It Carries More Bulk
Thicker skin carries a greater mass and volume, which contributes to a bulbous appearance in the nasal tip. It can also hide the underlying nasal framework and reduce nasal definition. This can make it harder for rhinoplasty surgeons to get a complete understanding of your nasal anatomy prior to surgery, which can be important when deciding how to conduct the procedure.
It Carries More Weight
Understandably, skin that has more volume and mass tends to be much heavier than other skin thicknesses. Heavier skin can create a weakness in the nasal bones and cartilage that provides support for the nose. Since cartilage is the primary source of structure for the interior of the nose and dictates the appearance of the exterior of the nose, this can cause a problem during surgery. The cartilage has to be able to continue to the support the nose after surgery is completed, so weaker cartilage may create more obstacles when reshaping the internal and external structures.
It Reduces Nasal Tip Definition
Asians typically have rounder and more bulbous noses than other ethnicities. This is due to the extra volume created by also having thicker skin. This rounder, thicker tip can be difficult to reshape during surgery without having to remove a great deal of tissue from the nasal tip. The nasal tip also tends to carry more weight than other areas of the nose, so the cartilage to support the tip is much weaker than other nasal cartilage. The weak tip cartilage makes it harder to use implants as a means of refining the nasal tip because there isn’t a strong enough support system to keep the implant from collapsing or otherwise damaging the cartilage.
How an Asian Rhinoplasty Surgeon Can Work With Thick Skin
Three of the most common requests in Asian rhinoplasty include raising the dorsal bride, reducing the alar base, and refining the nasal tip. These all typically require the addition of something to the nose, whether it’s an implant or borrowed patient tissues. For this reason, rhinoplasty surgeons who are skilled in Asian rhinoplasty will seek to build up the internal cartilage while working on fulfilling the patient requests.
The bridge, nasal tip, and septum can all be built and reinforced by using tissue from the actual patient. Cartilage from the ear or rib can be harvested and implanted directly or using the diced cartilage and fascia (DCF) technique. This will not only give the patient the external appearance they hope for, but it will also ensure that the internal nasal framework is strong enough to sustain the implants. In this way, Asian rhinoplasty surgeons will keep patients from needing revision rhinoplasty procedures.
Dr. Paul Nassif
Dr. Nassif is a skilled rhinoplasty surgeon with years of experience working with different ethnicities and their unique nasal features. His specialty in Asian rhinoplasty ensures patients that he has the skills, knowledge, and experience to accommodate special difficulties. To schedule an initial consultation, contact our office at (310) 275-2467.