Deformities can be either congenital (i.e. born with) or acquired through trauma, illness or surgery. Congenital deformities are present from birth and can include deviated noses, cleft lip and palate. Deformities can be acquired via trauma such as dog bite, horse kick, sporting injury, automobile accident and domestic violence. Surgery can correct one concern, but create another deformity and scarring. For example, a rhinoplasty surgery may reduce the size of a patient’s nose, but leave them with a deviated nose tip, asymmetry and scarring. A cleft palate can repair the palate, but leave visible scarring and asymmetry. Recreational drug use can erode the nostrils and septum and in extreme cases cause the collapse of death of tissue. Each patient’s situation and needs are unique.
Any deformity can have a disproportionate impact on a patient’s self-confidence and self-esteem. Regardless of the cause, deformities tend to become more visible and apparent as we age due to the natural loss of collagen and elastin in the skin. What may start out as a barely noticeable deformity becomes larger and more obvious which can cause increasing anxiety for the patient.
Clearly, advanced skills for assessment, in-depth understanding of anatomy and the science of the possible with non-surgical and surgical treatments is required. Every patient is different and a bespoke treatment plan must be developed taking into consideration the objectives, the possible and what will look natural. Most patients require multiple treatments over a period of time to achieve the best possible outcome. The treatment indicated will depend on the location of the deformity. Scarring may require subcision (i.e. breaking the fibrous connective tissues that tether the scar to the deeper layers of the skin), potentially filling and remodeling of the scar tissue itself. Nose deformities will require a combination of dermal filler and potentially scar treatment. Every patient is different but a treatment plan specific to your needs will be put together when you meet with your botonics clinician.