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Aesthetic Plastic Surgery
Published in: Aesthetic Plastic Surgery 1/2018

01-02-2018 | Editor's Invited Commentary

Commentary on: “Comparison of the Effect of Dexamethasone and Tranexamic Acid, Separately or in Combination on Post-rhinoplasty and Edema and Ecchymosis”

Author: R. Laurence Berkowitz

Published in: Aesthetic Plastic Surgery | Issue 1/2018

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Excerpt

As the authors have underscored, there are many barriers to patients seeking rhinoplasty including financial, social, cultural, and recovery. Recovery from rhinoplasty is not insignificant. Patient testimonials on social media regarding pain, edema, and especially ecchymoses are common. Ecchymoses due to hemosiderin deposits can last an indefinite period of time and should be quickly treated when they occur with 515-nm broadband light (intense pulsed light) to diminish them early on. But avoidance is the key point of this very well designed and controlled study regarding the roles of dexamethasone and tranexamic acid. …
Literature
1.
Faber C, Larson K, Amirlak B, Guyuron B (2011) Use of desmopressin for unremitting epistaxis following septorhinoplasty and turbinectomy. Plast Reconstr Surg 128(6):728e–732eCrossRefPubMed
2.
Berkowitz RL, Gruber R, Zeidler K (2013) Reducing or eliminating ecchymoses associated with rhinoplasty: the expanded role of DDAVP in surgery [powerpoint presentation, slides 17, 25]. Presented at Rhinoplasty Society meeting 2013
3.
Valente DS, Steffen N, Carvalho LA, Borille GB, Zanella RK, Padoin AV (2015) Preoperative use of dexamethasone in rhinoplasty. a randomized, double-blind, placebo-controlled clinical trial. JAMA Facial Plast Surg 17(3):169–173CrossRefPubMed
4.
Gerbault O, Daniel R, Kosins A (2016) The role of piezoelectric instrumentation in rhinoplasty surgery. Aesthet Surg J 36(1):21–34CrossRefPubMed
Metadata
Title
Commentary on: “Comparison of the Effect of Dexamethasone and Tranexamic Acid, Separately or in Combination on Post-rhinoplasty and Edema and Ecchymosis”
Author
R. Laurence Berkowitz
Publication date
01-02-2018
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 1/2018
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-017-0997-6

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