Can thick nasal skin be reduced?

When we deal with thicker nasal skin types, sometimes the undersurface of the nasal tip skin may be defatted. When we're dealing with Revision rhinoplasty surgery, it's not clear whether or not this would be feasible in your situation. Please consider re-asking a question with before and after photos. Sincerely, Dr Joseph

Hi Mlps,
You touched on something I bring up very frequently with my patients! I see many patients who do have thicker than average skin on the nose, and they will point that out as an area of concern. We cannot reduce the skin's thickness. Sometimes if the skin is going to be stretched at all, it can give the appearance of being thinner. But I will make it a point to have that exact discussion with my patients. There are some medspa devices on the market that can help to resurface the skin thereby improving that appearance.
There is no hard and fast timeline in terms of seeking another revision. If you are unhappy, you can seek a consult with a board certified plastic surgeon (who specializes in rhinoplasty revisions) to see if your goals are realistic and worth the surgical risk.
I wish you luck in your search for treatment!
- Dr. Nik

Hello! Thanks for your question. Thick skin can be treated in different ways. There is a thought that Accutane can be used to thin the skin safely. I do refer to Dermatologists in some cases to do this. During the operation, the skin can be thinned but you have to be very careful not to cause any vascular injury. After the rhinoplasty, steroid injections and taping are imperative to keep the inflammation and skin calm. At 2.5 years post op, you are not too soon for another revision. Hope this helps!