Abstract
Rhinoplasty outcome may depend on different factors: patient’s selection, technique, surgeons’ skills and patient’s healing. Different surgical maneuvers can be performed in order to reduce post-operative risk of fibrosis such as dead spaces’ closure, sub-perichondral and subperiosteal dissection and nasal ligaments preservation or reconstruction. However, in some patients, especially the ones with thick and sebaceous skin, these maneuvers may not be enough. Here we propose a new alternative to treat post-rhinoplasty fibrosis using a combination of Triamcinolone Acetonide and Hyaluronidase.
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References
Finocchi V, Nele G, Çakır B (2020) Dissection, drains and dead space closure: the 3D’s to improve patient comfort and reduce early bruising and late fibrosis in rhinoplasty. Aesthet Plast Surg 44(5):1929–1934
Guyuron B, DeLuca L, Lash R (2000) Supratip deformity: a closer look. Plast Reconstr Surg 105(3):1140–1151
Aggarwal A, Ravikumar BC, Vinay KN, Raghukumar S, Yashovardhana DP (2018) A comparative study of various modalities in the treatment of keloids. Int J Dermatol 57(10):1192–1200
Kudlak N, Schuler A, Dong J, Crowe D (2020) Pretibial myxedema treated with intralesional hyaluronidase and Triamcinolone. JAAD Case Rep. 6(9):810–811
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Nele, G., Tambasco, D. & Cavaliere, A. Hyaluronidase: A New and Powerful Ally for Post-Rhinoplasty Fibrosis. Aesth Plast Surg (2024). https://doi.org/10.1007/s00266-024-03902-9
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DOI: https://doi.org/10.1007/s00266-024-03902-9