- Rhinoplasty patients with thick skin have a significant subcutaneous fatty layer beneath the skin and this layer can hold swelling fluids (edema) for a very long time.
- Pre opreative skin preparation about 2 to 4 weeks before my exfoliants like salcylic acid face wash and topical retinoic acid may be useful
- Use of Oral Isotretion to improve the acne prone skin and reduce thickness ,though useful but Isotretion may have several side effects and need to be taken under strict medical supervision .The liver functions need to be monitored by regular blood tests.Pregnancy need to be avoided for up to 6 months after stopping Isotretion to avoid possible teratogenic side effects. We use a very low dose Isotretion 10 to 20 mg per day to reduce the incidence of side effects this need to be continued for 6 to 8 months
- Patients must be warned that it may take long…
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