Research for thinning out thick skin for rhinoplasty- steroid implant (Ozurdex)

Question

It seems like there is not enough research being done to combat the thick skin problem for rhinoplasty. It seems like people just accept this and don't try to come up with any innovative solutions or experiments. Why doesn't anyone try to place one or multiple biodegradable dexamethasone-eluting implants under the tip skin after rhinoplasty to prevent excessive fibrosis and hopefully, to thin the skin? Ozurdex seems like an implant that could be repurposed to test this use.

Eric M. Joseph, MD · Answer

When somebody has excessively thin nasal skin, we are limited with the amount of cartilage grafting that we can use, since many of these grafts can become visible through thin nasal tip skin. Additionally, if somebody has excessively thick nasal tip skin, we can thin this out directly during the time of rhinoplasty surgery. Thank you for your question! Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. A much more reliable and already proven technique is steroid injections early and often after surgery. Also, Accutane can be taken to thin out thick nasal tip skin. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Research for thinning out thick skin for rhinoplasty- steroid implant (Ozurdex)

Answers (2)

More Rhinoplasty Questions

Research for thinning out thick skin for rhinoplasty- steroid implant (Ozurdex)

Answers (2)

More Rhinoplasty Questions

Why isn't vertical excision of nasal tip skin more commonly done to help create better tip definition for thick skin?

Have to get an MRI, can this harm a rhinoplasty result or other negative cosmetic effects?

Nose job and facelift order?