Thick Skin Bulbous Tip Rhinoplasty | Assoc. Prof. Dr. Suleyman TAS
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Thick Skin Bulbous Tip Rhinoplasty

Thick skin bulbous tip rhinoplasty
Thick skin bulbous tip rhinoplasty

Welcometo TAS Our Clinic for Thick Skin Bulbous Tip Rhinoplasty in Turkey

Nose Surgery in Turkey post was prepared for our patients who live abroad and want to come to Istanbul, Turkey for nose surgery.

Turkey is among the top 10 countries to be a health center in the world with having expert and well-trained doctors, offering high-quality services and safe treatment options in hospitals, and having a strategic location that enables patients to visit easily. Especially there is a high demand for Plastic, Reconstructive and Aesthetic Surgery.

It is possible to have an effective and efficient process with the patients who come to Turkey from abroad for a nose job as it is with our patients from Turkey. Detailed examination processes with each patient can be completed step by step before and after the nose surgery. These steps, for patients who live in Turkey, are listed below;




Patients from all over the world decide to have rhinoplasty with Assoc.Prof.Dr. Suleyman TAS. A comprehensive questionnaire was sent to 5.000 patients to understand these patients better and also to help potential patients who are considering to have rhinoplasty. Let’s look main reasons:

Thick skin bulbous tip rhinoplasty


Thick skin bulbous tip rhinoplasty


Thick skin bulbous tip rhinoplasty


Thick skin bulbous tip rhinoplasty


Thick skin bulbous tip rhinoplasty


Thick skin bulbous tip rhinoplasty


Thick skin bulbous tip rhinoplasty


Thick skin bulbous tip rhinoplasty


Thick skin bulbous tip rhinoplasty


Thick skin bulbous tip rhinoplasty


Thick skin bulbous tip rhinoplasty


Thick skin bulbous tip rhinoplasty


Thick Skin Bulbous Tip Rhinoplasty

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.

Case 1 (Before and right after the surgery):

The patient burst up in tears when she saw her new nose, changing it was her dream for a long time. Here long nose, droopy tip with smiling deformity, dorsal hump and deviation was treated in one nose surgery.

Case 2 (Before and right after the surgery):

Here, severe thick- skinned patient, with a deviated septum, alar flaring, droopy tip, and wide alar base was transformed into aesthetically pleasant and natural-looking beauty. The pictures are presented with a survey on instagram.

Case 3 (Before and right after the surgery & 7 days after):

In this case a bulbous and droopy tip, alar asymmetries, deviation of the septum and the nose and dorsal hump was treated by the Closed Atraumatic Rhinoplasty. For thick skinned patients when lifting the tip, it should be designed the way it will be able to carry the overlying structures and avoid a droopy tip appearance in the future.

Case 4 (Before and right after surgery):

Here the tip was reduced, refined and supported, dorsal hump shaved down, deviation of the nose and septum aligned in the middle for the thick and oily skin. Now it is a Celebrity Nose Job  which is cute and small nose with a nice nose forehead pass & feminine slope.

Case 5 (Before and right after the surgery):

A male rhinoplasty with thick skin; projected tip, high dorsum, dorsal hump, crooked nose and severe breathing issues treated by Assoc. Prof. Dr. Suleyman TAS. In male cases over reduction should be avoided as it may cause feminization. Male rhinoplasty is different than female rhinoplasty.

Case 6 (Before and right after the surgery):

In this revision rhinoplasty case, the nose has been aligned, dorsal hump eliminated, the tip reduced and refined, alar excision has been performed to harmonise the tip and the bridge, also to fix the asymmetries between the nostrils.

Case 7 (Before and right after the surgery):

In this case; open roof deformity, severe deviation, bulbous and overprojected tip, with old alar scars and extremely distorted anatomy treated by the Closed Atraumatic Technique and ended up with an aesthetically pleasant and natural results.

Case 8 (Before and right after the surgery):

In this case a dorsal hump was eliminated, bulbous and projected tip reduced and refined, the nose aligned to the midline, and breathing issues addressed in one surgery. Immediately we are able to see how much a nose job has altered the overall appearance of the face, beautified it and all facial features became harmonious with each other. That’s what happens in experienced hands of Assoc. Prof. Dr. Suleyman TAS.

Case 9 (Before and right after the surgery):

This is an exceptional revision case performed by Assoc. Prof. Dr. Suleyman TAS. Extremely thick and oily skin with a bulbous and droopy tip ended up with an aligned to the middle nose which was overall reduced and refined without rib cartilage grafting.

Case 10 (Before and 7 days after):

Another thick skin male rhinoplasty with a bulky tip, asymmetric nostrils, dorsal hump, and deviation has been treated by the Closed Atraumatic Technique. Alarplasty has been performed to address the wide base, alar flaring and asymetries between the nostrils.

Rhinoplasty surgery aims reshaping the aesthetical appearance of the nose while solving the problem of breathing. While reshaping the aesthetical appearance of the nose, structure of the skin should be evaluated well. We can categorize structure of the skin in 3 groups; Thick skin, moderate thick skin and thin skin. All of them needs different preparation phase before nose job and different healing phase after nose job. Most patients think it is not good to have rhinoplasty for thick skin. But it is not true. In our clinic, we do receive a lot of patients with thick skin and attain satisfying results. Now, we are going to talk about preparation for thick skin rhinoplasty. With the help of this preparation, best-in-class rhinoplasty for thick skinned patients can be achieved.

What are the Differences between Thick and Thin Skin Nose?

People with thick skin and thin skin have their advantages and disadvantages. Thick skin hides well small unevenness’s, while thin skin reflects everything. If you have enlarged pores, oily skin and wide alar base you probably have a thick skin which can be identified by a specialist. Thick skinned patients require a preoperative preparation in order to improve the quality of the skin and can achieve the best possible results during the nose surgery.

Thick Skin vs. Thin Skin

Cartilage and bone framework is reshaped during nose surgeries. One of the factors that determine the final shape of the nose is the thickness of the skin and subcutaneous tissues. We can think of this as follows: When you throw two types of sponge into the water, the thicker absorbs more water, the thinner sponge absorbs less water, and similarly, the thick skin will take longer to recover than the thin skin. Therefore, patients with thick skin need to adapt themselves to a longer period that requires more patience.

How to Understand the Thick Skin?

How you can understand that you have a thick skin hard to shape?

The answer is “Big Pores with oily skin like an orange cover.” Here you may find a good example of it.

How to understand thick skin before rhinoplasty?
How To Understand Thick Skin Before Rhinoplasty?

Preparation for Thick Skin Rhinoplasty;

There are 4 effective treatments for thick skinned patients before rhinoplasty. After medical examination, the most appropriate one is recommended to the thick skinned patient.

  1. Dermaroller Treatment
  2. Dermapen Treatment
  3. Ablative Carbon Dioxide Fractional Laser
  4. Vitamin A Treatment

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.

Fraksiyonel lazer

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.

Vitamin a

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.

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Teşvikiye Mah. Hakkı Yeten Cad. No: 11, Terrace Fulya Center 1, Daire: 97, Şişli, Istanbul, TURKEY


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3 comments on “Thick Skin Bulbous Tip Rhinoplasty

Avatar of chere

Hi have a thick bulbous nose how much for treatment and stay thanks

Avatar of assoc. Prof. Dr. Suleyman tas

Hi Chere, Thanks for your question. A detailed email about rhinoplasty cost was sent via an email. Please feel free to ask any questions. Regards.

Avatar of chelsea perehudoff

Would love to learn more about getting an appointment for a nose job.

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