Facial Plast Surg
DOI: 10.1055/s-0041-1729632
Original Research

Surgical and Nonsurgical Management of the Nasal Skin-Soft Tissue Envelope

1  Ruprecht Karls University Heidelberg, Faculty of Medicine Mannheim, Mannheim, Germany
2  Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Mannheim, Mannheim, Germany
3  Department of Plastic Surgery, University of Pittsburgh, Pittsburgh Pennsylvania
,
Frank Riedel
4  HNO-Zentrum Rhein-Neckar, Mannheim, Germany
,
Alwyn D'Souza
5  Department of Otolaryngology, University Hospital Lewisham, Lewisham, London, United Kingdom
,
Johannes A. Veit
2  Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Centre Mannheim, Mannheim, Germany
4  HNO-Zentrum Rhein-Neckar, Mannheim, Germany
› Author Affiliations

Abstract

Management of the skin-soft tissue envelope (SSTE) in rhinoplasty is challenging and critical for the overall outcome. The preoperative identification of patients with thick or thin skin and with preexisting skin conditions may contribute significantly to the postsurgical result. Most publications and textbooks focus on the management of the osseocartilaginous framework, but the SSTE management is often not addressed in detail. However, nonsurgical treatments, such as skin preconditioning, topical steroid-injections, oral isotretinoin, and topical vitamin A derivatives, may provide strong benefits. In this article, we reviewed the literature to present a comprehensive review on the available surgical and nonsurgical approaches pre-, intra-, and postoperatively dealing with SSTE in rhinoplasty.



Publication History

Publication Date:
11 May 2021 (online)

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA