A few of my Houston rhinoplasty patients with thick nasal tip skin have also had severe acne. Recently, I saw one of them 3 years out after rhinoplasty. She had a nice result despite her extremey thick nasal tip skin and I had not seen her in over a year. Upon examination, her tip had significantly become more refined and shrunken. She then shared that after she went on Accutane, she noticed the tip of her nose had gotten smaller.
Accutane is a strong medication that shrinks the sebaceous glands. The nasal tip is full of these glands, especially in thick skinned patients. I would not place patients on Accutane just for their nasal tip skin as the medication has significant side effects.
Dr. Funk is a top rhinoplasty surgeon in Houston Texas.