Those noses with very thick and sebaceous dermis of nasal skin cover, abundant subcutaneous fat, already somehow bulky and hiding internal natural skeletal structures through the skin, particularly at the nasal dorsum and the nasal tip, are prone to cause the surgical techniques of rhinoplasty be poorly visible and therefore be disappointing after surgery; additionally they might partially fail to shrink the skin after a nasal reduction leading to dorsum bulkiness, droopy tip, apparent but fake polly beak deformity, poorly defined tip, etc.
As prevention or once the issues have been produced it might be indicated over correct the rhinoplasty techniques, adding new structural grafting or even perform nasal augmentation to fill up the failed skin shrinkage.