Dermatological assessment of thick-skinned patients before rhinoplasty-what may surgeons ask for?

Int J Dermatol. 2023 May;62(5):599-603. doi: 10.1111/ijd.16341. Epub 2022 Jul 3.

Abstract

Rhinoplasty is considered a very challenging surgery since minimal changes of this central area of the face may significantly impact a person's appearance and self-awareness. This is even more challenging in thick-skinned patients because results are less predictable, and changes to the osseocartilaginous framework (OCF) may not be sufficiently visible due to the blanket effect of the thick skin. Furthermore, pre-existing skin conditions may exacerbate following surgery. Therefore, managing patients with extremely thick skin or patients who suffer from pre-existing dermatological conditions such as rosacea or acne requires a synergy of surgeons and dermatologists to achieve optimal results. In this article, we review the most significant pre- and post-surgical regimens that surgeons and dermatologists should apply in selected patients to achieve optimal results after rhinoplasty.

Publication types

  • Review

MeSH terms

  • Acne Vulgaris* / etiology
  • Humans
  • Rhinoplasty* / adverse effects
  • Rosacea* / etiology
  • Skin
  • Surgeons*