Very significant hump on a thin skinned man
Rhinoplasty on a very significant hump on a thin skinned man, by Dr. Gerbault:
- Ultrasonic structural rhinoplasty can correct very large humps even when the skin of the nose is very thin and can reveal the slightest defect.
- This young man had such a marked hump and skin so thin that it was red at the most projected area of the hump.
- Rhinoplasty in men, as in women, must be as natural as possible so that no one can imagine that a rhinoplasty has been performed, and not deteriorate over time thanks to the preservation of bone and septum stability allowed by ultrasonic rhinoplasty and the stability of dorsum, of the tip and alae by maintaining and strengthening the cartilage support.
- The result at more than 1 year shows the natural and durable side of this type of rhinoplasty.












Angular nose with hump and bulbous tip on thin skin
Rhinoplasty on angular nose with hump and bulbous tip on thin skin, by Dr. Gerbault:
- Correcting adverse contours is one of the most complicated things to do in patients with thin skin. The correction must be as perfect as possible because every defect will be visible sooner or later.
- Ultrasonic rhinoplasty smoothed the previously visible bone contours, corrected the humps and lowered the profile line.
- The repositioning of the tip cartilages made it possible to refine it in a natural way without cartilage resection and the frequently consecutive operated look.
- Structural ultrasonic rhinoplasty thus reshapes the nose in a gentle and precise way without breaking the bones or cutting the cartilage significantly: the structure of the nose and its supporting role are preserved.
- The result is shown at 18 months with a natural overall refinement of the nose without any camouflage grafts used.















Nasal hump with broad tip
Rhinoplasty on nasal hump with broad tip, by Dr. Gerbault:
- Some noses look massive and thick because the skin is rather thick, and the cartilages are soft: these patients want a thinner and more elegant nose.
- The use of structural rhinoplasty processes is essential to achieve this desired finesse. Cartilage grafts are taken on the nasal septum to support and strengthen deficient cartilage structures. Patients are warned that the nose will always remain stiffer. Beware, the classic techniques of cartilage trimming with a poor tip support can give significant deformations in these cases: piggy nose, retraction of the alae, even shorter and massive nose.
- Three months after a structural ultrasonic rhinoplasty, we can appreciate the overall refinement of the nose, especially the lower part, despite the edema that still exists. In these cases, time is on the patients side, as the refinement is even more significant in the months that follow.















Profiloplasty with facial harmonisation
Profiloplasty with facial harmonisation, by Dr. Gerbault:
- Aesthetics and function are inseparable when it comes to rhinoplasty.
- This young woman complained of having a significant hump and a too large nose. Furthermore, she was breathing very badly on one side. Her very retruded chin accentuated the perception of a nose that was too strong.
- A structural ultrasonic rhino septoplasty combined to chin augmentation with a Medpor implant allowed to correct the hump, refine the nose, improve nasal breathing and balance the face.
- The result is shown frontal view at 6 days, 3 months and 15 months after the operation.


















Rhinoplasty on brod nasal tip and mild hump
Rhinoplasty on big tip and small hump, by Dr. Gerbault:
- Correcting too wide and round tips is difficult when the profile line is nice.
- It’s the case for this young girl who has very mild hump on the profile, but who complains about a too round and wide tip, with the bottom of it too bulging.
- An ultrasonic rhinoplasty treats the hump and lower slightly the profile line without breaking the nasal bones.
- The tip is treated with cartilaginous sutures and supported through small hidden grafts to maintain the result.
- The result is natural and subtle, but with a real refinement 1 year after the surgery.












Rhinoplasty on a nose with a small hump and round tip
A small hump makes a big difference, by Dr. Gerbault:
- When it comes to rhinoplasty, small changes make a big difference. They make it possible to go from pretty to very pretty without others knowing where it comes from.
- This girl had a hump and her nose widened a little when smiling.
- Structural ultrasonic rhinoplasty allows a hump treatment in a gentle and controlled way, without bruising after the operation, without giving an operated nose appearance, and to slightly refine the tip so that the whole nose remains harmonious.
- Three months later the face seems brighter. The nose will subtly refine and no longer move thanks to the durable support provided by structural rhinoplasty.















Structural rhinoseptoplasty on a humped nose with a hooked appearance when smiling
Ultrasonic structural rhinoseptoplasty on a humped nose with a hooked appearance when smiling, by Dr. Gerbault:
- Many young people are annoyed not only because of their hump, but also because of the hooked appearance of the nose, accentuated in smiling. In the present case, a septal deviation was also causing an asymmetry of the nose.
- An ultrasonic rhinoseptoplasty has been performed to straighten the nose, to make it more feminine, cuter by deepening it a little with rhinosculpture without breaking the nasal bones. The tip has been raised and secured so that the nose does not deform with the smile.
- The result at 3 months post-op shows that even if the tip is still swollen and not as refined as in several months, the result is already natural and doesn’t show any sign of rhinoplasty surgical look.












Hump and wide ill defined tip on a thick skin nose
Rhinoplasty in Paris on hump and wide ill defined tip on a thick skin nose, by Dr. Gerbault:
- Nose refinement on a thick skin is difficult: the nose must be reshaped with ultrasonic structural rhinoplasty to achieve a natural refined nose without the rhinoplasty stigmata.
- On this young woman, bones and cartilages have been reshaped without breaking or trimming anything.
- With ultrasonic rhinoplasty, there’s truly little bruising on day 6 post op and patients can resume a normal social life.
- The result is shown at 3 months with a natural overall nose refinement.









