Thin skin vs. thick skin in rhinoplasty. The difference of thick skin and thin skin in rhinoplasty is very important to understand. With thick skin it is better to expand the nose and create a contour that stretches the skin envelope so that you can see the changes. With thin skin there is more flexibility in making a reduction but any changes will be revealed through thin skin. Thin skin contracts over time. There is a continued progression of skin changes after surgery.
The nasal septum serves as a structural wall that holds up the nose.
The L strut must be strong by the end of the surgery. Structural rhinoplasty aims to prevent L strut problems by keepint the L strut strong.