Hi,Most experienced rhinoplasty surgeons will have operated on patients with various skin types and on ethnically diverse patient populations. Knowledge of anatomy and advanced techniques using cartilage grafts will help when operating on thick skinned individuals. There is no substitute for a consultation where you can be fully examined and you and your surgeon can discuss your aesthetic goals. Best,Mehdi Sina, MD
Hello and thank you for your question. Thebest advice you can receive is from an in-person consultation. There are many techniques which can be used for thick skin in ethnic rhinoplasty, including cartilage reshaping, grafting, and soft tissue debulking. Make sure you specifically lookat before and after pictures of real patients who have had this surgeryperformed by your surgeon and evaluate their results. The mostimportant aspect is to find a surgeon you are comfortable with. I recommendthat you seek consultation with a qualified board-certified plastic surgeon whocan evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D. FACSHarvard-trained plastic surgeon