I had my rhinoplasty in 2007 for a deviated septum and he also reduced the tip and projection. The tip of my nose is quite thin and i have been told by my surgeon here that the skin is too thin to have a revision. He said that any kind of graft etc will show through. He also mentioned that even if the results are good initally over time the grafts will show through and long term i will regret my decision. Could you please advise if this is the case. Also what would you recommend to fix my nose.
Is my Skin Too Thin for Revision Rhinoplasty? (photo)
Doctor Answers (8)
Cartilage grafts and thin skin
Thin skin may expose more subtleties of a tip graft. However, there are means of buffering the cartilage grafts to make them less noticeable. I use fascial wraps to hide some of these subtle features.
Revision rhinoplasty, skin condition
Unless the skin is heavily scarred, with careful attention to surgical technique, it should not be a problem with revision rhinoplasty. From the appearance of the photograph, it should not be a significant problem. The surgeon should be very familiar with rhinoplasty. It can be difficult to tell from photos, but from the photograph it would appear that you would benefit. Cartilage grafts, and fascial grafts can often be very useful, but sometimes, careful removal of scar tissue is the major manuever needed.
Thin Skin in Revision Rhinoplasty
Thin skin does make a revision rhinoplasty technically challenging. However a revision specialist can address this problem by carefully sculpting the grafts or placing fascia over the cartilage to hide any irregularities. Nostril asymmetry should also be improved.
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Skin too thin for revision rhinoplasty
Thank you for the question and the photos. Thining of the skin can happen after rhinoplasty, but usually revision can be performed with no problems. The only problem here is its difficult to comment on your nose just by looking at the photos. You need to see another plastic surgeon who has interest in revision nasal surgery. I hope this is helpful
Skin NOT too thin for Revision Rhinoplasty
I definitely recommend a revision of your rhinoplasty. Your skin type will not compromise the final outcome, if proper technique is used.
Thin skin for revision rhinoplasty
Thin skin does not usually preclude revision rhinoplasty. However, tin skin does increase the chance that surface irregularities show post rhinoplasty. For this reason, itis important for te surgeon to bevel the edges of ay cartilage grafts and to not allow any sharp cartilage edges atthe end of the procedure. Occasionally. a fascial graft is used in thin-skinned patients to obscure any surface irregularities.
You may proceed with revision rhinoplasty in qualified hands
Hello Zahra, While in some cases thin skin may be a deterrent to revisional procedures on the nose, your pictures certainly do not show this. While in some cases fascia grafts can be used to camouflage grafts, in others a properly shaped and placed graft should not be visible through medium thickness skin. The pictures you have posted show notching of the alae (nostrils) and fullness in the lateral supratip area (alar groove). This type of deformity can be corrected in many cases by simply repositioning cartilage of the lateral portion of the tip cartilage and may not require grafts at all. I would suggest you seek other opinions in person by qualified rhinoplasty surgeons in your area.
Techniques to camouflage grafts in patients with thin skin during rhinoplasty
Thin skin alone does not preclude you from being a candidate for revision rhinoplasty. Your surgeon is certainly correct to say the chance of grafts and other irregularities being visible in your tip is higher with thin skin, but there are techniques to camouflage them. One of these techniques is to use fascia (thin covering around your scalp) to camouflage these grafts.
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