Thick Skin, Bulbous Tip Repair, What Kinds of Risks are There with this Surgery?

I am having a rhino, here in Miami in 3 weeks.....I am 40 w/a disgustingly bulbous tip- I have very thick skin....doc says "about a year to fully...and truly recover (and total dissatisfaction while I wait), this due to swelling, etc" that ALL I need to worry about? I mean can this be the only bad outcome? I've waited 40 yrs to fix it-another yr means nothing. He is also going to shave the bridge a bit to change the angle. Anything else I should worry about?

Doctor Answers 3

Thick Skin, Bulbous Tip

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Thicker skin noses in general need plenty of strong cartilage underneath the skin to have a good shape to the nose.  Skin thinning is often needed and some noses require grafting of cartilage from other sites (rib or ear)

Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Risks for bulbous tip repair with thick skin

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Refinements made to the nasal tip during rhinoplasty are always blunted by thick skin during the healing process.  Postoperative cortisone injections and Blenderm taping can help with this.  Surgical refinement of the bulbous tip involves suturing cartilages of the nasal tip and occasionally removing excess cartilage.  The biggest risk with a bulbous tip repair and thick skin is a pollybeak deformity, which can be managed through close follow-up with surgeon for cortisone injections to the supratip portion of the nose.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Rhinoplasty, Nose syrgery

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Seems you have foud a n honest and staight forward plastic surgeon. For middle aged rhinoplasty candidates with thick skin and bulbous tip you should reduce your expectations and be as patiend as you are. In the hand of an experienced plastic surgeon therei s minimal risk for this type of surgery. You do not need to worry too much, your nose will continue to improve even up to two years after the operation.

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.