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.
Keywords
rhinoplasty - nasal skin - skin-soft tissue envelope - thin skin - thick skin - isotretinoin
- nonsurgical management
