Is it possible for me to have a successful nose job? (Photos)

I don't like the roundness at the tip of my nose and I also don't like the width of it. I read online that noses with "thick" skin aren't good cannidates for nose jobs. Is this true? And what exactly does that mean? It is possible for me to have a successful nose job?

Doctor Answers 19

Thick Skin: Rhinoplasty Candidate

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hi,

You are a good candidate for rhinoplasty even though you have thick skin. Based on the pictures you provided, you seem to have a bulbous tip and thick cartilage. Surgery will require defatting the tip, reshaping, and/or grafting. The wide bridge can also be slimmed down. This procedure requires specialized techniques. It is imperative to find a facial plastic surgeon that has performed many rhinoplasties before and has a lot of experience with thick skin issue. The thick skin issue is more difficult to operate on, but a surgeon with experience who has performed many rhinoplasties with this issue before can give you the results you want. A good place to start would be researching the surgeons work online, looking at before/after pictures, and communicating with patients on real self. In good hands, you will get a great result.

Best,
Dr. S


New York Facial Plastic Surgeon
4.8 out of 5 stars 285 reviews

Can I Have a Successful Nose Job

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hi and thanks for your photos and question.  Yes, you can have a successful rhinoplasty.  You do have a bulbous tip and it appears that you have wide nostrils.  Your skin is a bit on the thicker side, but not extremely thick.  A rhinoplasty to reduce the tip bulbosity and narrow the nostrils would make a nice difference.  I would be happy to see you for a consultation with computer imaging to show you what can be achieved. 

Jonathan Pontell, MD, FACS
Philadelphia Facial Plastic Surgeon
4.8 out of 5 stars 113 reviews

Yes, successful rhinoplasty is possible

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You are correct, very thick skin can impact how much refinement we can attain in the tip region. It doesn't look like your skin is very thick, so you should get good results. Most importantly, you need to go to a Facial Plastic Surgeon who specializes in Rhinoplasty. Good luck!

Scott M. Gayner, MD
Harrisburg Facial Plastic Surgeon
4.6 out of 5 stars 16 reviews

RHINOPLASTY THICK SKIN

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thanks for your query.well you do have a  round bulbous tip with thick skin.You do need cephalic trim and tip refinement The  skin quality and thickness determines your final surgical outcome.A the same time it is hard to predict also,Howver do consult a board certified rhinoplastic surgeon and be realistic with your expectation and go  then ahead with your surgery.


Tip refinement

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

In general, thicker skinned noses tend to show less refinement with rhinoplasty because the thick tissue coverage. Your nose in the photos does not appear to have very thick tissues.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Thick skin nose

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is true that patients who have thick skin do not get a well-defined nose after rhinoplasty.However, a good improvement can't be achieved by reducing the width of the nostrils through alar plasty and reducing the bulbous tip through cartilage reduction, tip plasty.  As long as you are realistic with your expectations you can benefit from her rhinoplasty and have a successful outcome.


Regards


Dr. J

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 126 reviews

Is a Successful Nose job Possible

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

While thick skin does limit the amount of definition that can be obtained a rhinoplasty will significantly improve the appearance of the nose in a patient like you. Consult with a rhinoplasty specialist so you achieve a natural result. 

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Is it possible for me to have a successful nose job?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is possible to reduce the width of the nasal tip, as long as the width is created more from cartilage than thick skin. A thorough internal and external examination of the nose is required to make that determination.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Rhinoplasty surgery may be considered for achieving a narrower nasal tip appearance.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Based on your photos, you may not have very thick nasal skin. Thick nasal skin is usually associated with darker skin types, rather than freckles. If you have significant dissatisfaction with your nasal appearance, consider consulting with several reputable rhinoplasty specialists so you could see what to expect after rhinoplasty surgery. Hope this helps! Dr Joseph

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 435 reviews

Rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hello and thank you for your question. Based on your photograph, 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 have thick skin on your nasal tip, but this can still be improved with rhinoplasty.  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

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 174 reviews

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.