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Dr. Buckinghams Q&A

— Dr. Buckingham

I have a dent on my nose. Would a revision rhinoplasty fix it?

Filed under: Q & A, Revision Rhinoplasty

Question:
I’ve had a dent on my nose for the past five months. My rhinoplasty was a year and a half ago. The surgeon recommended Restylane but that isn’t permanent. Would revision rhinoplasty be an option?

Answer:
Certainly a revision rhinoplasty is an option for repair of any depression in nose following rhinoplasty. Restylane is also a reasonable option however. Even though Restylane is not permanent it should give one to 2 years in the result and in certain situations is a better option as it is much less risky and can heal to excellent results with minimal intervention.

Posted by Dr. Buckingham


— Dr. Buckingham

How does skin thickness effect the outcome of surgery?

Question:
I keep reading that skin thickness is important to the outcome of nose surgery. Why is this? How do you know if you have thin skin or thick skin?

Answer:
Skin thickness is important in rhinoplasty.  Patients with thick nose skin have to set their expectations for significant refinement lower as the thick skin will prevent a chiseled nasal result.  Patients with thin skin also have risks because any sort of irregularity will show through the skin.  The results can be excellent, but the cartilage shaping needs to be perfect or the imperfections will show.  Medium skin thickness is arguably the best as it allows for nice refinement to occur with some covering any irregularities that may occur to be concealed.   

Posted by Dr. Buckingham


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