Farrior Edward H, Ballert John A
Department of Otolaryngology, The University of Virginia, Charlottesville, VA 22908, USA.
Facial Plast Surg. 2012 Apr;28(2):171-6. doi: 10.1055/s-0032-1309296. Epub 2012 May 6.
Rhinoplasty in the thin-skinned patient presents a unique set of challenges to achieve desired results. Preoperative recognition of thin skin is imperative to direct the operative plan and to achieve excellent results. Once identified, meticulous care must be implemented in sculpting the underlying cartilaginous framework. The skin may also benefit from techniques to thicken the skin through the use of cartilage and fascial grafts. This article will discuss recognition of the thin-skinned nose, avoiding pitfalls, techniques to optimize structural support, camouflage grafting techniques, and options available to thicken the nasal skin.
对于皮肤薄的患者进行隆鼻手术，要达到理想效果会面临一系列独特的挑战。术前识别出薄皮肤对于指导手术方案和取得优异效果至关重要。一旦确定为薄皮肤，在雕刻下方软骨框架时必须格外小心。通过使用软骨和筋膜移植来增厚皮肤的技术也可能对皮肤有益。本文将讨论薄皮肤鼻子的识别、避免陷阱、优化结构支撑的技术、掩饰性移植技术以及增厚鼻皮肤的可用方法。
