Rhinoplasty is the art of reshaping bone and cartilage to generate the perfect nose. However, most people aren’t aware that rhinoplasty has another component: the thickness of the skin. Patients of African or Eastern European descent tend to have thicker skin, with men having thicker skin than women.
Conversely, thinner skin can be caused by too much sun exposure, aging, and genetics. Some medications are also known to cause thinning skin. If you’re considering rhinoplasty in Toronto, you should know that whether you have thin or thicker skin does impact your rhinoplasty procedure and its outcome.
Rhinoplasty encompasses detailed, meticulous, planned-out procedures on the patient’s nasal skeletal structure, which lies beneath the nasal skin. Treatment for nose surgery in Toronto involves augmentation, reduction, or the rearrangement of the bony framework or cartilage of the nose. Precise techniques are completed to exhibit the final results through the skin.
How Your Skin’s Thickness Affects Surgery
Skin thickness dictates the approach that your plastic surgeon uses during surgery and may additionally affect the outcome. The thick and thin skin around your nose has its challenges and benefits. Our surgeons will assess your skin’s thickness when preparing you for treatments.
Thick Skin Effects
While thicker skin conceals surgical challenges and asymmetries, it can also camouflage changes to the patient’s nose. Those with thicker skin may have broader nasal tips and thicker nostril rims, making nasal tip refinement more challenging.
However, the best rhinoplasty surgeons can show options for ensuring the nose appears according to the patient’s wishes. They may exaggerate and emphasize the nasal tip cartilage for a natural-looking appearance. Additionally, they can stretch and thin the skin to improve the final look.
Overall Considerations Governing Those With Thicker Skin
Small or average surgical techniques with the best rhinoplasty surgeons will not elicit significant changes in thicker-skinned patients. Those with thicker skin also have a more extensive subcutaneous fatty layer beneath the skin, which may hold swelling (edema) for longer durations. Other considerations include the following:
- Post-operative scarring beneath the skin as swelling decreases can generate a space above the cartilage and bone and underneath the skin. Surgeons can fill this area with scar tissue. Therefore, surgeons often provide steroid injections to decrease soft-tissue polly beaks.
- Surgeons may thin the subcutaneous layer to thin the skin. However, they must use caution to prevent compromising blood flow, which can lead to necrosis (skin tissue death).
- Structural rhinoplasty techniques involve cartilage grafts and sutures, and are used with thicker-skinned patients. Surgeons use extra cartilage to generate better definition and narrowing along the tip and bridge.
- Sutures reshape and bend cartilage for those with thicker skin without removing cartilage.
- People with thicker skin tend to be of Southeast Asian, African, or Hispanic descent.
Thin Skin Effects
While thin skin will better allow changes to bone and cartilage, the downside is that it can show surgical irregularities. When a person has fragile skin, surgeons must provide greater care.
The surgeon’s two challenges are generating a symmetrical nasal tip and a smooth nasal bridge. A grafting technique, such as temporalis fascia, has demonstrated a more satisfactory outcome even for people with paper-thin skin. Temporalis fascia treatment involves removing tissue from the patient’s temporalis muscle and using the tissue to construct a symmetrical nose.
The significant difference between the two types of skin is that in thick-skinned individuals, structure and cartilage are added for a more defined and refined nose. We remove a patient’s cartilage for those with thinner skin to generate definition and refine the appearance.
General Aspects for People With Thinner Skin
More minor surgical techniques show significant changes in people with thinner skin, as there is little subcutaneous fat beneath the skin. Post-operative steroid injections to reduce scarring are unnecessary in these patients. Additional factors are as follows:
- There is less swelling or edema.
- Meticulous techniques are incorporated to prevent irregularities or asymmetries from being visible through the post-op skin. Therefore, surgeons must incorporate a stellar technique in shaping the nose. However, slight asymmetry is still possible even with the most excellent techniques.
- Surgeons avoid tip grafts to prevent edges from becoming visible during healing.
- Alloderm or temporalis fascia goes under the skin, acting as a camouflage for smoother results.
- Rhinoplasty patients with fragile skin tend to be of Caucasian or northern European descent.
Rhinoplasty Recovery for Those With Thick and Thin Skin
People with thin skin generally take six months to one year to recover completely. However, thick-skinned individuals can expect longer (one to two years). While everyone experiences different recovery rates, many thick-skinned patients exhibit increased swelling for a longer duration.
Your cosmetic surgeon may provide a steroid injection to assist in healing if swelling continues.
Conversely, recovery and swelling may be two factors to consider if you have thicker skin. However, it is not more painful than those with thinner skin and is manageable with prescription pain medications. Early healing milestones are similar between the two groups, and thicker-skinned individuals can return to work within two weeks. Stents are removed within one week.
How to Choose the Best Rhinoplasty Surgeon in Toronto
Both types of rhinoplasty require skilled surgeons with extensive education, techniques, and experience to provide a symmetrical, smooth nose. They must also understand the advantages and disadvantages of both kinds of skin.
While considering who to go with, check the surgeon’s before-and-after website gallery. Ask them to provide examples of identified thick- or thin-skinned patients. Ensure the person has certification in otolaryngology—head and neck surgery. They must also specialize in neck and face cosmetic surgery. Look for an accredited facility, as well.
Contact Solomon Facial Plastic for Your Rhinoplasty Needs
Choosing board-certified cosmetic surgeons specializing in rhinoplasty in Toronto is essential for a good outcome. Skilled surgeons assess their patients’ skin types and tailor their techniques accordingly.
At Solomon Facial Plastic, we have the best rhinoplasty surgeons in Toronto who are highly experienced in delivering excellent results in thicker or thinner-skinned individuals and provide superior results. While thicker or thinner skin can affect your rhinoplasty outcome, the best surgical techniques make a difference.
If you are considering rhinoplasty in Toronto, contact us at 855-519-2799 (Thornhill Clinic) or 416-864-6100 (Davenport Clinic) from 9:00 a.m. to 5:00 p.m. Monday through Thursday. We are also open on Fridays from 9:00 a.m. to 3:00 p.m. As well, patients can reach us by filling out our contact form.
Oct 11th 2024