Is my Skin Too Thin for Revision Rhinoplasty? (photo)

Thin skin may expose more subtleties of a tip graft.  However, there are means of buffering the cartilage grafts to make them less noticeable. I use fascial wraps to hide some of these subtle features.

Unless the skin is heavily scarred, with careful attention to surgical technique, it should not be a problem with revision rhinoplasty.  From the appearance of the photograph, it should not be a significant problem.  The surgeon should be very familiar with rhinoplasty.  It can be difficult to tell from photos, but from the photograph it would appear that you would benefit.  Cartilage grafts, and fascial grafts can often be very useful, but sometimes, careful removal of scar tissue is the major manuever needed.

Hello Zahra,  While in some cases thin skin may be a deterrent to revisional procedures on the nose, your pictures certainly do not show this.  While in some cases fascia grafts can be used to camouflage grafts, in others a properly shaped and placed graft should not be visible through medium thickness skin.  The pictures you have posted show notching of the alae (nostrils) and fullness in the lateral supratip area (alar groove).  This type of deformity can be corrected in many cases by simply repositioning cartilage of the lateral portion of the tip cartilage and may not require grafts at all.  I would suggest you seek other opinions in person by qualified rhinoplasty surgeons in your area.