Possible to Thin out the Fatty Tissue on the Nose?

 

It is possible to slightly thin down some of the thick, oily, sebaceous dermis from the underside of the skin during a rhinoplasty.  This is only minimally helpful in certain select areas across the supratip of the nose.  The surgeon also has to be careful so as to not thin the skin too much or create dimples.

The fatty tissue under the nasal skin can be thinned out, but it does increase risk of skin dying, and potentially a bigger problem down the line.

If you have thick, oily skin, you should accept the fact your result (specifically the nasal tip) will never be as refined as someone who has thin skin, regardless of the thinning.