Hello... I am writing in regards to rhinoplasty for thick skin. I have been given a lot of different advice on what is right and I am left very confused. A few doctors have told me my skin is too thick and I May regret surgery and would need a revision. Others have told me open is preferred whilst some doctors told me closed is better. My main concern is the bulbous tip, width of my nose and nostrils. I would love to have it narrowed down and appear smaller without the piggy or pinched look.
February 20, 2020
Answer: Rhinoplasty for thick skin Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. You may also benefit from an alar base reduction and soft tissue debulking of your nasal tip. This can be done with either open or closed technique. 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. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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February 20, 2020
Answer: Rhinoplasty for thick skin Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. You may also benefit from an alar base reduction and soft tissue debulking of your nasal tip. This can be done with either open or closed technique. 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. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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Answer: Bulbous Tip and Rhinoplasty Based on the pictures you send, I can tell you that you are the right candidate for refining rhinoplasty surgery to have a reduction and better definition on the tip of your nose. This kind of results can be achieved either with a close or open rhinoplasty; it will depend on the surgeon’s expertise and criteria. Thick skin can limit the results when it comes to the definition of the tip in rhinoplasty, but that is something that is hard to say just based on pictures, so for me, the best recommendation that I can give to you is to get a consultation with a board certificated plastic surgeon with experience in rhinoplasty so he/she can tell you which is going to be the best option for you.
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Answer: Bulbous Tip and Rhinoplasty Based on the pictures you send, I can tell you that you are the right candidate for refining rhinoplasty surgery to have a reduction and better definition on the tip of your nose. This kind of results can be achieved either with a close or open rhinoplasty; it will depend on the surgeon’s expertise and criteria. Thick skin can limit the results when it comes to the definition of the tip in rhinoplasty, but that is something that is hard to say just based on pictures, so for me, the best recommendation that I can give to you is to get a consultation with a board certificated plastic surgeon with experience in rhinoplasty so he/she can tell you which is going to be the best option for you.
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