So apparently I have thin skin and it is showing imperfections on the tip of my nose. Is there a way to thicken the skin on the nose, I really would like to avoid having a revision if possible.
How to Thicken Skin After Rhinoplasty to Avoid Revision? (photo)
Doctor Answers (6)
Thin Skin with Bossing of Tip Cartilages
Despite what you prefer, a revision to improve the obvious sharp edges of your tip cartilages is the best permanent solution. The surgery is not terribly involved and recovery is relatively short. Temporalis fascia can be placed but that also involves surgery. Fillers will soften the sharpness of the cartilages but they are temporary.
How to camouflage post rhinoplasty irregularity (photo)?
In agreement with my esteemed colleague from Baltimore, Dr. Schuster, my routine is the careful distribution of Juvederm, Perlane, or Radiesse around visible angular prominences to soften their appearance. This permits incremental changes, and avoids surgery, provided your desired correction is achieved.
Thin skin rhinoplasty
When I do rhinoplasty on patients with thin skin I always consider placing something over the cartilages to keep any edges from potentially showing. This assumes everything is as smooth as possible already. This usually involves crushed cartilage, but may also include temporalis fascia, or even acellular dermis (Alloderm). Problems with thin skin tend to show up many months after surgery, so preventative measures should always be considered. Admittedly, it is hard to tell much about your nose from the photo.
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Avoiding nasal revision
The best way to avoid a revision is to have a clear visual plan of the outcome. The problem in your photo is not due to thin skin, rather it is about the shape of the cartilages in the tip that make it appear that way. The nostril seems to have lost support and the tip is round and knuckled. Computer imaging can you plan and try out the nasal shape to avoid mishaps.
Best of luck, peterejohnsonmd.com
Thin skin and irregularities after rhinoplasty
You should try some HA (hyalurronic acid) fillers, like Restylane or Perlane. Speak to your surgeon about it.