Thinner skin has the advantage that more cartilaginous detail can be seen, particularly in the nasal tip. In some cases, thinner skin can show too much detail for the patient’s liking. Some materials that are successful in camouflaging thinner skin are fascia and perichondrium.
Fat grafting can be used in addition to these materials to help thicken the subcutaneous layer of the nose. Fat grafting in the nose requires a thin smooth layer to be placed in thinner areas of the nose. Fat grafting can be performed in an office setting or in an operating room setting. It can be done at the same time as a rhinoplasty or after.