Rhinoplasty in thick skin need careful careful planning

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http://www.youtube.com/watch?v=13CrntRSDGk
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Doing Rhinoplasty in thick skin bulbous nose is a challenge for Rhinoplasty surgeon, but a satisfactory result can be achieved. It is difficult to achieve great definition in a nose with thick skin but shape and projection can be improved. Always do 3D mental home work as part of pre op planning

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