Nose skin type in rhinoplasty ( thick skin and thin skin in rhinoplasty ) :
The template of the nasal skeleton is covered by skin and subcutaneous tissues such as fat and muscles. The skin covering the nose helps to smooth, soften, hide and reshape the nasal skeleton and has a greater effect on some areas.
Therefore, in order to achieve the desired result of rhinoplasty, the effect that the skin has on the final shape of the nose must be considered in any change in the shape of the bones. In some people, the effects of the skin are far more difficult to predict or control.
What are the best and worst skin types for rhinoplasty?
Medium-thick skin and a healthy, smooth complexion are the best conditions for rhinoplasty.
Extremely thick skin (too thin or too thick) is the worst condition for rhinoplasty.
Bad skin and elasticity of the skin are other important factors that affect the prognosis of rhinoplasty.
Rhinoplasty is one of the most important factors in rhinoplasty.
What are the complications of thin skin in rhinoplasty?
In people with very thin nasal skin, scars from a small scar leave scars. However, in these people, the swelling caused by the surgery usually heals very quickly.
One of the biggest side effects of having thin skin is hiding the defects of the nasal skeleton, in which case the thin skin is very weak, so that a thin skin on the nose can only hide a little more than a damp paper towel, and even the smallest flaws. The nasal skeleton is easily visible.
Another side effect of having thin skin on the nose is that during rhinoplasty, the skin tends to contract, which, after surgery, takes the nose out of its normal state and eventually leads to unpleasant abnormalities.
That’s why the biggest challenge for rhinoplasty in people with extremely thin nose skin is to achieve a smooth, smooth and firm nasal skeleton. If these conditions are difficult or impossible to achieve, they artificially increase the thickness of the skin to better cover the defects of the nose.
The skin of the nose can be artificially thickened by grafting the middle membrane of the skin, but the persistence of this graft requires a healthy source of blood supply to the skin. Thin skin is usually more prone to redness and the formation of spider veins, although laser treatments are often effective in relieving these problems after surgery.
What are the complications of thick skin in rhinoplasty?
The only advantage of very thick skins is that, unlike thin-skinned noses, it completely covers all the obvious flaws in the skeleton of the nose. Very thick skin is one of the most challenging issues and sometimes one of the most insurmountable obstacles in rhinoplasty.
Thick skin reduces nasal specifications by covering the nasal skeleton. Optimal features of the nasal skeleton are hidden and subtle fluctuations in the surface of the nasal skeleton, which makes the nose more beautiful and balanced, are lost.
The weak framework of cartilage, which is more common in these types of noses, only exacerbates the appearance of bumps.
Very thick skin puts more pressure on the cartilage of the nose, while in thin skin, the skin of the nose does not put pressure on the cartilage.
This pressure will cause the progressive collapse of the nasal skeleton and the deformity of the nose. Therefore, it is necessary to strengthen the structural support of the nose at the same time as rhinoplasty in order to have the best results from rhinoplasty. This ensures a firm and attractive nose frame that can withstand the extra weight caused by thick skin.
In fact, without a safe and strong cartilage framework, it is almost impossible to have a stable, well-proportioned nose in patients with thick skin.
A good, firm skeleton for thick-skinned noses, in addition to protecting against structural collapse, makes it easy to pull the tip of the nose to correct superficial nasal protrusions.
Very thick skin, in addition to being thick and overweight, is also more prone to swelling and inflammation after surgery. In patients with thick nasal skin, postoperative swelling takes 12 to 18 months to fully heal.
Also, most people with thick nasal skin are prone to developing excess tissue under the skin. In these people, due to the thickness of the skin of the nose and the subcutaneous tissues that may be created, surgical advances to shape the nose will lose their effect.