Thick skin can make it difficult to see the details of structural modifications made to the nose. In addition, its weight can affect the projection and definition of the nasal tip, so it is necessary to use specific techniques to optimize the results.
Skin preparation, usually with a retinoid protocol, helps to refine the skin, improve its texture, and control excess fat. This allows the skin to better adapt to the structural changes made during rhinoplasty and facilitates a more even recovery.
A technique called tip mastectomy is performed, which involves removing excess fat and soft tissue under the skin of the nasal tip. This allows for greater definition and a more stylized result in patients with thick skin.
The cephalic domal suture is a technique that refines the cartilage of the nasal tip, shaping it to achieve a more defined shape. It is especially useful in cases of thick skin, where the cartilage details may be less visible without this adjustment.