Our Summary

In this study, researchers looked at the use of skin contour sutures (SCSs) - special stitches - in nose surgery (rhinoplasty). The stitches are used to help secure the skin/soft tissue envelope (a layer of skin and tissue) to the underlying bone structure of the nose. The research found that these stitches can help improve the results of the surgery and reduce complications.

The study looked at two groups of patients: one group of 459 patients who had these stitches used in their nose surgeries between December 2016 and April 2022, and a second group of 30 patients with thicker skin who had the stitches inserted and their healing process monitored with ultrasound.

For the first group, the average follow-up period after surgery was 41 months, during which any visible stitch marks disappeared within 6 weeks in most patients, and no complications were reported. In the second group, the ultrasound data showed that the healing process was quicker when these stitches were used.

In conclusion, the study suggests that these special stitches can help reduce swelling, bruising, loss of shape, scar tissue formation, and abnormal nose shape following surgery, thereby improving the results and predictability of nose surgery.

FAQs

  1. What are skin contour sutures and how do they aid in rhinoplasty?
  2. What were the findings of the study regarding the use of SCSs in patients with thicker skin?
  3. How do the special stitches improve the results and predictability of nose surgery?

Doctor’s Tip

A doctor may advise a patient considering rhinoplasty to discuss the use of skin contour sutures with their surgeon as it can potentially improve the outcome of the surgery and reduce complications.

Suitable For

Patients who may benefit from rhinoplasty include those with:

  1. Nasal deformities, such as a crooked nose, a bump on the bridge of the nose, a wide or asymmetrical nose, or a drooping nasal tip.
  2. Breathing issues, such as a deviated septum or other structural abnormalities that affect nasal airflow.
  3. Previous nasal trauma or injury that has resulted in a misshapen nose.
  4. Congenital nasal abnormalities, such as a cleft lip and palate.
  5. Dissatisfaction with the appearance of their nose, leading to self-esteem issues or psychological distress.

It is important for patients to have realistic expectations about the outcomes of rhinoplasty and to discuss their goals and concerns with a board-certified plastic surgeon or facial plastic surgeon before undergoing the procedure.

Timeline

Before rhinoplasty:

  • Patient consults with a plastic surgeon to discuss goals and expectations of the surgery
  • Patient undergoes pre-operative assessments and tests to ensure they are a suitable candidate for surgery
  • Patient receives instructions on pre-operative care, such as avoiding certain medications and alcohol, and fasting before the surgery

After rhinoplasty:

  • Patient undergoes the surgery, which typically takes 1-2 hours under general anesthesia
  • Patient may experience swelling, bruising, and discomfort in the days following surgery
  • Patient is required to wear a splint on their nose for about a week to help support the new shape
  • Patient is advised to rest and avoid strenuous activities for a few weeks to allow for proper healing
  • Follow-up appointments with the surgeon are scheduled to monitor progress and make any necessary adjustments
  • Over time, any visible stitch marks and swelling should gradually disappear, and the patient will see the final results of the surgery

Overall, the timeline for rhinoplasty can vary depending on the individual patient and their healing process, but typically patients can expect to see final results within 6-12 months after surgery.

What to Ask Your Doctor

Some questions a patient should ask their doctor about rhinoplasty in light of this study include:

  1. Can skin contour sutures be used in my rhinoplasty procedure, and how do they work to improve the results?
  2. What are the potential benefits of using skin contour sutures in my specific case?
  3. Are there any risks or complications associated with using these stitches in nose surgery?
  4. How long will it take for any visible stitch marks to disappear after surgery?
  5. Will the use of skin contour sutures affect the overall healing process and recovery time?
  6. How will the use of these stitches impact the final shape and appearance of my nose?
  7. Are there any specific factors, such as skin thickness, that may make me a better candidate for using skin contour sutures in my rhinoplasty?
  8. Can you provide any before and after photos of patients who have had these stitches used in their nose surgeries to demonstrate the potential results?
  9. How often do you use skin contour sutures in your rhinoplasty procedures, and what is your experience with their effectiveness?
  10. Are there any alternative techniques or approaches that could be considered instead of using skin contour sutures in my rhinoplasty?

Reference

Authors: Zholtikov V, Kosins A, Ouerghi R, Daniel RK. Journal: Aesthet Surg J. 2023 Mar 15;43(4):422-432. doi: 10.1093/asj/sjac281. PMID: 36323644