Outcomes of a Treatment Protocol for Compromised Nasal Skin in Primary and Revision Open Rhinoplasty

Irvine, Leslie E.; Azizzadeh, Babak; Kerulos, Julia L; Nassif, Paul S.

doi:10.1089/fpsam.2020.0181

Cited by 5 publications

(2 citation statements)

References 50 publications

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“…Interestingly, the two types of surgeries that did not show a significant association between smoking and increased rate of complications were mastopexy and rhinoplasty. A closer analysis of our rhinoplasty cohort demonstrates that most complications reported by Irvine et al 92 (OR = 0.59 [0.08, 4.53]) occurred in former smokers, and these were pooled with the non-smoker group as per our protocol, which could have contributed to the lack of statistical significance between our two studied groups. As per our meta-analysis, mastopexy does not seem to confer an added risk among smokers.…”

Section: Discussionmentioning

confidence: 94%

A Procedure and Complication-Specific Assessment of Smoking in Aesthetic Surgery: A Systematic Review and Meta-Analysis

et al. 2022

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Background: The popularity of aesthetic surgery is on the rise, as is patients’ expectations towards excellent surgical results. In order to meet these expectations, risk factors that hinder desired outcomes, such as smoking, need to be identified and addressed. To that end, the present study summarizes an updated systematic review focused on the effects of smoking on cosmetic surgical procedures and outcomes. Methods: A systematic review of studies comparing aesthetic surgical outcomes by procedure, between tobacco smokers and non-smokers was carried out, querying PubMed, Embase and the Cochrane databases. Data regarding surgical outcomes were extracted and meta-analyzed by a random effects model in conjunction with the Mantel-Haenszel statistical method. Results: Eighty-two studies were included in the final synthesis. Abdominoplasty/panniculectomy (n = 19 cohorts) and breast reduction (n = 27 cohorts) were the most common types of procedures included in this review. Other than mastopexy and rhinoplasty, smoking conferred a statistically significant increased risk of overall complications for all studied aesthetic procedures. Conclusions: The data demonstrates that smoking is a clear risk factor for the vast majority of aesthetic plastic surgeries studied. Although our meta-analysis suggests that smoking is not a risk factor for complications in mastopexies and rhinoplasties, these two specific analyses may have been biased, and should therefore be re-evaluated with future additional evidence. The results of this systematic review confirm the importance of smoking cessation and education relative to the outcomes of common cosmetic surgical procedures.

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Section: Discussionmentioning

confidence: 94%

A Procedure and Complication-Specific Assessment of Smoking in Aesthetic Surgery: A Systematic Review and Meta-Analysis

et al. 2022

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“…has detailed treatment protocols for compromised nasal skin, which can be applied in this scenario. 4,6,7 We advocate for a combination of topical nitroglycerin 2% ointment and Hirudo medicinalis therapy (with antibiotic prophylaxis) in the immediate postoperative period, followed by daily hyperbaric oxygen, oral aspirin 81 mg daily, and, in severe cases, oral pentoxifylline. Other considerations include avoiding postoperative dressings to avoid pressure and improve postoperative wound monitoring.…”

Section: Discussionmentioning

confidence: 99%

Facial Rejuvenation in a Patient With Granulomatosis With Polyangiitis—Treatment Protocol for Compromised Skin Flap

Salehi,

Peng

et al. 2023

Journal of Craniofacial Surgery

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Facial rejuvenation outcomes have not been well studied in patients with granulomatosis with polyangiitis (GP)—formerly Wegener granulomatosis. This report highlights a case of a 49-year-old female with a history of GP, presenting with facial aging and functional nasal concerns. The patient underwent facial rejuvenation and nasal reconstruction procedures, including primary open functional rhinoplasty, septal perforation repair with Alloderm, deep-plane rhytidectomy, platysmaplasty, nanofat grafting, and fractionated erbium laser to the face (sparing the nose and peri-incisional areas). Despite a routine operation, postoperative course was complicated by wound healing and vascular congestion issues related to her underlying autoimmune disease. This case highlights the risks associated with postsurgical healing in patients with GP undergoing esthetic surgery. To the best of our knowledge, this report is the first to discuss management considerations in a patient with GP undergoing facial rejuvenation surgery.

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Reprojecting the Severely Damaged Nose

Hamilton,

Jang,

Toriumi

2024

Facial Plastic Surgery Clinics of North America

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Outcomes of a Treatment Protocol for Compromised Nasal Skin in Primary and Revision Open Rhinoplasty

Cited by 5 publications

References 50 publications

A Procedure and Complication-Specific Assessment of Smoking in Aesthetic Surgery: A Systematic Review and Meta-Analysis

A Procedure and Complication-Specific Assessment of Smoking in Aesthetic Surgery: A Systematic Review and Meta-Analysis

Facial Rejuvenation in a Patient With Granulomatosis With Polyangiitis—Treatment Protocol for Compromised Skin Flap

Reprojecting the Severely Damaged Nose

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