Is there a way to make my nose skin more thin? (Photo)

Question

I went to a consultation last year and a much experienced rhinoplasty doctor told me that i had too thick skin to perform a rhinoplasty surgery. Is there anyway you can thin out the skin and get a rhinoplasty surgery anyways?

Deepak Raj Dugar, MD · Answer

Hello,Although thick skin is harder to work with while performing a rhinoplasty, it is very doable. I suggest consulting with a board certified plastic surgeon who performs scarless rhinoplasty as 100% of his/her surgical practice and does hundreds of these procedures a year so they know how to work with different skin types. Best of luck!Deepak Dugar, MDScarless Rhinoplasty ExpertBeverly Hills, CA 90210

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Although you cannot make the nasal skin thinner, it is possible to debulk soft tissues of the nose and perform a tip refining rhinoplasty by trimming, suturing, and reshaping the cartilage in your lower nose.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Mark K. Markarian, MD, MSPH, FACS · Answer

Hello and thank you for your question.  While certainly having thicker skin may make a rhinoplasty more challenging as subtle modifications of your bones and cartilage may be harder to appreciate through your thicker skin, I don't think thick skin should preclude you from rhinoplasty per se.  In terms of thinning out your skin, I would caution against that as this could potentially compromise the blood supply to the skin and should be done very carefully, if at all.For more information on rhinoplasty, please refer to the link below.Good luck. Mark K Markarian, MD, MSPHHarvard-trained Aesthetic Plastic Surgeon

Bradford A. Bader, MD · Answer

Thick skin can be managed before, during and after rhinoplasty. Before - We will usually prescribe a daily regimen of a topical tretinoin for several months. During - Expanding the cartilage framework works best to achieve definition in a thick skinned patient. Thinning the soft tissue is another technique but the results are usually disappointing. After - We will resume the topical tretinoin. Taping can help. Targeted and limited steroid injections can help. Don't get too discouraged. With the right plan and realistic expectations, thick skinned patients can achieve rhinoplasty results they can be really happy with.

Robert H. Woods, MD · Answer

During a rhinoplasty, then skin can be defatted by physically removing any subcutaneous fat under direct visualization. Any attempt to remove dermis will only result in excess scaring and thicker skin. Almost anyone can get a rhinoplasty despite the thickness of their skin. It is just that thick skin does not redrape as well to reveal the amazing reshaping that has been done underneath. It sometimes becomes the most limiting factor when it comes to end result. You can still get a rhinoplasty, you just need to be realistic about your expectations. Your surgeon must be busy enough that he is doing just those people whom he thinks will be outstanding results, rather than trying to help everyone that can be helped.

Jeffrey Jumaily, MD · Answer

You can't really change the type of skin you have or thin it out. Occasionally we will surgical thin out the dermis during surgery but that has a small effective. In thick skin rhinoplasty, we generally have build the nose to push against the thick skin to give it more shape and definition. Best wishes

Priti Shukla, Mch - Account Suspended · Answer

Hello,
Thick skin on nose , especially in tip region compromises results of rhinoplasty. If same rhinoplasty is done on people, ones with thicker skin will have much less definition and will take longer time to see the result than those with avearge skin. Cutting excess skin is not possible in nose. Thinning to some extent is done by removing fatty tissue from under the skin, but that alone can not thin the skin enough. Despite the limitations, in most cases rhioplasty can be done to improve the nose overall , if you are willing to accept  modest results .

Juris Bunkis, MD, FACS - Account Suspended · Answer

Thicker skin makes seeing your cartilages more difficult, making it more difficult to get a thin, sculpted tip - but it is not a contraindication to have a rhinoplasty to refine your nose.   Go see someone who does a lot of noses and feels comfortable operating on someone with thicker skin.    You have to live with what you have, you cannot thin your skin.

Is there a way to make my nose skin more thin? (Photo)

Answers (8)

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