en تخصصي Special مقالات اصيل Original Article <span style="font-family:Times New Roman;"><span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span calibri=""><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" times=""><span style="color:#0d0d0d">Abstract</span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" times=""><span style="color:#0d0d0d"> </span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span calibri=""><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" times=""><span style="color:#0d0d0d">Background:</span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" times=""><span style="color:#0d0d0d"> Rhinoplasty is one of the most common plastic surgeries and a challenging procedure for people with thick nasal skin. There are several techniques to improve the outcome of the operation.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span calibri=""><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" times=""><span style="color:#0d0d0d">Methods: </span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" times=""><span style="color:#0d0d0d">Our study is a double-blind randomized controlled trial conducted in Esfahan, Iran in 2020. Seventy participants were equally divided into two groups (35 people). In the control group, only rhinoplasty was performed without SMASectomy and in the intervention group, rhinoplasty was performed with SMASectomy. The results were obtained and the satisfaction of patients and physicians was collected through patient examination and a questionnaire. Statistical analysis of data was calculated by SPSS software version 23 at a significance level of less than 0.05.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span calibri=""><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" times=""><span style="color:#0d0d0d">Results:</span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" times=""><span style="color:#0d0d0d"> The mean total skin thickness before surgery in the </span></span></span></span><span lang="EN-CA" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" times=""><span style="color:#0d0d0d">two</span></span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" times=""><span style="color:#0d0d0d"> groups was equally, which showed a significant difference between the two groups at after 12 months (<i>P</i> <0.05). Comparison of 3, 6 and 12 months after rhinoplasty in the two groups showed that the percentage of patient,</span></span></span></span> <span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" times=""><span style="color:#0d0d0d">doctor, hairdresser and nurse satisfaction, in 12 months after rhinoplasty, in the intervention group compared to the control group had a significant increase (<i>P</i> <0.05). Furthermore, in the control group 2.85% and in the intervention group 5.71% bleeding was observed. No other complications were observed in any of the groups.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span calibri=""><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" times=""><span style="color:#0d0d0d">Conclusion:</span></span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" times=""><span style="color:#0d0d0d"> Overall, SMASectomy, which is performed simultaneously with rhinoplasty, is considered as an important technique in rhinoplasty. As we observed in our study, the complications of these surgeries in patients were very small.</span></span></span></span></span></span></span></span><br> &nbsp;</span> SMASectomy, Nasal tip, Rhinoplasty, Thick skin, Clinical outcomes 117 128 http://wjps.ir/browse.php?a_code=A-10-768-2&slc_lang=en&sid=1 Mehdi Rasti 100319475328460012929 100319475328460012929 Yes Department of Plastic Surgery, School of Medicine, Esfahan University of Medical Sciences, Esfahan, Iran Esmaeil Talebian 100319475328460012930 100319475328460012930 No Department of Plastic Surgery, School of Medicine, Esfahan University of Medical Sciences, Esfahan, Iran