Rhinoplasty for Patient with Thick Skin?

Hi,
Thinning the nasal tip skin is a relative misnomer. To safely reduce the thickness of the soft tissue overlying the nasal tip cartilage, conservative reduction of the fat and glandular tissue deep to the skin can be performed. Reducing the undersurface of the skin itself has significant risk associated it ; in particular, nasal tip skin death (necrosis).
Best of luck. Hope this helps.

Hi Sweet Child of Mine,
I'm not sure what you've been reading, but "thinning" the skin in rhinoplasty is usually not a great idea, and may lead to diasterous results. Thick skinned noses are difficult, and usually require cartilaginous grafts to add definition. The nasal SMAS is a thin structure that likely won't have much impact on a thick, oily skinned nose.
It is best to have an experienced rhinoplasty surgeon evaluate your nose to let you know what would be best for you.
Give my regards to Axel, and Slash, and the rest of the Guns and Roses gang.
Dr. P