Background: Comparison of Triple plane dissection with conventional rhinoplasty surgery in patients with thick sebaceous skin.
Materials and Methods: This cross-sectional study was performed. All surgeries were performed by a surgeon. Variables such as
surgeon and patient satisfaction, side effects were evaluated and the results were analyzed by SPSS software. Results: In this study,
no difference was found between the two sexes in terms of the distribution of nasal skin thickness type in all patients (P = 0.213).
The sex of the patients had an effect on the time of edema and ecchymosis, where women were more affected by edema and
ecchymosis in terms of time (P = 0.014 and P = 0.042). Although no significant difference was observed between age groups
regarding the type of nasal skin thickness (P = 0.076), but a scattered difference was observed between age and nasal skin type (P =
0.002). In terms of time of edema and ecchymosis, there was a significant difference between the age and age groups of patients,
where younger people had less duration of edema and ecchymosis (P = 0.003 and P = 0.009). Conclusion: Due to the difference in
thickness of different parts of the nasal skin, especially in the Middle East population, it is time for surgeons to use smart measures
in each specific part of the nose for incision to minimize damage to the soft tissue structure of the region.
Keywords: Rhinoplasty, Triple Plane Dissection, Edema, Ecchymosis