Aesthetic rhinoplasty in patients with thick nasal skin.

Results of rhinoplasty in patients with thick nasal skin are presented. An approach is utilized that yields a predictable result without the necessity for external skin incisions or frequent secondary procedures. The aesthetic result is maximized by attention to preoperative skin preparation, thorough modification of the soft tissue of the distal nose prior to the skeletal remodeling, and a meticulous postoperative regimen of controlled splinting and compression exercises.