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Facial Plast Surg 2018; 34(01): 003-008
DOI: 10.1055/s-0037-1617445
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Integrated Management of the Thick-Skinned Rhinoplasty Patient

Roxana Cobo
1   Department of Otolaryngology, Centro Médico Imbanaco, Cali, Colombia
,
Juan Gabrie Camacho
2   Department of Otolaryngology, Universidad Militar Nueva Granada, Bogota, Colombia
,
Jorge Orrego
3   Department of Otolaryngology, Universidad Militar Nueva Granada, Bogota, Colombia
› Author Affiliations
Further Information

Publication History

Publication Date:
06 February 2018 (online)

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Abstract

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.

Keywords

thick skin - rhinoplasty - skin evaluation - acne prone
 

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