Possible to Thin out the Fatty Tissue on the Nose?

 

It is possible to slightly thin down some of the thick, oily, sebaceous dermis from the underside of the skin during a rhinoplasty.  This is only minimally helpful in certain select areas across the supratip of the nose.  The surgeon also has to be careful so as to not thin the skin too much or create dimples.

As you mentioned, patients differ significantly in the thickness of the skin. Some patients have very thin skin and some patients have very thick skin. The skin itself cannot be thinned out or else it may compromise blood flow and risk a wound on your nose. However during an open rhinoplasty, when the tip is elevated, there is usually a fat layer right underneath the skin of the tip of the nose. The loose fatty tissue under the skin of the tip of the nose can be removed or debulked to make the tip of the nose more visible and refined. This is limited by your anatomy and you will only find out once you are in the operating room etc.
-Dr. David Mattos, New York Plastic Surgical Group

        It’s not unusual for plastic surgeons to encounter patients with thick nasal skin.  When this situation arises, the detailed sculpting of the underlying cartilage and bone that occurs with rhinoplasty may be hidden by a thick skin envelope.
            Under these circumstances, it may be reasonable to thin fat from the under surface of the skin to create more definition of the underlying nasal structures.  This maneuver can improve nasal aesthetics, but isn’t without some risk.  Defatting and thinning of the nasal skin can result in skin necrosis, scarring, asymmetry and nasal contour irregularities.  For this reason, it’s appropriate to approach this maneuver with caution.

            If you’re considering defatting of your nasal tip, consultation with a board certified plastic surgeon is appropriate.  This surgeon should be able to formulate a treatment plan that addresses your concerns.