Nuances of the Nasal Tip: Rhinoplasty of the Thin-Skinned Nose

Edward H. Farrior; John A. Ballert

doi:10.1055/s-0032-1309296

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2012; 28(02): 171-176
DOI: 10.1055/s-0032-1309296

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Nuances of the Nasal Tip: Rhinoplasty of the Thin-Skinned Nose

Edward H. Farrior

¹Department of Otolaryngology, The University of Virginia, Charlottesville, Virginia

²Department of Otolaryngology, University of South Florida, Tampa, Florida

,

John A. Ballert

³Purchase ENT, Paducah, Kentucky

› Author Affiliations

Abstract

Rhinoplasty in the thin-skinned patient presents a unique set of challenges to achieve desired results. Preoperative recognition of thin skin is imperative to direct the operative plan and to achieve excellent results. Once identified, meticulous care must be implemented in sculpting the underlying cartilaginous framework. The skin may also benefit from techniques to thicken the skin through the use of cartilage and fascial grafts. This article will discuss recognition of the thin-skinned nose, avoiding pitfalls, techniques to optimize structural support, camouflage grafting techniques, and options available to thicken the nasal skin.

Keywords

rhinoplasty - thin skin - graft - dangerous triad

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References

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