Rhinoplasty in Thick Skin Indian Nose

http://www.youtube.com/watch?v=69bN1qyzvxE
Rhinoplasty in thick skin nose has some limitations. For a person with thicker skin who desires a more narrow profile or tip, some defatting of the skin is necessary. After removing sub dermal fat, cartilage grafts should be placed to get refined tip and dorsum. Sewing the reduced lower alar cartilages together with cartilage graft give a sharp tip profile.