Question : I’m Hispanic. I had a nose job 7 weeks ago. One side of my nose is much thicker than the other making it look very uneven. I’ve been told that Hispanics have very thick skin. Is this to blame or is it swelling? What are the chances that the symmetry will improve? Is revision rhinoplasty ever required for problems like this?
Answer : Different ethnicities have different skin types. In general, darker skin types tend to be thicker. However, this is not a guaranteed rule. Some patients can have thicker skin types. It is also important to note that repeated trauma in patients due to injuries from boxing or athletic sports such as hockey, rugby or contact sports may have very thick skin on the dorsum of their nose or have scar tissue. Occasionally, there may be some swelling in the early postoperative period which will settle down with time. It will probably settle down after one year. At that point, considerations can be given to possible revision rhinoplasty.