Thick skin bulbous tip rhinoplasty is one of the most common concerns among the patients considering rhinoplasty. At the same time it is one of the most challenging cases to be addressed as it requires a different approach and fine workmanship. To achieve the best possible results the quality of the skin should be improved before the surgery by the special treatments. Due to a wide alar base and low ability to shrink for thick skin alar plasty is performed to remove the excessive skin and fat tissues on the wings of the nose.

Additionally to the internal interventions it is performed to bring inside the nose from the front, reduce the nostrils’ size and fix asymmetries between them, thus this way catch a harmony between the tip and bridge of the nose. It shouldn’t be confused with the open surgery since all interventions are performed through the nostrils without opening the nose. When it comes to reduction rhinoplasty essential to keep in mind that there is always a limit on how much a nose can be reduced safely without compromising the functionality. Therefore, thick-skinned patients need to set realistic expectations.

In this blog you will find before and after pictures of Thick Skin Bulbous Tip Rhinoplasty with the Closed Atraumatic Technique by Assoc. Prof. Dr. Suleyman TAS.

1) Dermaroller Treatment

It is a cosmetic device consisting of hundreds of titanium micro needles placed in sequence around a cylindrical apparatus. These needles are 0.5 or 2 millimeters long and 0.1 millimeters in diameter. Since the needles are made of titanium, they are stainless. The dermaroller should be gently rolled on the nose with upwards, downwards and diagonal movements. The purpose of treatment is to generate new collagen and skin tissue for smoother, firmer, more toned skin. Thus, there is a noticeable change in our skin and when you touch your skin; it becomes tighter after 5-7 months of use.

3) Carbon Dioxide Functional Laser

Fractional lasers deliver laser light to the skin in small diameter columns and create heat damage to the skin through tiny columns. The skin areas around these damaged areas remain intact. The heat-damaged area is quickly repaired with cells from the surrounding undamaged skin. Due to the long wavelength of the carbon dioxide (CO2) laser, it can go deep into the skin.

Since it peels off the upper layer when applied on the nasal surface, we can see a thinner and tightened skin in each session. Carbon dioxide laser is suitable to be made in winter. Depending on the condition of the skin, 3-4 sessions can be done with an interval of 3 weeks.

2) Dermapen Treatment

Nowadays, Dermapen is one of the most effective skin rejuvenation treatment based on micro needling. Actually it is one of the procedures dermatologists have used to increase collagen production since the 1950s. The aim of Dermapen treatment is to increase the production of collagen, which provides the skin’s flexibility ability. With Dermapen treatment, a controlled destruction of the skin is created. This controlled destruction stimulates the cells (fibroblasts) responsible for collagen production in our skin, helping to improve the overall quality of the skin. In fact, it tries to heal itself due to the damage caused by dermapen application, thus successful recovery ensures rejuvenated skin appearance.

So you can see tightening of your nasal skin in 2-3 months.

4) Vitamin A Treatment

Vitamin A is widely used in many fields and purposes in medicine. One of them is thinning the skin and acne treatment. Vitamin A provides the tightening and thinning of the skin by shrinking the oil pores on the surface of our skin. The use of vitamin A should be with the advice of your doctor. The process should proceeded by deciding on the dose and how much your skin needs and followed up in certain periods. The completion of the treatment is 3-4 months.

All mentioned methods are different from each other and you should start required thick skin treatment before nose surgery with the advice of your doctor. If you have any questions regarding thick skin rhinoplasty, you may contact us via WhatsApp.