Porous or thick skin is not a rhinoplasty prohibitive factor as long as the patient and the surgeon understand the nuances. First, the patient has to understand that the definition may not be as ideal as one would hope and adjust their expectations about African American Rhinoplasty. They will need to accept that it may take as long as 2-3 years to see the definition and be prepared to tape the nose in the evenings and on the weekends for a while. However, there will be some improvement soon after the bandages are removed.
The surgeon has to have experience, as they will need to remove some of the extra fat from the deeper layers, create a firmer nose frame for a better definition, and eliminate and dead-space between the skin and the frame. On rare occasion, it may be necessary to inject some cortisone in the nose or to ask the dermatologist to prescribe medications to reduce the pores.