Is there any way a surgeon with experience with thick skinned noses can improve the appearance of my nose? (Photo)

My revision was done by the same surgeon that did my first surgery. My first surgery results were good, I just wanted it slightly smaller, but now my nose appears bigger and more swollen. I have thick skin, and much of my upper septum was operated on. It has been 17 years since my revision.

Doctor Answers 5

Revision Rhinoplasty

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Dear Blondie, I answered a question of yours moments ago and it has the same photograph attached which is impossible to evaluate your skin thickness. I would suggest seeking consultations with some experts in the field and discuss your objectives and see if a revision procedure would achieve  the desired result you are looking for. Best regards, Michael V. Elam, M.D.


Orange County Facial Plastic Surgeon
5.0 out of 5 stars 214 reviews

Is there any way a surgeon with experience with thick skin noses can improve the appearance of my nose?

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A revision rhinoplasty is more difficult than a primary rhinoplasty, therefore a full set of pictures and an in-person examination is required to determine the extent of the thickness of the skin. If there's thick-skin present, it's very important to follow up with your operative surgeon for post operative taping and cortisone shots after the surgery for the first six months.

Revision rhinoplasty

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Thanks for your question. Revision rhinoplasty (and rhinoplasty, in general) can be a tricky business. Your nose can probably be made smaller, but will need to be examined in person first. Good luck! : )

P. Daniel Ward, MD
Salt Lake City Facial Plastic Surgeon
4.9 out of 5 stars 49 reviews

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Improvement of Nasal Tip in Patient with Thick Skin

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It is almost impossible to evaluate skin thickness in a picture like the one you submitted. I recommend that you consult with a revision rhinoplasty specialist who will examine you, explain your options, and help you establish reasonable expectations.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 40 reviews

Is there any way a surgeon with experience with thick skinned noses can improve the appearance of my nose?

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Without a complete set of before and after photos- and a thorough physical exam- it's difficult to give you the best answer. The skin does change overtime. There may be some additional surgical techniques that may offer improvement at this late date.

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.