Auxiliary Procedures in the Nasal Skin [chapter]

Guillermo Blugerman, Diego Schavelzon, Gabriel Wexler, Roberto Schale
2016 Miniinvasive Techniques in Rhinoplasty  
Dermabrasion: This is a procedure that removes epidermis and superficial dermis in order to stimulate neo formation of collagen, elastic fibers, and vessels. Radiofrequency: The equipment can be regulated in ablative or nonablative (heat in dermis results in collagen fibers contraction) mode. The main effect is contraction and remodeling of collagen fibers. Chemical peels: Most used products are: retinoic acid, alpha hydroxy acids, trichloroacetic acid, phenol, and resorcinol. Superficial and
more » ... d peels are indicated in pigmented lesions and fine wrinkles. Deep wrinkles need a deep peel. External nasal lifting: As we age, flaccidity and solar damage in nasal skin turns the tip downward, and its classical correction (rhinoplasty) deepens the nasal dorsum wrinkles. Incisions and skin resection is planned in the nasoglabellar area. Subnasal lifting: An open nasolabial angle creates disequilibrium between the lip and nose in the central face. A buffalo horn like resection in the implantation of the nasal ala in the lip solves this angle, restoring the loss balance. Treatment of vascular lesion with luminic energy: Here we present our experience with nasal vascular lesions in the last 15 years. Treatment of nasal vascular lesions through thermocoagulation with radiofrequency: This technique is indicated in vascular lesions smaller than 3 mm of diameter, and punctiform lesions as rubi nevus and telangiectasias. Hair removal with LA-SER or IPL: The hairs anagen period of the nasal tip and vestibule gets longer as people age, turning hair to be unaesthetic.
doi:10.5772/62067 fatcat:k4yz7mmkvnbatbxoqb2cqvgjra