Dr Richard Rival

One year following rhinoplasty in a patient with very thick skin. The tip was lifted and refined and the bridge was reduced . The final photo shows results at 3 months and one year after surgery. The tip continues to refine for a few years after surgery in patients with thick skin.

Four months results in a patient with very thick skin. The remaining swelling in the tip will gradually go down over the next year. The tip was refined and projected and the nostrils were narrowed ( alar base reduction). When a patient has thick skin we can still get great results but it takes longer to see the final outcome. Nasal taping, skin care to reduce oil, cortisone injections and sometimes using oral retinoids like Accutane can help.