Background

Thick nasal skin remains one of the most complex variables influencing outcomes in rhinoplasty. Increased dermal thickness, sebaceous gland density, and reduced skin contractility frequently limit tip definition and obscure underlying structural modifications. These characteristics demand a structural, evidence-based surgical approach focused on long-term stability rather than superficial refinement.

Objectives

To critically analyze the anatomical, technical, and postoperative challenges associated with thick-skin rhinoplasty and to present surgical strategies that optimize aesthetic definition, functional preservation, and long-term outcome stability.

Description

This keynote lecture provides a comprehensive review of the principles involved in rhinoplasty in patients with thick nasal skin. Topics include objective assessment and classification of skin thickness, implications for surgical planning, structural grafting techniques, tip support and projection strategies, soft tissue management, and postoperative adjuncts aimed at modulating edema and scar formation. Case series with long-term follow-up are presented to illustrate surgical decision-making and outcome predictability.

Outcomes

Upon completion of this lecture, participants will be able to recognize the limitations imposed by thick nasal skin, establish realistic surgical goals, and implement structural techniques that improve nasal definition while maintaining functional integrity and long-term aesthetic stability.

This study proposes an algorithmic approach to guide surgical planning in dorsal preservation rhinoplasty. By systematically evaluating anatomical variations, hump morphology, and tip-dorsum relationships, the model aims to optimize patient-specific technique selection. The research seeks to improve predictability, aesthetic outcomes, and functional preservation through structured intraoperative decision-making.

Infection is a critical but often underrecognized factor in revision rhinoplasty. It may cause structural deformity, biofilm formation, chronic inflammation, adverse effects on grafts and implants, and scar formation.

Ayrıntılar ve konular daha ileri bir tarihte belirlenecek ve programa eklenecektir.

From the data collected at a private clinic in southern Brazil, I found data on CPAP adaptation in approximately 100 patients (2021 / 2022), based on monitoring and adaptation in the clinic itself. We selected only one brand of equipment from those available in Brazil. Of the patients selected for data monitoring, we obtained greater adherence compared to the data demonstrated in the literature. What are the factors that increase this adherence? Medical care and monitoring in the clinic itself can make all the difference. The objective is to discuss the concern with the selection of CPAP treatment for OSA.