Can I still get Revision Rhinoplasty if my skin was "defatted" in my primary? When? Thank you!

Hello, thank you for the question.  The defatting may or may not be an issue depending on the degree of defatting and the thickness of skin.  There are several factors to take into consideration for a revision rhinoplasty including what needs to be addressed, the skin thickness, degree of scarring and several other factors.  Sitting down with a surgeon and determining your reconstructive needs and the state of the anatomic structures present are critical in making the best choice on when to something and what actually can be done.

The toe is best to check with your primary rhinoplasty surgeon, but as long as your skin has been defatted and the tip and there's no vascularity issues on the primary procedure, the secondary procedure should   heal well.   Consider closed rhinoplasty which is less invasive upon the vasculature of the nasal tip skin. For many examples of closed rhinoplasty, please see the link below

Defatting of  the nasal subcutaneous fat layer(reduction in thickness), when done properly, should have no adverse influence on nasal skin blood supply.Was there any evidence skin vasularity issues post op?; color change, texture change, visible irregularities, telangiectasias?Will your revision be done by your primary rhinoplasty surgeon?  He/she should be aware of the manner in which the defatting was done.Timing, if defatting was done properly, should be based on standard revision factors.Hope this helps