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ORIGINAL ARTICLE
Year : 2020  |  Volume : 33  |  Issue : 2  |  Page : 675-682

Invasive and noninvasive tip rhinoplasty in a group of Egyptian thick-skinned patients


Department of Plastic and Reconstructive Surgery, Menoufia University Hospital, Menoufia, Egypt

Correspondence Address:
Hanan A Dawoud
Shebin Elkoom, Menoufia
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mmj.mmj_301_19

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Objective The aim was to evaluate the indications, contraindications, and complications of surgical and filler nasal tip rhinoplasty among Egyptians. Background Egyptian nasal tip is predominantly characterized by the bulbous tip, thick skin, and weak cartilage with broad lateral crus. Preoperative analysis guides the selection of the suitable operative technique. Patients and methods This is a prospective cohort study that was done on 32 patients with nasal tip deformities in the period from December 2017 to September 2019 in Menoufia University Hospital, Egypt. Patients were divided into two groups: invasive (surgery) and noninvasive (filler). Patient data (age, sex, and comorbidities), nasal tip analysis (definition, skin thickness, projection, and rotation), operative techniques, postoperative complications, and follow-up data were recorded. Results Surgery group included 21 (65.6%) patients. All cases were operated under general anesthesia in the operating room. Most patients were females (71.4%), with a mean age of 28.05 years. Filler group included 11 (34.4%) patients. All cases were operated under local anesthesia in the outpatient clinic. All patients were females, with a mean age of 30.4 years. Doctor satisfaction was significant among the surgery group (P < 0.05). Conclusion The predominant anatomic nature of Egyptian nose (thick skin and weak saucer-shaped cartilage) made surgical techniques more suitable to correct nasal tip deformity and achieve satisfying permanent results.


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