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Board Certifications: American Board of Facial Plastic and
Reconstructive Surgery American Board of Otolaryngology - ABO

Rhinoplasty Thin Skin

Each rhinoplasty has a unique set of unique challenges. When choosing a plastic surgeon for your nose job, it is important to find a surgeon who is experienced in adapting his procedures to the unique needs of each patient. Our New York doctor has performed rhinoplasties on a wide variety of patients over the years, providing him with the skills necessary to adapt each surgery to suit his patients’ needs. He has worked with many patients who present with thin nasal skin and has created several techniques to allow for a superior outcome for this group of people. This sets Dr. Rizk apart from other nose surgeons in New York and as such makes him one of the best rhinoplasty doctors in the area.

Thin nasal skin is typically seen in patients of northern European ancestry. As with thick nasal skin, there are advantages and disadvantages of thin skin in rhinoplasty. Patients with thin skin tend to experience less swelling than patients with thicker skin. The swelling also tends to dissipate more quickly and incisions are less likely to result in scarring.

The major challenge in working with thinner skinned patients is that underlying imperfections, which may be a result of the rhinoplasty or abnormalities in the nasal framework, are more obvious. Whereas thicker skin may conceal such imperfections, thinner skin makes them readily apparent. Thin skin also has a tendency to shrink or tighten after surgical procedures. When skin shrinks, it may place pressure on the skeletal framework, causing distortions and deformities of the nose.

When working with thin skinned patients, one of the greatest challenges is shaping a smooth and flawless underlying nasal framework as imperfections are more likely to be noticeable. To address these challenges, Dr. Rizk has adapted and created some techniques to meet the needs of his New York and NJ patients with thin nasal skin. Our surgeon uses a 3D high definition telescope to guide all of his rhinoplasty procedures. The telescope allows him to accurately visualize the nasal bridge and bump to allow for better reshaping of the bridge and/or removal of a nasal bump. This allows for more precise sculpting of the nasal bridge and smoother edges along the bridge. He also utilizes specialized tools to sculpt cartilage and grafts, which are more likely to produce a smoother result. These tools include powered sanding and filing instruments, rather than the use of a regular surgical knife that can produce angled, sharp edges. Finally, when working with patients with thin skin, Dr. Rizk does not separate or divide the lower lateral tip cartilages that form the structure of the nasal tip. While this approach was popular at one time, our surgeon believes that it should never be used on patients with thin skin as it may result in a sharp, unnatural edge along the nasal tip.

There are many factors to consider when planning any rhinoplasty and additional challenges arise when working on patients with thinner skin. As such, we recommend that you work with a surgeon who is accustomed to performing nose jobs on patients who are similar to you. Our surgeon has worked with a wide variety of patients from New York and NJ and has the skills necessary to sculpt and improve the nose of just about any patient.

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