Can very thick skin affect filler results?

Hi Eliza, That is a good question. With rhinoplasty (nose surgery), thick versus thin skin is a significant consideration when discussing the results of the nose surgery, since the thicker nasal skin tends to hide the good work that was done underneath the skin. Most rhinoplasty surgeons prefer to operate on thinner skinned patients. Patients with really thick nasal skin usually don't get as "refined" results as their thinner skinned counterparts. Having said that, I am Asian, and my Asian patients do have thicker skin than my Caucasian patients. The amount of filler needed is more determined by the location where the filler is placed and less on the general thickness of the skin. For example, the jaw line/jaw angle, paranasal folds, and buccal hollowing (hollow under the cheekbone), tends to use more filler because these are larger areas. Places like the upper and lower eyelids, use much less filler, but can still see a noticeable improvement even with such small amounts of filler. Having said that, the eyelid skin is thinner, and the skin around the smile lines, jaw angle, and cheek hollows are slightly thicker than the eyelid skin, yet still much thinner than someone with thick nasal skin. Hope you found this response helpful. Good luck. Best, Dr. Yang