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Rhinoplasty to Remove Hump an Option for Patient with Thin Skin?

I am 20 years old and have a small hump in my nose, i had a consultation with a plastic surgeon who says that even if i had it done i probably would never be satisfied because i have thin skin and my nose would never be perfect, i did a virtual plastic surgery on my nose and i love the way it looks, does this look like a possibility or was that surgeon right?

Asked 23 months ago by hoots33 in tallahassee

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nose hump

Rhinoplasty for patient with thin skin

According to the picture shown, you do have a reasonable result from the virtual computer imaging. This skin does present a problem in that it just has a higher complication rate from every little irregularity wanting to show through the skin. Certainly the bump can be removed from the bridge of your nose which is composed of both bone and cartilage and this can be addressed through a rhinoplasty procedure. It is important to seek out a rhinoplasty surgeon who has performed thousands of... more

Doctor's Website

William Portuese, MD

Seattle Facial Plastic Surgeon

Remove hump for patient with thin skin

In looking at your profile picture, it appears to me that you are an excellent candidate for a rhinoplasty. A skilled rhinoplasty surgeon should be able to improve the contour of your nose in an aesthetically pleasing manner. Many of my rhinoplasty patients have thin skin and this does not present a problem in my hands.

Sigmund L. Sattenspiel, MD

Freehold Facial Plastic Surgeon

Rhinoplasty with thin skin

Thin skin should not be a great setback. It is still possible to achieve excellent results with rhinoplasty. Your nose may have more definition. I am a rhinoplasty specialist located in Beverly Hills, California. Please let me know if you have any further questions about the procedure. I would be happy to evaluate any additional photos you have as well. My contact information is listed in my profile. Thank you and best of luck.

Paul S. Nassif, MD

Beverly Hills Facial Plastic Surgeon

Hump removal rhinoplasty is possible with thin skin

You have a hump that can very easily be removed with a closed rhinoplasty technique. This is performed with incisions inside the nose and no external scars. The recovery time is shorter with this approach.

Andrew Jacono, MD

New York Facial Plastic Surgeon

Rhinoplasty with Thin Skin

While more challenging, wonderful results can be achieved with rhinoplasty in a patient with thin skin. After contouring and shaping the underlying structures, definition is not hidden by thick skin. Your computer-generated post-operatve result is very reasonable goal.

Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

Thin skin and rhinoplasty.

Special care must be taken with thin-skinned patients to avoid bumps and dents. Beyond just smoothing bone with fine rasps and carving cartilage precisely, I'll sometimes place a graft of Alloderm along the dorsum (bridge of the nose) to smooth things even more. Alloderm is a material made from human dermis (the deep layer of skin) and processed to remove all its cellular elements. Essentially, it's a smooth sheet of the structural proteins of skin and it eventually becomes incorporated... more

David C. Pearson, MD

Jacksonville Facial Plastic Surgeon

Thin nasal skin can lead to visible imperfections after Rhinoplasty Surgery.

Thin skin and firm nasal cartilage are predisposing factors for tip irregularities after Rhinoplasty Surgery. In general, irregularities of the bridge are less likely, but possible if your skin is thin. I like the gentle curve you morphed on your profile view, and I think this is an attainable goal. You should consult another board-certified, experienced Rhinoplasty specialist with many photos for a second opinion. I hope this is helpful for you.

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Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

Nasal surgery or rhinoplasty on nose with skin thin

Rhinoplasty procedures are typically done for patients with thin skin without hesitation. Your surgeon is referring to the fact that patients with thin skin have less of a soft tissue buffer to camouflage nuances in cartilaginous contour and position. You will do great with a rhinoplasty.

Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon

Hump Reduction in thin skin

Reducing a small hump such as yours is very effective in folks with thin skin. In fact, my preference is to always operate on individuals with thin skin versus thick skin. With thicker skin the results are less predictable since more scar tissue tends to form with people who have thicker skin. In fact, with thin skin, the outside skin usually adheres better to the underlying bone and soft tissue. Now if you wanted your tip operated on there would be greater chance of irregularities showing... more

Scott Trimas, MD

Jacksonville Facial Plastic Surgeon

Rhinoplasty on thin skinned people

It looks like you should be able to have the result you created on your computer. Thin skin can be addressed relatively easily. You would need to be seen in person of course so you should see a few other doctors for other opinions.

