I have been considering this for a few years but will my thicker skin cause issues?
A rhinoplasty will make a marked improvement. Your nose is too prominent, it needs to be shortened and the nasal columella angle needs to be increased to 110 degrees. Your skin may be thick and is hard to tell from photographs but that should not be a problem. Best Wishes,Gary Horndeski, M.D.
Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. You are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. With good surgical technique, you could have an outstanding result. 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
