Do Plastic Surgeons Typically Remove Skin During Rhinoplasy?

What are the side effects of removing skin during rhinoplasty particularly if the nose has a bulbous tip and is really wide.

Doctor Answers 4

Rhinoplasty and Skin Excision?

Thank you for the question.

Generally, skin is not removed during a standard rhinoplasty procedure (except for narrowing the alar base of the nose).

Best wishes.

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Skin not usually removed during rhinoplasty

The whole premise of a rhinoplasty is to modify the firm structures under the skin, the cartilage and bone, so when the skin is re-draped over them it takes on this new shape.  The skin of the nose has a certain ability to contract, so even though it appears there is too much skin when trying to make a large nose smaller, the skin will usually conform.  The area skin may be removed is to narrow the nostrils if they are too wide.  Placing incisions in any other area of the nose would leave very visible scars and possibly cause loss of blood supply to areas of skin of the nose.

Removing skin during rhinoplasty

We don't normally remove any skin during rhinoplasty no matter how big it is. The skin will contract with time on its own. The skin doesn't have an infinite capacity to contract, though. This is why there are limits to how small we can make the nose during rhinoplasty.

The only exception to removing skin is during nostril narrowing surgery where wedge of skin may be removed to help narrow the nasal base.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

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