Rhinoplasty with thin skin? (Photo)

Thank you for your question. You are an excellent candidate for rhinoplasty. I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. Although your skin is on the more thin side, it is not excessively thin. I have operated on many patients who have much thinner skin then yourself. You should be able to have an excellent result after rhinoplasty. it is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

Hi from Istanbul! It's true that having thin skin is a consideration for rhinoplasty. However, you are still a very good candidate for the surgery. While there aren't really any specialists who only work with thin skin in plastic surgery, it's important to seek a surgeon who has extensive experience and a good reputation in rhinoplasty. Their expertise will be crucial in achieving the best outcome for your specific needs. Best wishes on your journey.

Hello and thank you for your question and the pictures. Addressing the shape of the nose (particularly the nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty. There are actually certain techniques which can be performed in patients with thin skin to soften the appearance of the underlying structures- but most surgeons don't even know they exist. An open septorhinoplasty can best address your nose, and is particularly effective at addressing the size, shape, and definition!

This truly a surgery of millimeters- and it requires exceptional surgical skill to achieve natural-looking results, especially in thin skin patients! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Hello! Thank you for your question.
As far as I can understand from your question,If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation. It would be more convenient to decide with face-to-face consultation. Best regards!

With thin skinned patients, extremely meticulous surgical technique must be used to prevent asymettrical results. On the other hand, patients with thin skin heal much faster than the thick skinned ones which is a huge benefit while recovering.
My suggestion to you is to do your research well before choosing your surgeon. Make sure he or she has extensive experience in rhinoplasty. Best of luck to you.

Of course I haven't had the chance to feel your skin, but your photos show a nose that looks like average less-thick-than-a-teenager's skin, and lots of adults have this operation. You also seem to be a very good candidate because you have features that are, in expert hands, usually rather predictable to improve: the bump on the bridge, but also the length of the nose and the prominence of the tip.

ow *much* to elevate or narrow the tip, or lower the bump, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs -- particularly the tip work -- require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

Hi, as a general rule super thin or thick skin nose needs an expert rhinoplasty surgeon. It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery
process.

Hello,Thin skin or age certainly do not rule you out as a candidate for rhinoplasty. Regardless of those characteristics, a "top" rhinoplasty surgeon or more specifically a high quality rhinoplasty surgeon is always a good idea because there are many nuances to this surgery. Thin skin can be treated with a "simple" fascia graft, however that is not very commonly needed in primary surgeries and something we do more often with revisions. My oldest cosmetic rhinoplasty was in her late 70s so that does not rule out candidacy either. So you are certainly a candidate but be sure to choose someone that really specializes in rhinoplasty and has your best interest in mind. Do multiple consults to compare surgeons and opinions. Good luck!

There are plenty of surgeons who would do a great job for you. The hard part is finding one. If a plastic surgeon tells you they don’t want to don your surgery because you have thin skin, that’s not a rhinoplasty surgeon you would want to use anyway.

Yes, a rhinoplasty can be done even with thin skin. The scar is inside the nose and heals very well because of good circulation. Your skin in not a contra-indication for a standard rhinoplasty.

Best Wishes,

Gary Horndeski, M.D.