Q: I had a rhinoplasty (narrowed tip, increased projection with ear cartilage), but am still a bit unhappy about the bulkiness of my nose. I have super thick skin, so I was wondering if it was even possible to be able to achieve definition between the nasal tip and the wings of my nose? I’m not sure if it makes sense, but my nose looks quite defined in the dark, but otherwise can look extremely thick and wide in normal light.
A: Especially when seeking maximal tip refinement during Asian rhinoplasty in patients with thick skin, sometimes additional structural support is needed to achieve the projection and definition necessary to get the most refinement.
It would be possible to achieve further refinement with rib cartilage as opposed to the septal cartilage and ear cartilage, which was used for your primary surgery. Your nose will continue to change as it heals, so it is important to allow full healing before considering revision surgery.