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Thick Skin
Rhinoplasty
in California

Thick Skin Rhinoplasty in California
Dr. Zarrabi is the top nose surgeon for thick skin rhinoplasty in California. This type of nose surgery was specifically designed for patients with thicker nasal skin. We utilize piezo ultrasonic technology 
to reshape the cartilage and bone structures under the surface of the nose, giving it a refined look 
and improving facial harmony. Patients can expect transformative and long-lasting outcomes from this treatment. We provide compassionate, customized care tailored to each individual’s aesthetic goals.
What Is Thick Skin Rhinoplasty

What Is Thick Skin Rhinoplasty?

Thick skin rhinoplasty is a type of nose surgery that is typically performed on patients who have thicker nasal skin. This characteristic makes achieving the desired cosmetic results more challenging. During this surgery, Dr. Zarrabi uses specialized techniques to sculpt the thicker nasal skin and alter the structure of the underlying bone and cartilage to improve facial harmony.

Before & Afters

Piezo Rhinoplasty BA
Before After mobile
Before & Afters
Thin or Thick Skin Rhinoplasty Banner

Thin or Thick Skin Rhinoplasty

The main difference between these two types of rhinoplasty 
is in the structure of the nasal skin and the techniques used 
by Dr. Zarrabi. Thin nose skin allows for more precise sculpting 
and definition of the underlying framework, and the surgeon can 
see the effects of his work more clearly. Thin-skinned noses 
are more common in Caucasian (White) patients.

Thicker skin, which is typical for people of Middle Eastern or African descent, is more challenging to handle surgically. It requires special maneuvers to expose the framework, which is less visible than 
in thin noses. Surgeons must use different techniques to overcome these hardships and achieve the desired aesthetic outcome 
in patients with thick skin.

Our Piezo Ultrasonic Device

Piezo ultrasonic technology utilizes piezoelectric crystals that expand and contract at ultrasonic frequencies to provide finely controlled and precise cutting, sculpting, and removal of bone and cartilage during rhinoplasty procedures. The piezo handpiece allows Dr. Zarrabi to perform subtle shaping of the nasal skeleton with minimal trauma to the surrounding soft tissues. Compared to traditional instruments, piezo ultrasonic devices offer improved surgical accuracy and control, reduced blood loss and swelling, and faster post-operative recovery.

Consultation & Preparation
for Thick Skin Rhinoplasty

Preparing for thick-skin rhinoplasty surgery requires planning several weeks in advance. During the initial consultation, each patient is evaluated for skin thickness to determine if special techniques are necessary. Based on the Obagi skin pinch test, 0.9 mm or greater qualifies as thick nasal skin.

A few weeks before the surgery, patients are asked to undergo lab testing to confirm their health status. Photographs and CT scans are also taken to help Dr. Zarrabi plan structural grafting and suture techniques. His main goal is to strengthen and shape the nasal framework in a way that will be visible through the thick dermis.

Patients should avoid taking blood thinning medications or supplements several weeks beforehand. Smoking should also be ceased to prevent complications and improve recovery. Having realistic expectations about the surgery and taking time to prepare mentally and physically is crucial.
Thick Skin Rhinoplasty Procedure Banner

Thick Skin Rhinoplasty Procedure

Anesthesia Anesthesia

Thick skin rhinoplasty is performed under general anesthesia to keep the patient comfortable.
Dr. Zarrabi makes small incisions inside the nostrils, called intracartilaginous incisions, to access the underlying cartilage and bone structures. This allows the surgeon to reshape them to achieve the desired cosmetic changes. The incisions are placed strategically within the natural creases of the nose to hide visible scarring.
Through the incisions, Dr. Zarrabi sculpts the bone and cartilage to alter the shape, size, angle, or proportions of the nose. For example, the surgeon may narrow wide nasal bones, build up a flat nasal bridge, or refine the nasal tip. Dr. Zarrabi utilizes specialized surgical instruments, such as an ultrasonic piezo device, to meticulously reshape the nose from within through small incisions.

For thick-skinned patients, it is often necessary to use advanced structural grafting. This technique is crucial for proper treatment in such cases. Just as a tent needs sturdy poles to hold its shape, a thick-skinned nose relies on structural supports to keep contours. Cartilage grafts act as those supports, which are added to precisely sculpt different parts. This may seem counterintuitive – with thin skin, surgeons remove cartilage to refine the nose. But for patients who have thick skin, building up a framework is essential.

Once the nose has been reshaped, Dr. Zarrabi closes the incisions with dissolvable sutures, which help to minimize visible scarring on the outside. Steri-strips and a splint are applied over the nose to secure tissues and support the healing process.

Recovery After Thick Skin Rhinoplasty

The initial recovery period after thick skin rhinoplasty typically lasts one to two weeks. During this time, the nose may be swollen and bruised. Pain medication 
is prescribed for the first few days to manage discomfort. The splints placed inside the nostrils should be worn for 5-7 days after surgery to hold the new shape 
of the nose. These supports are later removed by Dr. Zarrabi.

It is important to avoid blowing the nose for two weeks after splint removal. Most swelling subsides within 14 days, but some subtle symptoms can remain for a year or even more. Patients usually return to work or school within 2 weeks after the surgery.

