Thinner skin has the advantage that more cartilaginous detail can be seen, particularly in the nasal tip. In some cases, thinner skin can show too much detail for the patient’s liking. Some materials that are successful in camouflaging thinner skin are fascia and perichondrium.
Fat grafting can be used in addition to these materials to help thicken the subcutaneous layer of the nose. Fat grafting in the nose requires a thin smooth layer to be placed in thinner areas of the nose. Fat grafting can be performed in an office setting or in an operating room setting. It can be done at the same time as a rhinoplasty or after.
Our skin has a normal level of acidity to protect us against bacteria. Most soap, unfortunately, is alkaline which can strip away our normally acidic skin oils. PH balanced soap often has an acid (such as glycolic, salicylic, or lactic) as one of its ingredients.
Voluma is the latest filler from Allergan designed to be a thicker version of Juvederm and made up of hyaluronic acid. Voluma is almost like an injectable implant due to its viscosity. It is also said to last up to 2 years. Like other hyaluronic acid products, they can be reversed if necessary.
Voluma can be used in certain areas of the nose as a filler. Dr. Shah's experience with fillers in the nose is that hyaluronic acid products integrate well with soft tissues and the structure of the nose when placed appropriately.
In addition, hyaluronic acid can be turned into collagen and in some locations can be turned into scar tissue in the nose. This can be advantageous to the patient when a shadow needs to be softened.
A facial can be beneficial to your skin as it provides a nourished and improved complexion. But after a rhinoplasty, the nose is delicate and cannot be pressed too vigorously. More importantly, and depending on the type of rhinoplasty that was performed, certain areas can be more delicate than others.
Sometimes after a facial, the skin around the nose can become both clogged and dry. Since this can take several weeks to return to its normal, previous state, we recommend waiting until Dr. Shah clears you, if you are going to have a facial.
Dr. Shah's aestheticians communicate with him and have been trained by him, so they may be more knowledgeable whether or not you can have a facial at an earlier time.