Does my Skin Need to Be Removed During A Rhinoplasty? I Feel Like I Have Too Much Skin.

I am scheduled to get rhinoplasty next month. My doctor said he is only going to remove cartilage. I am kind of nervous because I feel like I have too much skin. Please tell me how I will get a good result?

Doctor Answers 10

Rhinoplasty and Skin Excision?

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Thank you for the question.

Generally, skin is not removed during a standard rhinoplasty procedure.

Since you obviously have concerns I would suggest another consultation with your plastic surgeon prior to surgery. He/she will be able to answer your questions precisely;  hopefully you will feel reassured prior to your surgery.

Best wishes.

Very rarely, excess skin can be removed by rhinoplasty.

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Rhinoplasty is an aesthetic operation that reshapes the nose.  In the very rare patient, making the nose smaller might require removal of skin.  This would require an external scar as a trade-off.

Does my Skin Need to Be Removed During A Rhinoplasty? I Feel Like I Have Too Much Skin.

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 The skin shrinks around the smaller, more refined, nasal skeleton after a Rhinoplasty.  This can take 6 months or longer and the most important aspect of selecting your Rhinoplasty Surgeon is to be certain that they understand and follow the proper aesthetics of facial beauty and the nose.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Skin Removal During Rhinoplasty

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Other than the removal of skin during alar base narrowing, skin is rarely removed as part of rhinoplasty surgery. Anytime an incision is made, there will always be a scar. It is important that these incisions are made in an area that is hidden or the scar is camouflaged. My patients would not accept the risk of an obvious, unfavorable, visible scar on their nose after an elective cosmetic procedure.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Skin removal and rhinoplasty

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There is no one way to perform rhinoplasty, each procedure individually designed to achieve patient goals as nearly as possible. There are indeed techniques for skin removal during rhinoplasty, described by Dr. Jack Sheen and others. If your skin envelope is excessive relative to the underlying nasal skeleton, this situation detracts from the result.

Steve Laverson, MD
San Diego Plastic Surgeon
4.9 out of 5 stars 50 reviews

Skin removal with rhinoplasty

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Skin excision is generally not indicated in conjunction with rhinoplasty.  Once the underlying cartilage and bony structure has been appropriately reshaped, the skin will conform to that new shape over the ensuing months following surgery.

Scott K. Thompson, MD
Salt Lake City Facial Plastic Surgeon
4.9 out of 5 stars 113 reviews

Is Skin Routinely Removed During Rhinoplasty?

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Skin is not routinely removed during a rhinoplasty. If the alar bases are too wide, a wedge of skin and tissue are removed to narrow the width of the base of the nose. Skin is not usually taken from the tip or the bridge of the nose.

Douglas L. Gervais, MD
Minneapolis Plastic Surgeon
4.8 out of 5 stars 178 reviews

Removing skin during rhinoplasty

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Skin is not normally removed during rhinoplasty, unless you are talking about removing a small wedge from the alar bases to narrow the base of the nose. Even when reducing a large hump or reshaping and reducing the underlying cartilage, the skin is left intact and allowed to heal over the new structure. The skin will conform to the underlying structure, with certain limitations in patients with thick skin or excessive scar formation. It would be a good idea to review your goals with your surgeon, but to answer your question it would be more unusual if your surgeon was going to remove skin.


Anita Patel, MD, FACS
Beverly Hills Plastic Surgeon
4.7 out of 5 stars 12 reviews

Skin excision of nose?

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During rhinoplasty, the architecture of bone and cartilage is contoured to improve the shape. Skin is only remvoed at the alar base if the base needs to be treated. Tip skin or dorsal skin is not removed.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Skin Removal During Rhinoplasty

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It would be rare to need to remove skin during a rhinoplasty. After cartilage is removed, the skin will shrink a bit to fit over the new cartilage shape.

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 76 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.