Article / Structural Rhinoplasty

Nasal tip skin thinning

03 October 2019 | By Dr. Hope
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Nasal tip skin thinning

One of the problems after the Rhinoplasty that commonly be found is the nasal tip skin thinning, by touching you can feel the thinner skin on the nose tip and also The skin might look transparently or red, the edge of the silicone can be obviously seen. If the condition is carried on without any correction, It might lead to the silicone s extrusion.

 

 

Due to the method for Rhinoplasty surgery, The popular method in Thailand in the present is by implanting a single silicone from the bridge down to the tip, It might be by using various shapes of prefabricated silicone or a carving a silicone block it into the desired shape. And from the demanding of the most patients require the nose shape with sharp small nose tip or infratip lobule so the selection of prefabricated silicone or the shape of carving silicone usually have high tip which results in the pressure effect on the nose tip tissues and make the nose tip gradually thinner. Even there is the effort on using the other method to Prevent this problem such as using the ear cartilage, dermal graft or fascial graft to patch on the tip of the silicone. But eventually the end part of the silicone still has the pressure on the nose tissues and cause the following nasal tip skin thinning. Also the end part of the silicone that is too thick would build the pressure on the Cartilage which is the nose tip internal structure and cause the deformity such as deviation or depression of nose tip.

The solution for thin nose tip is by removing the implanted silicone and reconstructer the nose tip internal structure using patient s own tissues to get the desired height of nose tip without using silicone on the nose tip area. In case that compression of the silicone results in the deformity to the internal structure, it will has to be repaired to turn to the normal form. This resurgery method need to be done by open Rhinoplasty technique.

 

 

The close Rhinoplasty technique by shortening the length of silicone, can fix the nasal tip skin thinning but will not get the desired nose shape and the deformity of the internal structure will not receive any repairing Which might repeatedly cause the deviation or depression of nose tip.

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