When you see a cosmetic plastic surgeon about a rhinoplasty, one of your most unlikely features – your skin — will be scrutinized. Why? Well, imagine it like this:
Think about building a carefully constructed model ship or airplane. You’ve labored long and hard to see perfection in every detail, right down to:
- Rivets and all other features
Then you use, say, a section of thick rug to cover your delicately created model. What do you suppose your handiwork would look like? Wouldn’t be able to see much detail, huh? But what do you suppose would happen if you used shrink wrap instead? Why, you could see everything.
The same concept applies to your skin quality in a rhinoplasty. Very thick skin tends to mask while thin skin reveals much more of the structure of your carefully and artfully rejuvenated nose after bones, cartilage and other framework tissues that have been changed.
During healing – which can require months up to a year after surgery — your skin and the soft tissue overlaying the nasal skeleton contracts inwards and “shrink wraps” onto that carefully altered nasal framework. That’s one reason you don’t see what your actual nose will look like for some time. Also, swelling is present after surgery, masking the true, eventual look of your rhinoplasty.
Thin skin shows the new nose in all its glory but any irregularities also show. Some people have such thin skin that some medical “padding” is added in surgery.
People with thicker skin may even have the fat layer under their nasal skin reduced somewhat by the plastic surgeon.
Thicker skin is especially important in ethnic rhinoplasty. Such noses can be harder to refine at the tip and have a tendency to retain fluid. This complication is especially common in patients of the following backgrounds:
- Middle Eastern
Another good option if you’re not happy with what shows through your nose skin: non-surgical rhinoplasty. Provided you only require work on the nose’s outside, many excellent facial fillers can be used if want a temporary filler first.
Later, go to permanent filler.
(Read more about permanent, non-surgical rhinoplasty revision, also known as injection rhinoplasty.)
It’s safe, predictable and cost far less than a surgical revision.
(In the photos below, from left: The patient had an unsuccessful rhinoplasty elsewhere. The after picture, right, shows the result of permanent, non-surgical rhinoplasty revision with fillers only, without any invasive surgery.)