Adequate hydration and vitamin C intake are crucial for proper recovery after thick skin rhinoplasty. Patients must be diligent about drinking water to maintain blood flow and reduce inflammation. Consuming at least 64 ounces of liquid daily, avoiding alcohol, and eating water-rich fruits and vegetables ensures optimal hydration. Furthermore, vitamin C supports collagen production, strengthens immune function, and is an antioxidant. All of these benefits help to reduce swelling and facilitate proper healing after thick skin rhinoplasty.
Candidates for Thick Skin Rhinoplasty Banner

Candidates for Thick
Skin Rhinoplasty

Individuals With Naturally Thick Skin

Candidates for this type of rhinoplasty must have naturally thick skin on their noses. This characteristic can make traditional rhinoplasty methods ineffective. Therefore, they may benefit from specialized techniques that account for the unique texture and elasticity of their skin.
A common feature among candidates for this procedure is a bulbous nasal tip, which results from a combination of thick skin and rounded cartilage. Thick skin can exacerbate the appearance of a wide or undefined nasal tip, making it more difficult to achieve a refined shape through standard rhinoplasty techniques. Dr. Zarrabi employs specific strategies to address this issue, such as reshaping the cartilage and possibly thinning the skin envelope.
People with thick nasal skin who seek rhinoplasty often desire subtle refinements rather than dramatic changes. Due to the nature of their skin, achieving drastic transformations can be challenging, and patients may need to have realistic expectations about the outcomes. However, subtle changes can still lead to significant improvements in the overall facial harmony and aesthetics.
Candidates who have previously undergone rhinoplasty and are looking for revisions may also have thick skin. Scar tissue from the initial surgery can add to the thickness, complicating further procedures. Specialized revision techniques are often necessary to manage the altered skin and achieve the desired results. Such patients may benefit from Dr. Zarrabi’s services because he is experienced in handling complex cases involving thick skin and previous surgical alterations.
Ideal candidates are in overall good health without conditions that impair healing or increase surgical risks. Ensuring that a patient is physically prepared for operation helps to minimize complications and supports the recovery process. Good candidates also understand all aspects of the procedure and commit to following post-operative instructions.

Benefits of Thick Skin Rhinoplasty

Improved Facial Harmony
Thick skin rhinoplasty can help to improve the overall balance of facial features. By refining the shape and profile of the nose, this surgery creates harmony in all aspects. After Dr. Zarrabis’ treatment, a reshaped nose becomes more beautiful and aligned with the rest of the face.
Enhanced Breathing
In addition to cosmetic improvements, thick skin rhinoplasty improves nasal airflow and breathing. The procedure may involve reducing tissue, reshaping structures, or repositioning cartilage to open nasal passages, allowing for easier inhalation and exhalation. Enhanced breathing can also aid sleep and exercise performance.
Long-Lasting Results
Unlike thin skin rhinoplasty, which may show signs of regression over time, results from this treatment tend to be more stable and long-lasting. The thicker nasal tissues and skin make it possible to preserve structural changes and maintain the shape of grafts. The final contours of thick-skinned noses do not change year after year.
Enhanced Confidence and Self-Esteem
Thick skin rhinoplasty can help to boost an individual’s self-image and confidence by improving the look and proportion of the nose. When people are happier with their appearance and the way they look, they naturally tend to feel better. This applies to social settings, professional environments, and even casual day-to-day activities. The psychological benefits of cosmetic surgery procedures like rhinoplasty should not be underestimated.

Cost of Thick Skin Rhinoplasty in California

Thick skin rhinoplasty cost in California ranges from $5,000 to $15,000. This wide range accounts for differences in the complexity of each case, the technique used by the surgeon, and the geographic location of the practice.

After a consultation and thorough examination, Dr. Zarrabi will create a plan for the surgery and provide an accurate cost estimate. He will consider the time required in the operating room, the anesthesia fee, and other surgical expenses. With this information, our patients can make informed decisions. Zarrabi MD Facial Cosmetic & Maxillo-Facial Surgery offers different financing options to make rhinoplasty more affordable for every person.
Cost of Thick Skin Rhinoplasty in California
Thick skin rhinoplasty cost in California ranges from $5,000 to $15,000. This wide range accounts for differences in the complexity of each case, the technique used by the surgeon, and the geographic location of the practice.
After a cons
ultation and thorough examination, Dr. Zarrabi will create a plan for the surgery and provide an accurate cost estimate. He will consider the time required in the operating room, the anesthesia fee, and other surgical expenses. With this information, our patients can make informed decisions. Zarrabi MD Facial Cosmetic & Maxillo-Facial Surgery offers different financing options to make rhinoplasty more affordable for every person.
Dr. Zarrabi For Your Mestizo Nose Rhinoplasty Banner

What Makes Our Thick Skin
Rhinoplasty Different From Others?

Qualified and Experienced Surgeon

Dr. Zarrabi is a highly qualified and experienced professional. He is board-certified in maxillofacial surgery and an accomplished sculptor. This unique combination of medical training and artistic skill allows him to achieve the best aesthetic results in rhinoplasty.

Cutting-Edge Techniques

Our surgeon stays current on the latest rhinoplasty techniques and applies an innovative, multidisciplinary approach to each procedure. He has published groundbreaking research on total nasal reconstruction that pushes the boundaries of what is possible with thick skin rhinoplasty.

Customized Care

From the initial consultation to the follow-up appointments, Dr. Zarrabi and his staff provide customized care tailored to each patient’s needs and aesthetic goals. Our compassionate and human-centered approach makes Zarrabi MD Facial Cosmetic & Maxillo-Facial Surgery a top destination 
in California for all types of rhinoplasty.
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