Rhinoplasty in the Mestizo Nose

Cobo, Roxana

doi:10.1016/j.fsc.2014.04.011

Cited by 16 publications

(33 citation statements)

References 10 publications

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“…This fibroadipose tissue frequently covers the nasal tip and supratip area covering the alar cartilages completely. [2][3][4][5][6][7][8]36,37 No matter what surgical technique is Fig. 1 (A-D) Presurgical views of female patient with wide bulbous undefined nasal tip.…”

Section: Discussionmentioning

confidence: 99%

“…1 A big number of ethnic groups like mestizo/Hispanics, Asian, African descent, Middle Eastern, among others have noses that are characterized by having a weak underlying cartilaginous and bony structure covered by a thick skin-soft tissue envelope (S-STE) that is frequently acne prone. [2][3][4][5][6][7] In this type of patients, obtaining a defined looking nasal tip becomes a real surgical challenge. 8 Additionally, most patients seeking rhinoplasty are adolescents or young adults, and it is in this age group where acne is more prevalent.…”

mentioning

confidence: 99%

“…The tendency today is to structure the underlying bony and cartilaginous framework and to create definition using sutures and grafts on the nasal tip associated with very conservative resection or remodeling of nasal tip cartilaginous components. 3,11 It is not uncommon to find that in spite of the different techniques used to refine a nasal tip, patients are unsatisfied with the final results and seek for options or specialists who can give them hope of obtaining a more defined looking nasal tip. 1 Isotretinoin has been successfully used for acne treatment for many years.…”

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confidence: 99%

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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: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Isotretinoin Use in Thick-Skinned Rhinoplasty Patients

Cobo¹,

Vitery²

2016

Facial plast Surg

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“…All procedures are performed under general anesthesia, and an open approach is used in most cases. The philosophy behind this approach is as follows 11,14 :…”

Section: Structural Approach In Ethnic Rhinoplastymentioning

confidence: 99%

Ethnic Rhinoplasty

Cobo

2019

Facial plast Surg

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Ethnic rhinoplasty traditionally has been used to define this surgical procedure performed on non-Caucasian patients. Because of globalization, massive migrations, and interracial mixing, ethnic patients today are considered mixed race patients. Surgical techniques should be based not on what ethnic group they belong to but on anatomical findings and patients' needs and wishes. Preservation techniques are presented and structural approaches are discussed using sutures and grafts. The final objectives of rhinoplasty are better definition, more refined appearance, and compliance with patients' aesthetic ideals while preserving function.

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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%

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 the Mestizo Nose

Cited by 16 publications

References 10 publications

Isotretinoin Use in Thick-Skinned Rhinoplasty Patients

Isotretinoin Use in Thick-Skinned Rhinoplasty Patients

Ethnic Rhinoplasty

Integrated Management of the Thick-Skinned Rhinoplasty Patient

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