Rhinoplasty: Q&A
Ask a QuestionRhinoplasty for Patient with Thick Skin?
I read about doctors being able to ''thin the skin'' on Rhinoplasty patients with thick skin. How is this performed, and is this the same as nasal SMAS? Thank you.
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15 Doctor Answers |
Asked by
sweetchildofmine
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Rhinoplasty for patients with thick skin
Patients who have thick nasal skin can have rhinoplasty to improve the shape of their nose. However, there are limitations. The way a rhinoplasty is performed is that the skin is raised off the bony-cartilaginous framework of the nose and the framework is reshaped to give the desired external nasal appearance. However, for the nose to look good, the skin needs to fit tightly around the newly shaped framework. Because thick skin has flexibility and elasticity as thinner skin, it will not...
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"Thinning" nasal skin in rhinoplasty
Hi,
Thinning the nasal tip skin is a relative misnomer. To safely reduce the thickness of the soft tissue overlying the nasal tip cartilage, conservative reduction of the fat and glandular tissue deep to the skin can be performed. Reducing the undersurface of the skin itself has significant risk associated it ; in particular, nasal tip skin death (necrosis).
Best of luck. Hope this helps.
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Rhinoplasty in Thick Skinned Individuals
Thinning of the skin usually translates to thinning of the subdermal fat in patients having their first Rhinoplasty. It is not often needed, at least in my experience. However it is a good option in a small number of patients. In secondary Rhinoplasty patients with heavily scarred tips, thinning of the skin will probably mean thinning of pre-existent scar tissue. The key is to know where to stop - just how thin to make thins. Being too aggressive will lead to further scarring and contour...
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Thinning thick skin during rhinoplasty
It is somewhat possible to thin out thick skin on a rhinoplasty; however, the scar tissue can grow back. People who have thick, oily, olive skin tend to develop subdermal keloids, hypertrophic scarring, and fluid retention in the supratip area of the nose. To help bring down the fluid retention, multiple cortisone injections during in the first three months in the postoperative phase may be necessary.
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Thick Skin Rhinoplasty
It is difficult to achieve great definition in a nose with thick skin but shape and projection can be improved. The flat contour can be changed by preserving cartilage and adding cartillage grafts to the tip and dorsum if necessary. Many times alar reduction will thin nasal appearance. Thick skin will challenge your surgeon , but a satisfying result can be achieved.
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Thinning nasal skin
Thinning nasal skin in a rhinoplasty for a patient with thick tissues is not a good idea. The skin is the important covering on the vital nasal structures. Thinning the skin may cause contour divots and irregularities that can not be corrected easily if at all.
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Thinning Nasal Skin Is Dangerous
The nasal skin is very delicate with critical blood supply. You are better off not undergoing skin thinning as it can cause skin irregularities, uneven areas and even loss of skin. Changing the shape of the cartilages can improve the shape of the nose to make it look aesthetically pleasing which is the ultimate goal.
Regards
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Rhinoplasty for thicker skinned people requires a different approach
The nose is made out of a soft tissue (skin, fat and SMAS) which envelopes the bony bridge and cartilagenous tip. The skin in Caucasians tends to be thinner than in African Americans, Asians, people with Hispanic background.
The significance to the thickness of the soft tissue enveloping the nose, in particular the skin and fatty layer is that it is more difficult to refine these types of noses. Any changes to the under surface- the tip cartilage and bone is not as visible as it is...
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Rhinoplasty on Thick Skinned Nose
Hi Sweet Child of Mine,
I'm not sure what you've been reading, but "thinning" the skin in rhinoplasty is usually not a great idea, and may lead to diasterous results. Thick skinned noses are difficult, and usually require cartilaginous grafts to add definition. The nasal SMAS is a thin structure that likely won't have much impact on a thick, oily skinned nose.
It is best to have an experienced rhinoplasty surgeon evaluate your nose to let you know what would be best for you...
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Thinning the skin in rhinoplasty
In some rhinoplasty patients the skin can be thinned but this carries risks such as excessive thinning or even tissue death. Occasionally, steroids are used to thin the skin but this is not a common practice nor is it recommended in the typical patient.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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