Revision Rhinoplasty Q&A
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Candidate for Revision Rhinoplasty if Have Thin Skin?

asked 2 years ago by Canon in Spain
Latest answer by Sam Naficy, MD
Question viewed 367 times
Tags: tip

I would like to know if I am a candidate for Revision rhinoplasty. I had a nosejob 4 years ago and then 6 months later on my check up my plastic surgeon proposed to take out some more cartilage to get the perfect nose. The tip is very assymteric now and I would like to get it fixed. Is it still possible, because the cartilage on my tip at one site is quite visible, does dis mean that I have a thin skin and does this exlude me for surgery? Thanks a lot.


8 answers to Candidate for Revision Rhinoplasty if Have Thin Skin?

+1

Revision for bossae

You should be able to get improvement of your nose with a revision rhinoplasty and use of a fascia graft - your thin skin is not a significant obstacle
Sam Naficy, MD

Seattle Facial Plastic Surgeon

seattleface.com

+1

You should consider a Non-Surgical Rhinoplasty to improve the appearance of your tip cartilage.

I agree that you have thin skin over the tip of your nose. This is why you're noticing visible imperfections many years after your Rhinoplasty Surgery. Well-performed Revision Rhinoplasty Surgery might make your nose look better, but your thin skin will always be there to show what lies beneath. I have had wonderful success, and many happy patients using Silikon-1000 for permanent improvement in nasal tips. It tends to work especially well with visible tip irregularities after... more
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon
+1

Revision rhinoplasty for patient with thin skin

  Yes, a revision rhinoplasty can be performed on the tip of the nose.  The nose can be made much more symmetrical than it currently is.  Thin skin does tend to show all the little imperfections in the nose.  As long as you have reasonable expectations and have a surgeon who is very experienced in rhinoplasty surgery, you should have minimal postoperative issues.  There is a higher chance of needing an additional revision by the fact that this is a revision... more
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Thin skin does not exclude you from revision

The types of problems you describe with contour irregularities and asymmetry are mare common in thin skin noses after rhinoplasty. The goal of revision would be create a cery smooth underlying nasal infrastructure, so that the external contours are smooth. This will most likely require placement of very precise, fine cartilage and possible soft tissue grafts in the nose to fill in any depressions or hollows. Any sharp edges or cartilage or areas of fullness may need to... more
David W. Kim, MD

Bay Area Facial Plastic Surgeon

www.dwkimmd.com

+1

Revision Rhinoplasty in Patient with Thin Skin

Rhinoplasty, especially revision surgery, is one of the most challenging operations we do. Thin skin is unforgiving because the underlying structures are clearly seen, but this skin gives us the opportunity to achieve a sculpted, well-defined result. I encourage you to have surgery by an experienced revision rhinoplasty surgeon.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Not necessarily

Revision rhinoplasty surgery is certainly more inherently difficult then primary rhinoplasty surgery. Thin skinned patients present more of a challenge because even subtle irregularities or asymmetries can show up. I generally in a case such as this would try to correct the irregularities as much as possible with conservation of cartilage and then place a thin graft of temporalis fascia or acellular matrix over the tip to help hide these irregularities. I would wait at least a year... more
Samson Lee, MD

Seattle Facial Plastic Surgeon
+1

Revision rhinoplasty tips

You are a great candidate for a revision rhinoplasty. There are very effective ways to deal with the thin skin so that it won't be much of a problem. Any experienced and skilled revision rhinoplasty surgeon can handle this problem.
Jason B. Diamond, MD

Beverly Hills Facial Plastic Surgeon
+1

Rhinoplasty

Secondary rhinoplasty is very difficult you need a very experienced plastic surgeon. you need tip refinement and not taking out cartillage. your thin skin will show any change in the tip very much. Taking too much cartillage run the risk of nose collapse
Samir Shureih, MD

Baltimore Plastic Surgeon

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