Abstract
Patients with a thick nasal skin and soft tissue envelope can have unpredictable results
and irregular scarring after rhinoplasty surgery. These patients typically have sebaceous
tissue over the nasal tip and are particularly susceptible to soft tissue polly beak
formation and excess scar tissue in the radix, tip, and septum. Targeted injections
of 5-fluorouracil alone or mixed with low concentrations of steroid can be useful
to prevent and treat excess postoperative scar tissue deposition. Ideally, four to
six injections are performed every 1 to 4 weeks beginning 1 week postoperatively.
The injections are most beneficial when performed within the first 3 months after
surgery. Even a single injection may improve outcomes with minimal side effects.
Keywords
rhinoplasty - thick skin - 5-fluorouracil - polly beak
