Rhinoplasty in Latino Patients

Cobo, Roxana

doi:10.1016/j.cps.2015.09.003

Cited by 24 publications

(52 citation statements)

References 13 publications

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“…Tissue resection is very limited and tip definition, rotation, and projection are obtained using grafts and sutures. 34 In all patients, the common characteristic was finding a wide bulbous undefined nasal tip with flimsy underlying cartilaginous structures. In all patients, the skin was thick with a high tendency for acne formation.…”

Section: Methodsmentioning

confidence: 96%

Isotretinoin Use in Thick-Skinned Rhinoplasty Patients

Cobo¹,

Vitery²

2016

Facial plast Surg

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One of the characteristics of mestizo patients can be the thick sebaceous skin associated with a poor osteocartilaginous underlying nasal structure. In spite of using a proper structural approach where grafts and sutures are used to define the nasal tip, frequently the results are suboptimal. Surgical techniques have been described to reduce the thickness of the skin-soft tissue envelope, but these frequently give unreliable results. The monitored use of isotretinoin given orally as a complement after performing a rhinoplasty can adequately control the production of the sebaceous glands and thin the skin-subcutaneous tissue envelope in a uniform fashion without compromising the underlying bony and cartilaginous structures of the nose. Patients ideally should be treated jointly with a dermatologist and be followed closely to monitor hepatic function. Follow-up after 2 years with pre- and postoperative pictures shows improved definition of the nasal tip and dramatic improvement on sebaceous gland production.

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Section: Methodsmentioning

confidence: 96%

Isotretinoin Use in Thick-Skinned Rhinoplasty Patients

Cobo¹,

Vitery²

2016

Facial plast Surg

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“…With the advent of these international organizations and meetings, the presence of and the impact of multicultural and multiracial rhinoplasty has become increasingly apparent. [6][7][8][9][10][11][12][13] Concepts of beauty are changing, and the need for a natural result in rhinoplasty to create a genuine appearance has been confirmed. We are all learning from each other in the global rhinoplasty village.…”

Section: The Modern Era Of Rhinoplasty (1964 To Present)mentioning

confidence: 99%

“…Branca used the arm flap (►Fig. 6), which was later adapted by Gaspare Tagliacozzi (►Fig. 7) in Bologna and documented in his famous book, De curtorum chirurgia per insitionem (On the surgical restoration of defects by grafting) in 1597.…”

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confidence: 99%

Once Upon a Rhinoplasty: The History of the “Queen” of Facial Plastic Surgery

Adamson

Gantous

2019

Facial plast Surg

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The history of rhinoplasty is absolutely fascinating. It is replete with mysterious practices, intrigue, and imaginative thoughts. If necessity is the mother of invention, then sex, crimes, and punishment lay a legitimate claim to being the mother of rhinoplasty. The history of rhinoplasty is a global saga spanning the millennia. Practitioners of the art and science have included those demonstrating the most admirable traits espoused in the Hippocratic Oath, as well as those to whom the word “charlatan” might more aptly be applied. The truth of a story is illustrated in its telling, and we have attempted to be true historians. We recognize that observers and narrators, now well past (sic), have determined many of today's truths, and therefore their stories become our truths whether they were so or not. We have attempted to reference many who have contributed to the advance of this amazing surgical procedure, recognizing that we may have included some who have demonstrated marginal merit to be so. Assuredly, we have also unintentionally omitted some whom we should have included. From them we ask forbearance. Let the story begin, “Once upon a time…”

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“…A strong skeletal frame is needed to be able to support the weight of a thick S-STE. Structural grafting techniques are employed reinforcing the pedestal, middle third of nose, and nasal tip 17,18 (►Fig. 2).…”

Section: Creating a Rigid Underlying Skeletal Frameworkmentioning

confidence: 99%

“…Techniques like the alar crural spanning suture or the septocolumellar suture can be used to place the tip in a proper position and create a supratip break. 17,18 When the transcolumellar incision is closed, a piece of Gelfoam (Pfizer Inc.) is placed over the dorsum all the way down to the supratip break and fixed in place with micropore tapes and thermoplastic splints. On day 8, cast and tapes are removed.…”

Section: Elimination Of the Dead Space In Supratip Areamentioning

confidence: 99%

Integrated Management of the Thick-Skinned Rhinoplasty Patient

2018

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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.

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Rhinoplasty in Latino Patients

Cited by 24 publications

References 13 publications

Isotretinoin Use in Thick-Skinned Rhinoplasty Patients

Isotretinoin Use in Thick-Skinned Rhinoplasty Patients

Once Upon a Rhinoplasty: The History of the “Queen” of Facial Plastic Surgery

Integrated Management of the Thick-Skinned Rhinoplasty Patient

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