How can you de-fatten the tip to avoid the formation of scar tissue?

Great question!  Scar tissue forms regardless of how one does a procedure, and the amount the forms is depending on individual to individual, especially with genetic and propensity to scar.  During surgery, any fatty tissue can be removed and the skin thinned to a degree, but that's all we as surgeons can do during the procedure.  To avoid significant scar tissue formation, steroid shots can be performed in a series during your followup appointments to decrease the inflammation, thus decrease the formation of scar.  Seek a consultation with a board certified plastic surgeon ask what protocols they have for this.  Best of luck and hope this information helps!- Dr. Roger Tsai   @DrRogerTsaiBoard Certified Plastic Surgeon

Scar always forms when surgery of any kind is performed. In this case, careful removal of fatty tissue in the tips needs to be followed by careful hemostasis prior to the end of the surgery, to ensure blood does not build up under the skin leading to a loss of definition. In your case, sturdy grafts are also necessary to fortify you native tip cartilages so that they hold their shape, allowing for a more sculpted tip. 

Defating  the nasal and avoiding scar tissue formation. NO you cannot avoid scar under the skin. The fat and fibrous tissue can be removed if the skin is thick.

It is possible to remove the fibrofatty tissue in the tip of the nose. It must be done carefully, especially when using the open approach. It helps to get a little more definition in te tip. It does not by itself reduce scar tissue. 

There is no  fat in the nose, it's skin, cartilage and bone. When patients have thick dermis, it's somewhat helpful to  try to thin that down from the underneath side, however there are significant limitations to that. Steroid shots and taping performed in the first several months after the procedure can help prevent fluid retention and a poly beak deformity in that area. The follow-up appointments with your surgeon are just as important as the surgery itself to manage the soft-tissue envelope over the  Cartilage framework of the nose.

Hi and welcome to our forum!In thicker skinned individuals, defatting of the nasal tip is performed to increase tip definition only if there is also a significant amount of underlying fatty soft tissue present.  Defatting, if performed, should always be on the conservative side.  Unfortunately, defatting does not prevent the development of scar tissue. Overaggressive defatting may devascularize a segment of the overlying skin, increasing the amount of scarring.Best wishes...