Less swelling with Rhinodesis

Swelling and scarring after rhinoplasty and how to avoid them

Long-term swelling and sometimes scarring (fibrosis) under the skin, especially in the area of the tip of the nose, can be unpleasant after-effects of a rhinoplasty. The main problem is that a so-called "dead space" forms between the cartilage and the skin. This fills with blood and lymph after the procedure, slows down healing and sometimes even leads to an even thicker nasal tip than before the operation. The risk of this is particularly high in patients with thick skin.


To solve this problem, a special method called rhinodesis was developed in our practice after several months of research in cooperation with centers in Miami, Los Angeles and London, which is now also used worldwide. This method reduces the above-mentioned problems to a minimum by "sealing" this "dead space".
The results show improved skin adhesion in almost all patients compared to traditional taping and splinting alone. Ultrasound follow-up showed improved adhesion of the tissue to the nasal framework. This suggests that rhinodesis effectively minimizes dead space in the majority of rhinoplasty patients with thick skin. No complications were observed.

The method can be used easily and safely to seal the surgical dead space after rhinoplasty. This leads to an excellent result in most cases and the risk of deterioration of the nasal contour after surgery is minimized.

Doxycycline Sclerodesis - "Rhinodesis" - For Enhanced Soft Tissue Adhesion in Rhinoplasty: A Preliminary Study
Milos Kovacevic , Aaron M Kosins , Richard E Davis ,, Salwa Al Maamari , Alwyn D'Souza