Many patients may need Rhinoplasty. This surgery can significantly improve the social, work and family life of the patients. But not every patient can have this surgery whenever they want. One of the biggest limits to have rhinoplasty is the thickness of the skin. Patients with thick skin should have better and detailed surgical planning. This article will be very useful for you, especially if you want Closed Technique to be used for better results. In this article, how the nose surgery of patients with thick skin can be performed with Closed Rhinoplasty Technique. We will be talking about the latest technology, the Fractional Resurfacing CO2 Laser treatment, which we use a lot in our clinical practice.
What is Fractional Resurfacing Co2 Laser Treatment?
Fractional CO2 laser sends light columns to the skin that doesn’t touch each other’s. The thickness and the distance can be adjustable and along with this how many passing will be done determines the intensity of the treatment. The crusting that occurs in the applied areas provides regeneration by petting each other’s. In general, there is a %5-%45 improvement in every session.
Descending dept and the thickness of the skin is certainly known during the treatment not depending on experience or sense of proportion as it is in chemical peeling or dermabrasion. Despite being a strong treatment, regarding to the resurfacing feature recovery process is so fast and takes a short time. Anesthesia is not required for the treatment.
The areas of usage of Fractional Resurfacing CO2 Laser Treatment
- Deep lines removal and facial rejuvenation
- Treatment of acne scars
- Elimination of large and deep pores
- Skin rejuvenation, defrosting
- Superficial removal of sunspots on the skin and scar treatments
- Bad healed surgical scars
- The treatment of cracks on the skin
Considerations Before Fractional Resurfacing CO2 Laser Treatment
Patients are not supposed to get sun at least minimum 1 month before the treatment. The medications that have blood thinning affect such as asprin, coraspin should be stopped taken minimum 3 weeks before the treatment.
Patients who have been taking isotretinoin derivative medications (Roaccutane) can get the treatment after 4 weeks stop taking these medications.
If the patients have herpes attacks in the treatment area, it should be treated with medications before the treatment.
Considerations After Fractional Resurfacing CO2 Laser Treatment
Fractional CO2 Laser Treatment is a process that causes peeling of the skin and after the treatment moisturizer creams should be applied 3-4 times per a day. Water should not be applied on the treatment area for first 24 hours. Make up shouldn’t be applied for 3-5 days because of the crusting. The most importantly Patients are supposed to protect their skin from the sun not to get hyper pigmentation by applying 100 factor sunscreen and should be re-applied 3-4 times during the day.
How many sessions of Fractional Resurfacing CO2 Laser treatment should be done?
It is a process that damages the skin for rejuvenation. The treatment should be performed especially during the wintertime. Depending on the skin, 3-4 sessions of Fractional Resurfacing CO2 Laser Treatment can be performed and downtime between the session is 2-3 weeks.
Benefits of Fractional Resurfacing CO2 for Rhinoplasty Procedure
Rhinoplasty in Turkey: Dr. Suleyman TAS prefers applying the right treatment before Rhinoplasty surgery for the patients with thick skin to get the best results in his practice.
Rhinoplasty is about reshaping the underframe work (bones & cartilages), apart from that there is skin, nerves, muscles, and ligaments on the nose that we call soft tissues. Rhinoplasty doesn’t treat skin. During debulking the skin, the surgeon must find the vessels and make sure not to damage them otherwise it would end up with a skin necrosis which is a terrible complication and irreversible situation.
That is why patients are recommended to prepare their skin until the surgery externally to achieve the best rhinoplasty results. Contraction capacity is low with thick skin, it doesn’t shrink and contrast well. It is like a thick blanket that covers the nose and hides the underline structure. It also prolongs the recovery process, and the swelling would subside in a longer time comparing to thin skinned patients.
Regarding the quality of the skin for severely thick-skinned patients, fractional resurfacing CO2 laser treatment is recommended to prepare the skin externally. This treatment is the most effective treatment to resurface and regenerate the external layers of the skin. The treatment is also beneficial to shrink the pores and increase the contraction capacity of the skin. It should be an ablative treatment which would peel off the skin. Proper intensity should be arranged depending on the skin type and desired results. Dermapen treatment and chemical peeling treatment isn’t enough to achieve the desired results comparing to fractional resurfacing CO2 laser treatment.
Fractional Resurfacing CO2 Laser Treatment one of the best treatments to peel off the superficial layers of the skin and to regenerate the skin as rhinoplasty doesn’t treat skin. The treatment also decreases the post-operative swelling process, the skin would shrink well, and the pores would be gone after completing required number of sessions.
Severely thick-skinned patients wouldn’t be able to achieve the desired results without the laser treatment or wouldn’t see much difference after the surgery because thick skin is the one of the biggest limitations in rhinoplasty surgery about reduction amount and the surgery would end up with less definition on the nose.
Fractional Resurfacing CO2 laser treatment is also beneficial for the post up process. The skin gets oilier, and the quality of the skin decreases after the surgery due to the swelling process. After getting the surgeons approval, the laser treatment also can be performed after the cast removal to improve the skin quality and take the oiliness of the skin under control.
Dr. Suleyman TAS is a Plastic, Reconstructive & Aesthetic Surgeon in Istanbul, Turkey. Dr. Suleyman TAS currently works at Tas Aesthetic Surgery Clinic to touch lives and improve life at the highest level.