As the number of patients seeking surgical and nonsurgical rhinoplasty continues to increase, the risk of nasal skin compromise after surgery also has risen. Vascular insult to the nasal skin envelope can lead to permanent disfigurement that is nearly impossible to correct. Tissue loss often requires major reconstruction that yields suboptimal cosmetic results. This article discusses prevention, early recognition, and effective treatment that aim to mitigate skin necrosis and the resulting soft tissue destruction.
Keywords: Hyperbaric oxygen; Leeches; Nasal skin–soft tissue envelope; Revision rhinoplasty; Skin necrosis; Thinned nasal skin; Treatment protocol; Vascular compromise.
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