Possible causes of unsuccessful rhinoplasty?

Hello! Thank you for your question
As far as I can understand from your question
Thick skin holds more edema than thin and normal skin and it may take 1.5 years for the edema to completely disappear, but this does not prevent the operation.
It would be better face to face consultation
Best Regards!

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination.

It is difficult to advise you without looking at photographs of your face and nose. In general, people with thick nasal skin may not achieve as much narrowing in the nasal tip area as those with thinner skin types. I'm not aware of a correlation between thick nasal skin and a persistent bump after rhinoplasty surgery. In general, thick nasal skin is darker and more oily than thin nasal skin which tends to be smoother and lighter. I hope this is helpful, and thank you for your question. Sincerely, Dr Joseph

Thank you for posting your question here!The issue with thick skin is that it is hard to show the structural work that is done underneath it during a rhinoplasty. There are multiple maneuvers and grafts that can be implemented to help with that though but still for the most part shows less refinement that with thinner skin , while thinner skin though demonstrates refinement better it will also show any imperfections and even the edges of the cartilage and grafts more. That being said it is hard to determine the skin thickness without an exam.I hope this helps, best of luck!

The problem with rhinoplasty in thick skinned patients is that it is hard to get nice refinement especially in the tip. It has nothing to do with callous formation.

Thickness of the skin does not determine whether a callus has formed. A callus has formed from the bone itself and not from the skin. In some cases, thicker skin is easier to operate on.

Best Wishes,

Gary Horndeski, M.D.

Hello and thank you for your question. Both thick and thin skin have their own unique challenges. The best way to determine your skin thickness with a consultation with rhinoplasty expert. Soft tissue debulking and tensioning the tip can help in reduction of the thick tip. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Thank you for your question. The outcome of rhinoplasty can be influenced by various factors, and skin quality is indeed one of them. Thick skin may present specific challenges, such as less definition in the nasal tip, but it does not necessarily increase the risk of an unsuccessful result. Undesired outcomes, like bony calluses, are more commonly related to surgical technique and individual healing patterns than the thickness of the skin itself.
To determine if your nasal skin is thick, aspects like texture, elasticity, and subcutaneous tissue are assessed during an in-person evaluation. Having oily facial skin does not always indicate thick nasal skin; this is something that would be specifically examined during a consultation.
As for the formation of calluses after bone reshaping, this is uncommon when the procedure is performed meticulously and proper postoperative care is followed. Each case is unique, and a personalized assessment is key to planning a procedure that suits your specific anatomy and goals.

It's harder to appreciate changes and results when the skin of the nose is thick. At the same time perceptible deformities afterwards become less common since the blanket over it (the skin is thicker) generally more sebaceous and thick skin noses are in this category. Scar (callus) formation inside is possible but not very common.

Thick-skinned noses can be harder to operate on because the skin may mask fine structural changes, prolong swelling, and make tip definition more challenging. Thick skin doesn’t directly cause callus formation, which depends more on bone rasping technique and healing. Skin thickness can be assessed by feel or by a surgeon’s evaluation. To minimize risks, choose an experienced rhinoplasty surgeon and follow post-operative care instructions.