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Tip Rhinoplasty for Nose with Thin Skin?

asked 2 years ago by not happy with her nose..... in Springfield Missouri
Latest answer by Kris M. Reddy, MD, FACS
Question viewed 3,153 times
Tags: nose, female, costs, skin, thin, tip

I don't like the tip of my nose. I think it's too boxy, large, and one side is higher up than the other. I don't like the look of it from front on. My cartilage is split in half and very obvious from front and 45 degree angle. I do like the bridge and don't want to fix that. I am worried that my nose will look FAKE! I was also told that my nose is complicated because I have thin skin. Will my rhinoplasty cost more because of how complicated it is?

22 answers to Tip Rhinoplasty for Nose with Thin Skin?

Rhinoplasty in thin-skinned patients requires a very skilled surgeon

I have seen many noses on thin skinned patients that require a very skilled and experienced rhinoplasty surgeon! This is not simple! In more than 30 years of rhinoplasty experienced I have seen noses that looked good at 1 year and distorted at 5-10 years later. I saw noses I did in my training and early in my practice that changed for the worse in thin skinned nose over time. This make me change my technique for these noses dramatically. This corrected the problem and made the noses much... more

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Tip rhinoplasty for boxy tip in thin skinned individual

Your costs will essentially be a function of the time it takes to complete the procedure and that can only be estimated prior to surgery. You have common concerns that are addressed in a a typical rhinoplasty. Reducting the boxy appearance is accomplished by manipulating the paired cartilages in the tip of the nose. IF you desire a subtle change, let your surgeon be aare of your preferences.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Thin vs thick skin for a rhinoplasty

If you had to choose between thick or thin skin to get a decent rhinoplasty you'd pick thin every time. While thin skin may show any irregularities more, it will also show the nice improvements in shape and definition you might achieve. Costs shouldn't change at all.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Tip rhinoplasty in thin skin

Although it is not exactly visible from your photo, it does not appear that your skin is any thinner than most caucasian women. A tip rhinoplasty is the answer to correct a boxy tip.

Steven Wallach, MD
Manhattan Plastic Surgeon

Complexity Does add to Cost

While each office has different policies. The complexity of the case typically increases anesthesia time and expenses which is billed on an hourly basis. Therefore, there would be a greater total fee for complex cases.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon

Tip Rhinoplasty for Nose with Thin Skin?

First of all, your nose should not look FAKE if done by an experienced, skilled surgeon. You look like you have: 1. Overprojected, droopy tip (requiring repositioning of the cartilages) 2. Slight bump (needs to be brought down to match the new tip) 3. Normal to thin skin (can use lining or crushed cartilage to hide sharp edges of cartilage if necessary)

Ramtin Kassir, MD
New York Facial Plastic Surgeon

Tip-plasty for thin skinned individuals

Tip-plasty can be a very challenging surgery especially on patients with thin skin. There are essentially two ways to access the tip cartilages, through a closed technique and through an open technique. There are many surgeons who will perform tip-plasties through the closed technique and get excellent results, but in my practice I have found for patients with very thin skin that will show every little detail in the underlying cartilage, that the open technique is superior. ... more

Leif Liu Rogers, MD
Beverly Hills Plastic Surgeon

Tip Rhinoplasty in Patient with Thin Skin

A tip rhinoplasty would appear to be a good choice, given your concerns. This can be performed through a 'closed' or 'open' approach and would entail trimming and reshaping of the tip cartilages. Cartilage grafting might be appropriate if the tip lacked support and if your aesthetic goals were consistent with a more projecting tip. Thin skin can be an issue as far as seeing irregularities after surgery. The surgeon must be careful to reduce the chance of this happening by... more

Jon F. Harrell, DO
Miami Plastic Surgeon

www.westonsurgery.com

Rhinoplasty, Tip Rhinoplasty, Beverly Hills Rhinoplasty, Los Angeles Rhinoplasty, Nasal Surgery, World's Best Rhinoplasty

I have done Rhinoplasty for over 20 years and developed a tip technique that has limited incisions and dissection but has the ability to precisely reduce sections of the nasal tip cartilages in cases just like yours. I would also speak with you about rotating the tip , of your nose, slightly which could be done through the same incision by trimming the superior aspect of the anterior nasal septum.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Tip rhinoplasty and noses with thin skin

Wide, thick, bulbous tips can be feminized, refined, and improved by sculpting the tip itself by using tip suturing techniques, cartilage grafts, and removal of cartilage to feminize and improve the look of the tip. It is important to be able to make the tip balance with the remainder of the nose. Thin skin can complicate the process because every little tiny irregularity can show through the skin. Thin-skinned individuals tend to have more revision touchups than thick-skinned... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Rhinoplasty with thin skin

