Watch out for those with thick skin! – Last Minute Health News


gave | Wednesday, April 07, 2021 – 17:45 | Last Updated: 07 04 2021 – 17:45

Noting that after rhinoplasty, which is a nose reshaping and reconstruction surgery, the problem of nasal drop is the most common, Assoc. Dr. Erkan Soylu made warnings. Soylu said, “In patients with thick skin, since the tip of the nose is swollen just behind the tip of the nose, the prominence of the nose tip decreases and it can give a downward appearance. Therefore, patients with thick skin should wait patiently for at least two years, and at least one year in patients with thin and normal skin, ”he said.

Medipol Mega University Hospital, Department of Otorhinolaryngology, Assoc. Dr. Erkan Soylu made important statements about the most curious nose drop in nose aesthetics. Assoc. Dr. Soylu stated that nose drop and collapse are different and “When patients say nose drop, they usually mean nose tip drop. Patients describe falls on the wings of the nose or on the back of the nose as collapses. Although we physicians have a medical language, we must definitely catch a common language when talking to our patients. Otherwise, communication problems may occur. Generally, physicians make the tip of the nose a little higher than the targeted so that this fall ends in a normal position, ”he said.

THICK SKIN IS MORE VISIBLE

Noting that the tip of the nose has fallen a little over the years after the surgery, Assoc. Dr. Soylu continued as follows:

“Depending on the technique used, each physician usually makes the tip of the nose a little higher than the targeted during the surgery, so that this fall in the healing process ends in the normal position. This drop varies according to the technique applied and this is an expected situation. It is a relative decrease in patients with thick skin due to the swelling of the supratip area just behind the tip of the nose and where the nasal skin is the thickest. It should wait for the recovery period. We have seen in the patient follow-up that this situation disappears completely, especially in the second year, and even the nose tip looks more pleasant and raised. “

THE PATIENT AND THE PHYSICIAN SHOULD UNDERSTAND EACH OTHER

Assoc. Dr. Soylu also emphasized the importance of the patient and the physician to understand each other clearly. Soylu said, “Another reason is that the patient and the physician cannot fully understand each other before the operation and the tip of the nose is lower than the patient actually wants. The patient and the physician should fully understand each other before surgery and trust the patient physician. In our practice, we see the patient twice before surgery. In the first examination, after listening to the complaints of our patient, we examine them and reveal the problems. We do the second examination when the patient comes for anesthesia examinations, and we ask the patient to show a few sample pictures in the ‘I like’ and ‘dislike’ noses categories while coming to this final examination. The word natural can mean different things to different physicians for the patient. Only by showing photos in two categories in this way, the physician can easily understand the nose designed and loved by the patient. This would be more realistic than a verbal statement. Some physicians also make this planning by simulating the patient’s nose before surgery.

NOSE FILLING SURGERY MAY HAVE NEGATIVE EFFECT

Stating that the tip of the nose may fall due to the insufficiency of the skeleton that keeps the tip of the nose up or the load pressing on the tip of the nose, Assoc. Dr. Soylu said, “The load that puts pressure on the tip of the nose is higher in noses with thick skin, and the skeleton carrying the tip of the nose should be stronger in these patients. Otherwise, a drop in the tip of the nose can be expected. The forces pushing the tip of the nose down the back of the nose should also be relieved and reduced sufficiently. Trying to lift the nose with a rope or other hangers without structurally changing the nose does not give long-term results and the nose tip does not remain at the desired level. Lifting the tip of the nose with filling is also limited by the melting time of the filling. In addition, filling is a procedure that enlarges the nose and may negatively affect the quality of the skin in a possible future surgery. As a result, the patient and the physician should understand each other sufficiently before the operation. After the surgery, patients should not interfere with their controls and wait patiently for the recovery period. “This period is at least two years in patients with thick skin and at least one year in patients with thin and normal skin.”


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