Jason B. Diamond, MD

Beverly Hills Facial Plastic Surgeon

Rhinoplasty is possible with thin skin

As the other physicians have stated, it should be possible to achieve a similar result to the picture you demonstrated. Every patient has thinner skin of the nasal dorsum and thus this area can show potential irregularities. It is impossible to achieve perfect symmetry and no irregularity, however, most of the time this is barely noticeable to the patient or even the physician. Before you consider surgery it is important as you are currently doing to collect as much information as... more

Samson Lee, MD

Seattle Facial Plastic Surgeon

Hump removal works even with thin skin

Your pictures look wonderful, and in our office we use computer simulation surgery on all. This way we can avoid vague terms, and have a chance to clearly understand how the changes offered in rhinoplasty will affect appearance. Thin skin should be no deterrent, it only requires more care as the hump is reduced because any imperfections have a greater chance of showing through. A surgeon with good experience should be able to solve that problem and give you the look that you love. Best of... more

Peter E. Johnson, MD

Des Plaines Plastic Surgeon

ASAPS ASPS

Rhinoplasty in patients with thin skin can yield excellent results

There are a number of techniques that compensates for thin skin when performing a rhinoplasty. Thin skin often shows every little irregularity that may occur. There are ways to camouflage this though, one is to cushion the skin with a very thin graft of what is called fascia to act like a carpet padding. I suggest you see a specialist in rhinoplasty for an opinion on what is best for your nose.

Steven J. Pearlman, MD

New York Facial Plastic Surgeon

Rhinoplasty with thin skin

You actually look like a good candidate for a rhinoplasty based upon your photo. The concern with thin skin is that even very minor irregularities can show very easily, so you are at higher risk for this. Sometimes we turn patients down for surgery if we feel that they cannot accept the risks of surgery, and only you can decide if that applies in your situation. I suggest seeing another plastic surgeon or ENT in your area who could evaluate you and give you another opinion. Good luck, /nsn. more

Nina S. Naidu, MD

New York Plastic Surgeon

ASPS

Thin skin is fine for rhinoplasty

It sounds as if your doctor saw something in talking to you that is impossible to evaluate on line. I love operating on noses with thin skin and if you only have a small bump, so you should have a good result. We can never know what you will like and have to talk to you to see how mature you are and what your expectations are.

William B. Rosenblatt, MD

New York Plastic Surgeon

ASAPS ASPS

Rhinoplasty in thin skin

Hi Hoots33, I would say based on your imaged goals, you're a good candidate for a rhinoplasty. While no one can promise perfection, you should be able to achieve your expectations in the hands of an experienced rhinoplasty surgeon. Thin skin has its pluses and minuses. On the one hand, your surgeon will have to be very careful to create a smooth contour since any irregularities have a higher chance of showing through. On the flip side, you will likely find that you heal faster and can... more

Jason Litner, MD

Beverly Hills Facial Plastic Surgeon

A great surgeon can produce nice rhinoplasty results despite thin skin

Hi, Just because you have thin skin it does not mean you won't have very nice results and very nice improvements. However, patient expectations are variables that can only be determined during a close up consultation. Some patients are just not ever happy no matter how nice their results may be. And others are much more realistic about healing, etc. Think skin patients require a surgeon with meticulous skill and attention to detail. Fascia or Alloderm may be needed as a camouflage layer... more

Shervin Naderi, MD

Washington DC Facial Plastic Surgeon

Rhinoplasty with thin skin

While it is true that more bony/cartilage irregularity will "show" in patients with thin skin, it does not mean that you cannot achieve a great result. The surgeon just has to be more aware about it during surgery. The virtual postoperative image you have drawn can be safely achieved.

Mehryar Taban, MD

Los Angeles Oculoplastic Surgeon

You can have a rhinoplasty with hump removal very easily

Go get other opinions because you CAN have a rhinoplasty with hump removal very easily. From the posted photos I would see NO reason not to do your surgery. From MIAMI