Thin skin will make the operation more challenging because the underlying cartilage and bone are more visible. However, much better refinement and definition are possible because the exact size and contour is not hidden by thick skin. It is all about refinement.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Tip rhinoplasty for nose with thin skin

Hi Not happy with nose in Mizou, A skilled and experienced rhinoplasty surgeon can help you achieve your nasal tip (and overall nasal) goals with a properly performed rhinoplasty with emphasis on your nasal tip. Thin skinned patients require exact surgery on their nasal cartilage because the sculpting changes will show through the skin covering. After altering your tip, your nose should still have a natural look, just more refined and without the bulbous cartilage split (sometimes... more

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Tip rhinoplasty and thin skin

Hi, You can certainly achieve a natural tip with rhinoplasty. The main issue with thin skin is that everything done underneath becomes more obvious. However, if you work with an experienced surgeon, you should not have a problem. Having thin skin should not drive up the cost of your surgery. Good luck, /nsn.

Nina S. Naidu, MD
New York Plastic Surgeon

Tip Rhinoplasty can have different outcomes with different skin types

Surgery to narrow the tip of your nose or to reshape cartilage can be performed without altering your profile if you so desire and can be done leaving the rest of your nose alone. Patients with thicker skinned noses tend to have better camoflauge for any tip irregularities when surgery is done there; however, they often have more of an amorphous or less defined tip. Patients with thinner skin can actually get better results from tip surgery and how it looks depends upon your and your... more

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

Tip correction Rhinoplasty would give you an excellent result

You are a perfect candidate for tip only rhinoplasty. The fact that your tip skin is a little thin is better than if it was thick. That actaully makes the doctor's job a little easier because as he corrects the shape of the cartilage, he knows the skin will show those changes too. There should not be any additional charge for your nose surgery.

Robert B. Pollack, MD
La Jolla Plastic Surgeon

Your Tip Rhinoplasty surgery will not cost more

In many ways, your nose is a rhinoplasty surgeon's dream. You have excellent structure and thin skin which allows for a very refined and elegant result. As has been noted, thin skin will allow for your anatomy to show through, which can be a huge benefit to a well-performed procedure or a problem for a surgeon who does not take meticulous care to ensure symmetry and softening of any edges. You have very clear goals and expectations so, in the hands of an experienced rhinoplasty surgeon, you... more

Jason Litner, MD
Beverly Hills Facial Plastic Surgeon

I love to operate on noses with thin skin

This is one area of rhinoplasty that separates the men from the boys. Even though thin skin shows the underlying cartilage structure underneath, including surgical changes, very precise changes can be made and will be visible. So, if the procedure is done correctly the results can be more predictable than thick skin. We even have ways to soften the tip of the nose by using a very thin graft of fascia or extremely thin cartilage that is crushed to create a cushion under the skin. This is... more

Steven J. Pearlman, MD
New York Facial Plastic Surgeon

Thin skinned rhinoplasty. Be careful with tip grafts.

Surgery on a thin-skinned nose can often result in a very elegant result, but it carries with it certain caveats. In particular, since any little contour irregularity will show (and will show more and more over time), any tip grafts need to be absolutely meticulously shaped, tapered, and even "bruised." Ideally, too, the grafts should be further camouflaged with fascia (connective tissue), AlloDerm, or even some cartilage saved from a cephalic trim. Your bifid tip (where you can... more

David C. Pearson, MD
Jacksonville Facial Plastic Surgeon

Rhinoplasty

Hi, No.. as a matter of fact your rhinoplasty should be easier because you have thin skin. Your tip cartilages are pushing forward and down, they just need to be resculpted and reshaped to reverse the orientation. The hump is also easily reduce by shaving it down. Consider an open rhinoplasty. Best of Luck, Dr. S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

Tip rhinoplasty on thin skin is okay

To correct the tip of the nose and improve the tip appearance is a straight forward part of a rhinoplasty. If you only need the tip corrected then you will have a shorter procedure and quicker recovery. Your bridge can stay the same. A tip rhinoplasty is usually less expensive because you are saving time in the operating room. The thin skin means the changes will be seen easily and the surgeon will need to be very precise. Discuss your concerns and goals with your surgeon and make sure both... more

Marcus L. Peterson, MD
Saint George Plastic Surgeon

Tip rhinoplasty for thin skinned nose is not complex

I agree with both previous expert posters, Drs Rand & Aidea. Your request is not complex and a great result can be easily obtained. Go get opinions.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Rhinoplasty in Thin skinned individuals

Personally, I do NOT think that having thin nasal skin is a liability at all. In fact, it makes our job easier because the skin will reflect the underlying structure. As far as your nose goes if you like the dorsum - ask your surgeon to leave it alone your tip cartilage is NOT "split in half " it is supposed to be this way. The tip is made of a pair of Lower Lateral cartilages. But because of their size, convexity and thinness of your skin you have a BIFID TIP. your nose is NOT... more