty Taping In Thick-Skinned Patients
It was emphasized that there are various benefits of taping of the nose in various scientific studies, as well as medical treatment, appropriate thick skin nose nose surgery techniques in patients with thick skin characteristics and nasal aesthetics. It is important to note that the bands used here are micro-sized and do not block the air transfer of the skin (as shown in the above photo).
The benefits of "banding or taping" after the removal of the splint after the operation of the thick-skinned nose surgery
Bandage or banding can usually be performed for 2-4 weeks after nose surgery. The benefits of this "banding" process are as follows:- It may help the skin get stuck in the underlying cartilage frame and reduce post-operative swelling
- It is especially useful in reducing thickening of the skin and supratip
- The cheap and practical method helps the rhinoplasty surgeon to control another anatomical element - the skin - to achieve better surgical results in the postoperative period
Pollybeak Nose Deformity - Taping After Tertiary Revision Rhinoplasty
Open technique rhinoplasty operation was performed on the patient with Polly-beak Nose Deformity and nose taping is seen immediately after the operation.
Video - Postrhinoplasty Taping After Rhinoplasty / Regular Taping 1-3 Weeks / Sleeping Time Taping 2-4 Months
Postrinoplasty taping helps reduce postoperative edema. The procedure can be used especially in patients with thick skin, where skin coverage and nasal dilatation are very important for surgical outcome. In patients with thick skin, banding is recommended immediately after removing the splint after the rhinoplasty due to these benefits. However, it may be appropriate to clean the skin oils accumulated under the splint before the tape application. For this purpose, a natural and practical method, ready-made ocean waters or 1 cup of water with 1 teaspoon of Himalayan Salt is obtained by mixing the salt on the nose with the removal of oils on the nose and then the application of the tape.
From the 3 photos above, you can see the sleeping time taping application, which is shown as an example to be pasted on the nose of the patient who had a rhinoplasty operation and came to the control at 3 weeks before going to bed at night. As shown here, one U-shaped vertical taping and one or more horizontal or horizontal long tape applications are sufficient for pressure on the nasal tip and nasal ridge. In patients with very thick skin, it is important to continue nasal taping in this way for several months.
Video 3 Postrhinoplasty Taping After Thick Skinned Nose Job
In patients with very thick skin and subcutaneous fat, the nasal bands may not last long!
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| 1st week after rhinoplasty Thick skin nose rhinoplasty - Benefits of taping after rhinoplasty - Effect of postrhinoplasty taping on swelling in patients with thick skinned nose |
Above is a simple indication that the patient who has undergone open technique nasal surgery and pre-operative and one week post-operative buru photos are present on the nose more comedones and subcutaneous adipose tissue is thick and thick skin. In addition, the pre-operative finger between the forefinger and the thumb can be tightened to understand how thick the skin. This patient was taped for 2 more weeks after the fat on the skin was cleared.
The shape of the nose usually depends on the shape and structure of the underlying nasal skeleton. Therefore, aesthetic rhinoplasty is mainly directed to shaping the underlying bone and cartilage structures. The connective and adipose tissue and skin are located on the nasal base skeleton, which the surgeon can affect. Because the skin envelope shows different thicknesses and affects the nose tip more than the nose bridge, the final result of a rhinoplasty depends on skin thickness, bone and cartilage interaction.
The extent of nose change is the only factor that is marginally affected by the surgeon. Very thin or very thick skin, rhinoplasty refers to different surgical steps.
Thick skin: difficulty in nose aesthetics
Extremely thick skin covers the nose skeleton very well over the region, but this is a limiting factor while the nose nose is desirable for a small nose, especially a small tip of the nose. Patients often suffer from large nose and large, thick nostrils. Likewise, it is felt that the thickened nose tip is coarse compared to the facial proportions of the thick skin.
Thick skin is not always the cause of a thick tip of the nose (for example, soft-tip) - a relatively large nosebleed cartilage may cause the tip of the nose to appear large in the thin skin. Extremely thick skin is a challenge for the surgeon. Surgical techniques that severely weaken the cartilage of the nasal tip result in a plump and compressed-looking tip of the nose due to a lack of support. In this case, a structural stabilization of the nose and a well-formed nose are recommended.
Thick skin thinning
Thinning refers to the removal of fat and connective tissue at the skin, in particular the nasal tips. The limiting factor is the vascular feeding of the tip of the nose. During the thinning of the blood vessels below the dermis, there should not be too much damage during the thinning. It is therefore necessary to dilute the skin very carefully during the procedure (open technique nasal aesthetics and removal of the subcutaneous tissue at the tip of the nose with two-level dissection).Prolonged edema due to thick skin
Thick skin causes longer swelling of the nose and, in particular, increased scar formation under the tip of the nose. Swelling in patients with thick skin may last up to 24 or even 36 months. The last effect of nose aesthetics can only be evaluated after this period.In some cases, steroids can be injected into the thickened skin beneath the tip of the nose just a few weeks after the surgery to prevent the formation of strong scars to reduce a stronger connective tissue reaction.
Specifically, the thickening of the skin and the amount of edema expected after the nose surgery may be more than normal.
Patients with thick-skinned nose characteristics and who want a thin, elegant, angular nose may have unrealistic expectations before surgery and may need to be rejected if necessary.
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Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
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