American Society of Plastic Surgeons
For Medical Professionals
 
MrMagoo
one year ago
Answered

Thick and round nose

My skin is very thick. I had a nose job with no results. I had some plastic surgeons tell me that my skin is too thick and I was not a candidate. I want my nose to be thin. I really do not want to spend more money if the outcome is not acceptable. To go deeper in this...the surgeon killed himself a month later (I do not know why) No one wants to help me. The staff just closed the office and left

Procedure: Rhinoplasty
Type: Question

Replies 4

Susan Buenaventura
ASPS Surgeon
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It is true that very thick skin can mask the results of a rhinoplasty. If the thickness of your skin is due to rhinophyma (overgrowth of sebaceous glands) then TRL laser may help. It is unlikely that further rhinoplasty would help. Hope this is helpful.

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Karol Gutowski
ASPS Surgeon
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There are limitations to what surgery can do and thick skin makes it hard to have a thin nose. If a few surgeons advised you against more surgery, then you should accept what you have. More surgery may cause other problems.

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Mark Constantian
ASPS Surgeon

The preceding surgeons are exactly correct that the skin limits how small any nose can be. Even if the surgeon reduces the skeleton, if the skin cannot contract to take on that new shape, the nose doesn't look better and often looks more round than before surgery.

But that doesn't mean nothing can be done. Often the contours can be improved so that the proportion is better, the profile is better, and the tip is more angular. That requires that the surgeon be experienced in these techniques, which you can tell by looking at his or her postoperative photographs of noses that look like yours does now. Success also requires that the patient accept the limits of what can be done surgically and prefers a nose that is the same size but better proportioned and contoured even though it is not smaller. Good luck to you.

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Jon Harrell
ASPS Surgeon
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Make sure that you have seen surgeons with experience in Rhinoplasty surgery, particularly revision surgery. Thick skin definitely can make the results more difficult to achieve but not always impossible. Best of Luck Dr Harrell

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