Expectations for a Thick Skin Tip Rhinoplasty?

A doctor told me that the skin on my tip was too thick and that that would really limit the amount of tip refinement I could get.I was wondering whether or not the pictures below are realistic expectations or not? Also,I've read here that the best thing for thick skin is to actually add more cartilage or reshape it rather than remove.So is that the solution for me?And since want a smaller profile,is possible to strengthen the cartilage AND reduce my profile?

Doctor Answers 9

Thick skin???

It is difficult to say for sure if you skin is thick without seeing it in person but if I was to guess based on the photos then I would say your skin is not "too thick".  Also, I think you are a good candidate for rhinoplasty and should get good results by just making the tip less bulbus and take down the small hump.  I am not for cartilage grafting for your type of nose as I think you want to make your nose softer and less bulky and adding to it would be like adding volume to it.  Who ever you decide to go to for your surgery it should be based on results and the best way to do this is by looking at the before/after photos of the surgeon your interested in and also ask to speak and/see some patients who recently had surgery with the doctor your interested in.

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 60 reviews

Thick skin and results after Rhinoplasty

 I have performed Rhinoplasty for over 20 years and your skin is not what i would classify as thick as it pertains to results after Rhinoplasty.  Your nasal tip is wide and you have a slight bony dorsal bump.  The tip can be thinned and the bump removed without undue concerns about thick skin, in your particular case. 

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Thick skin and rhinoplasty

Your skin does look a bit thin but I believe a formal rhinoplasty will give you a more refined result.  I would not recommend a cartilage graft.  The pictures you show are of models with extremely sculpted tips.  You will look more refined but not like these models.

Talmage J. Raine MD FACS

Talmage J. Raine, MD, FACS
Chicago Plastic Surgeon
4.6 out of 5 stars 9 reviews

Rhinoplasty results with thick skin.

Yes, adding cartilage can help define the tip in patients with thick skin. Your skin is only slightly thick. The bump can be filed down as well. Meet with the surgeon's patients to see his work. This is more helpful to my patients than imaging since it shows them "real results".

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Thick Skin


Tip definition is definitely achievable with cartilage shield graft and cartilage reshaping. In your, case the skin is moderately thick but still not as thick as some ethnicity's. The small hump can also be easily shaved down to de-project your profile. Make sure you have computer imaging to see what your nose will look like after surgery.



Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 272 reviews

Thick skin rhinoplasty


If the 2 pictures on the left are you, it does not look like your tip skin is very thick.  You look like you have average to slightly above average skin based on the photos but I would have to feel your nose to judge more precisely.

It is correct that with very thick skin, adding tip grafts and using sutures to bend the cartilages are more important then removing cartilage but other factors such as dissecting in the proper plane to avoid damaging the muscle and skin and creating more scar tissue is very important as well.

While the photo of the model you have attached shows a woman with thinner skin I think you can get very nice results as well if you choose the correct surgeon with the proper rhinoplasty skills.

Good luck


Shervin Naderi, MD, FACS
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 105 reviews

Tip rhinoplasty

Patients with a poorly defined tip can be helped by removing some tissue between the skin and the cartilages.  This has to be done cautiously so as not to devascularize the tip skin.  A thinner skin flap would then better define the tip cartilages.  Reduction of tip cartilages and suturing as well as tip grafts would then show better through the skin.  

John Michael Thomassen, MD
Fort Lauderdale Plastic Surgeon
4.9 out of 5 stars 49 reviews

Tip shape and thick skin

You should be able to get nice improvement in your tip with structural rhinoplasty techniques. Forget about the model photos, that's not your face. Your result will look great on you.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

Thick skin and rhinoplasty

I tell my patients that with thick skin to expect three dimensional improvement but not to expect refined details, expecailly in the tip.

Adam Bryce Weinfeld, MD
Austin Plastic Surgeon
4.9 out of 5 stars 57 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.