I am 50 with very oily skin since 13, worsening with time. I must wash my face approximately every 30 minutes; especially the nose and forehead. I've never seen a worse case.I would like to have a Rhinoplasty to decrease the size of the bulb, but have heard that it is extremely difficult for a surgeon to obtain a thin refined tip on a sebaceous nose. Is this true? And if so, is there any way to safely eradicate the glands to decrease oil so I can have surgery? Like laser or that concentrated vitamin A oil on the net?
Answer: You're correct-- this is a tougher problem Rhinoplasty on patients with thick, oily skin has one major unique challenge compared to rhinoplasty on patients with thin skin-- it's tougher to see the refinement and details of the underlying tip cartilage that has been reshaped. For this reason, it's important to examine you and lay out what some reasonable expectations should be. In addition, it will take longer to see the final results, up to a year or longer, and during that time, you will likely need some minor in-office procedures to help refine the results and calm the swelling. The key here is that you can get improvement, but it is not as dramatic as in some patients with a different type of skin. If you check out the websites of surgeons who do rhinoplasties, you should see a range of results on a range of different patients with different skin types-- this will give you an idea at least of which patients get more dramatic results and which get more subtle ones. Ultimately, your best source of information with be a direct conversation with your surgeon. After he examines you, he'll give you his take on what you can expect. Good luck! Dr. Salemy
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Answer: You're correct-- this is a tougher problem Rhinoplasty on patients with thick, oily skin has one major unique challenge compared to rhinoplasty on patients with thin skin-- it's tougher to see the refinement and details of the underlying tip cartilage that has been reshaped. For this reason, it's important to examine you and lay out what some reasonable expectations should be. In addition, it will take longer to see the final results, up to a year or longer, and during that time, you will likely need some minor in-office procedures to help refine the results and calm the swelling. The key here is that you can get improvement, but it is not as dramatic as in some patients with a different type of skin. If you check out the websites of surgeons who do rhinoplasties, you should see a range of results on a range of different patients with different skin types-- this will give you an idea at least of which patients get more dramatic results and which get more subtle ones. Ultimately, your best source of information with be a direct conversation with your surgeon. After he examines you, he'll give you his take on what you can expect. Good luck! Dr. Salemy
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June 16, 2009
Answer: Rhinoplasty for Sebaceous Skin Nose Hi Bama Hayseed, Thick oily skin does present problems for rhinoplasty. It is difficult to obtain a thin, defined tip on a bulbous, sebaceous nose. You may consider a course of Accutane if your physicians feel that you are a good candidate. There are down sides to taking Accutane which need to be carefully considered before committing to the treatment. Patients who have taken Accutane must wait at least 6 months before having any type of surgery. I prefer external/open approach structural augmentative rhinoplasty in patients with your type of nose. I would not count on laser, and would certainly not spend $ on the concentrated Vit A oil on the internet. Good luck , be well, and Roll Tide. Dr. P
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June 16, 2009
Answer: Rhinoplasty for Sebaceous Skin Nose Hi Bama Hayseed, Thick oily skin does present problems for rhinoplasty. It is difficult to obtain a thin, defined tip on a bulbous, sebaceous nose. You may consider a course of Accutane if your physicians feel that you are a good candidate. There are down sides to taking Accutane which need to be carefully considered before committing to the treatment. Patients who have taken Accutane must wait at least 6 months before having any type of surgery. I prefer external/open approach structural augmentative rhinoplasty in patients with your type of nose. I would not count on laser, and would certainly not spend $ on the concentrated Vit A oil on the internet. Good luck , be well, and Roll Tide. Dr. P
Helpful
June 16, 2009
Answer: Rhinophyma If you are suffering from rhinophyma (sebaceous thickening of the nasal skin) there is a simple procedure using the CO2 laser to plane down the skin. The procedure doesn't hurt much. Takes about a week for the nose to resurface. Lasts a very long time, if not a lifetime.
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June 16, 2009
Answer: Rhinophyma If you are suffering from rhinophyma (sebaceous thickening of the nasal skin) there is a simple procedure using the CO2 laser to plane down the skin. The procedure doesn't hurt much. Takes about a week for the nose to resurface. Lasts a very long time, if not a lifetime.
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Answer: Rhinoplasty not skin surgery Rhinoplasty is not performed for sebaceous oily skin. A rhinoplasty operation is designed for sculpting the bone and the cartilage of the nose and is not skin surgery. The skin itself is lifted up, and the bone and cartilage are sculpted to the anatomical shape and the skin put back down. If you have a rhinophyma, the thickness of this can be reduced in size with dermabrasion.
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Answer: Rhinoplasty not skin surgery Rhinoplasty is not performed for sebaceous oily skin. A rhinoplasty operation is designed for sculpting the bone and the cartilage of the nose and is not skin surgery. The skin itself is lifted up, and the bone and cartilage are sculpted to the anatomical shape and the skin put back down. If you have a rhinophyma, the thickness of this can be reduced in size with dermabrasion.
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May 28, 2015
Answer: Combination laser and loop cautery can be used to sculpt the nose bulb Excessive sebaceous gland growth that produces a large bulbous nose (like Jimmy Durante or WC fields) is called Rhinophyma. If you have this condition a traditional rhinoplasty will not improve the shape of your nasal tip. Removal of excessive sebaceous material from the tip and bulb requires external removal of the excessive sebaceous tissue. The ala and tip (bulb) of the nose can be sculpted using a wire loop cautery and CO2 laser. This procedure leaves the nose skin raw, new skin grows over the nose in 10 to 14 days. This is the only method I have found which can reduce the size of the bulb in patients with Rhinophyma. Attempts at Rhinoplasty which modifoes the structures under the nasal tip (bulb) are uniformly disappointing failures.
Helpful 3 people found this helpful
May 28, 2015
Answer: Combination laser and loop cautery can be used to sculpt the nose bulb Excessive sebaceous gland growth that produces a large bulbous nose (like Jimmy Durante or WC fields) is called Rhinophyma. If you have this condition a traditional rhinoplasty will not improve the shape of your nasal tip. Removal of excessive sebaceous material from the tip and bulb requires external removal of the excessive sebaceous tissue. The ala and tip (bulb) of the nose can be sculpted using a wire loop cautery and CO2 laser. This procedure leaves the nose skin raw, new skin grows over the nose in 10 to 14 days. This is the only method I have found which can reduce the size of the bulb in patients with Rhinophyma. Attempts at Rhinoplasty which modifoes the structures under the nasal tip (bulb) are uniformly disappointing failures.
Helpful 3 people found this helpful