Research in Medicine

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Soft tissue thickness over the tip of the nose varies considerably between patients, subcutaneous fat being thickest in the supratip area. Fat nose is a challenging issue to manage, and surgeons have not found the ultimate solution to handle this problem during the evolution of rhinoplastic surgery. Due to multiplicity of techniques and controversies published in literature, it becomes confusing for the operating surgeon to find the most appropriate and effective way of solving this frustrating dilemma. The focus of this paper is to introduce a new procedure for reducing the overlying soft tissue of nasal tip for better re-draping of skin over the nasal skeleton. The hallmark of this technique is to undermine the nasal skin in two layers. We believe that soft tissue trimming in biplane dissection, described in the paper, can minimize the thickness of the tip skin in a safe and homogenous manner. In this paper we have demonstrated a new dissection method of nasal soft tissue and trimming it in different areas of the nose for different purposes. In the authors’ opinion this approach is one of the most effective way of handling unpliable thick nasal skin.

Keywords: subcutaneous fat, Rhinoplasty, Fat nose

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