Cabbarzade Cavid
Department of Otorhinolaryngology, Azerbaijan Medical University, Baku, Azerbaijan.
J Craniofac Surg. 2023;34(1):e28-e32. doi: 10.1097/SCS.0000000000008894. Epub 2022 Aug 17.
As the skin on the nose shows outwardly, if we do not consider the volume of skin on the nose that is reduced, the results may be unsatisfactory. Although redraping the skin over a wide area may help, excess skin cannot be adequately controlled in some cases.
During skin tensioning, a semifixed support mechanism was applied to keep the nasal tip stable and maintain its position while simultaneously allowing stretching and mobility in accordance with its normal function. The dorsal and infratip/columellar skin was stretched by using the support of the most projected part of the nasal tip. The skin was pulled posteriorly to obtain sufficient tensioning and excised at the columellar incision line.
Of the 94 patients who underwent skin tensioning, 82 were women, and 12 were men. The ages of the patients ranged from 18 to 59 years. Ninety-one patients were primary rhinoplasty patients, and 3 patients were secondary rhinoplasty patients. Skin tensioning was performed in 31 patients with overprojection, 24 patients with thick skin, 17 patients with low skin elasticity, 12 patients with excessive skin elasticity, 7 patients with an advanced long nose, and 3 patients with scar tissue due to previous surgery. No serious complications, either functional or aesthetic, related to skin tensioning was encountered.
The skin tensioning technique using a semifixed support mechanism helped to achieve a required reduction with a sufficiently defined appearance of the nose in patients with difficult skin.
由于鼻部皮肤外露，如果不考虑鼻部皮肤减少的量，结果可能不尽人意。尽管大面积重新覆盖皮肤可能有所帮助，但在某些情况下，多余的皮肤无法得到充分控制。
在皮肤拉紧过程中，应用半固定支撑机制来保持鼻尖稳定并维持其位置，同时根据其正常功能允许拉伸和移动。利用鼻尖最突出部分的支撑来拉伸鼻背和鼻尖下/鼻小柱皮肤。将皮肤向后拉以获得足够的拉紧效果，并在鼻小柱切口线处切除。
在接受皮肤拉紧的94例患者中，女性82例，男性12例。患者年龄在18至59岁之间。91例患者为初次鼻整形患者，3例为二次鼻整形患者。对31例鼻尖过度突出、24例皮肤厚、17例皮肤弹性低、12例皮肤弹性过高、7例长鼻畸形以及3例因先前手术形成瘢痕组织的患者进行了皮肤拉紧。未遇到与皮肤拉紧相关的严重功能或美学并发症。
使用半固定支撑机制的皮肤拉紧技术有助于在皮肤状况复杂的患者中实现所需的鼻部缩小，并使鼻部外观足够清晰。
