One of the challenges in rhinoplasty is to improve nasal tip definition in patients with thick skin. These patients, more commonly men than women, often have skin with large pores that can be very oily. The medical classification of this skin is sometimes called sebaceous.
Cartilage grafts from the nasal septum are commonly used to give a nasal tip with thick skin more definition. Cartilage grafts from the ear can also be used.
In patients with very thin skin, we often use soft tissue grafts like temporalis fascia, the coating over the muscle just above and behind your ear, to camouflage irregularities in cartilage or bone in the profile and nasal tip.