Wide nose, significant hump, and droopy tip
Ethnic rhinoplasty on wide nose, by Dr. Gerbault:
- Young woman coming from the Arabic peninsula with a wide nose, a significant hump, and a droopy tip. The skin is thick as it’s usually on those type of noses.
- An ultrasonic rhinoplasty has been performed to refine globally the nose and improve the tip definition. The tip support with a septal extension graft allows to lift securely the tip and to refine it.
- The result is shown at one year post-op, which is the minimal time to achieve a result close to the final result.









Profiloplasty
Profiloplasty
- The retruded chin increase the feeling of a too strong nose and enhance the hump when it exists. The neck skin is sometimes also loose.
- The chin augmentation with a Medpor implant, combined with a structural ultrasonic rhinoplasty allow to balance the whole face and to treat the hump.
- The result is shown here at day 6, with very little bruising, and 1 year after the rhinoplasty.









Ethnic rhinoplasty on oriental nose
Ethnic rhinoplasty on oriental nose, by Dr. Gerbault:
- This young midle eastern woman had a quite typical nose: hump, wide ill defined tip with a rather thick skin.
- Structural ultrasonic rhinoplasty allows to reshape the nose without breaking the bones, with also a tip reshaping through cartilaginous sutures on a strong cartilaginous support, without trimming any cartilage. Thus, the overall nasal framework is preserved.
- The result is shown at 1 year with a natural significative refinement of the whole nose.









Primary rhinoplasty on thick skin of the Indian type
Primary rhinoplasty on thick skin of the Indian type, by Dr. Gerbault:
- A significant refinement of the nose is possible even on thick skin, if the appropriate rhinoplasty techniques are used.
- This young woman was asking for a treatment of her hump and her too wide tip, to achieve a smaller and cuter nose.
- She had a structural ultrasonic rhinoplasty with an overall reshaping of her nose without breaking nasal bones.
- The result is early (3 months) but already significant.









Young woman with a wide nose and an asymmetric hump
- Young woman complaining about a wide nose with an asymmetric hump.
- The tip is wide and is lacking definition.
- There’s also a septal deviation.
- Ultrasonic structural rhinoplasty realized during the live surgery day of the IMCAS – ISAPS end of January 2019.
- Result at 3 months post-op with a noticeable refinement of the nose and a hump correction.









Nasal hump with broad and asymmetric tip
- Patient having an asymmetric hump more significant on the left side, with a septal deviation.
- The tip is also asymmetric with a more concave appearance on the left side.
- Ultrasonic structural rhinoplasty for nose symmetrization, with ultrasonic septoplasty : The septum is straightened, the bony vault is symmetrized with ultrasonic rhinosculpture.
- The cartilages are also symmetrized with cartilaginous sutures.
- The result is shown at 6 months.












Male Rhinoplasty
Male Rhinoplasty
- Broad nose with a hump
- Retrusion of the subnasale
- Reduction rhinoplasty
- Result at 1 year









Male Rhinoplasty
Male Rhinoplasty, Dr Gerbault
- Hump reduction and correction of the long nose
- Structural rhinoseptoplasty
- Ultrasonic rhinoplasty
- Result at 1 year









Nasal Hump
Nasal Hump
- Structural rhinoplasty
- Marked hump
- Result at 1 year









Ultrasonic rhinoplasty by Dr R. Makhoul
Ultrasonic Rhinoplasty by Dr. R. Makhoul
- structural reduction rhinoplasty with correction of the crookedness of the nose,
- important hump reduction and correction of the plunging tip









Primary Rhinoplasty, Broad Tip
Primary Rhinoplasty, Broad Tip
- Nose too broad and massive with wide tip.
- Reshaping of the cartilage of the tip with refinement of the nose
- Result at 1 year









Male structural rhinoplasty
Male structural rhinoplasty
- Strong nose with marked hump
- Marked asymmetry of the face and deviation of the nose to the left.
- Structural rhinoplasty chin augmentation with Medpor implant and fat grafting to the forehead.
- Result at 1 year









Profiloplasty with Chin Augmentation
Profiloplasty with Chin Augmentation
- Prominent nose with hump and chin recessed
- Result after reduction rhinoplasty
- Chin augmentation by implant









Male Rhinoplasty and harmonization profiloplasty
Male Rhinoplasty and harmonization profiloplasty
- Nose too strong with a hump and a recessed chin
- Nose deviated to the left with septal deviation and breathing difficulties
- Harmonization profiloplasty with structural reduction rhinoplasty and chin augmentation by implant
- Result at 1 year









Rhinoplasty with thin skin and a hump
Rhinoplasty with thin skin and a hump
- Bulbous tip
- Ultrasonic rhinosculpture with remodeling of the tip by cartilaginous sutures
- Result at 6 months









Long nose and drooping tip
Long nose and drooping tip, Primary Rhinoplasty
- The tip plunges more on smiling,
- With a nose too long
- Structural harmonization rhinoplasty
- Correction of the plunging tip and stabilization
- Result at 6 months












Crooked nose
Crooked nose
- Important nasal deviation with asymmetry of the face
- Primary rhinoplasty
- Ultrasonic rhinosculpture with septoplasty
- Result at 2 years












Posttraumatic rhinoplasty
Posttraumatic rhinoplasty
- Primary rhinoplasty in an elderly patient
- Correction of the hump
- Early result (1 month)









Nasal Hump
Nasal Hump
- Wide dorsum
- Broad tip
- Primary rhinoplasty
- Structural rhinoplasty with ultrasonic Rhinosculpture









Harmonization Rhinoplasty
Harmonization Rhinoplasty
- Structural primary rhinoplasty of profile harmonization
- Hump on the nose
- General appearance of the nose a little too massive, ball tip
- Structural rhinoplasty with ultrasonic Rhinosculpture,
- With chin augmentation with Medpor implant
- Result at 1 year









Ethnic rhinoplasty in women
Ethnic rhinoplasty in women
- Israeli-born woman with a nose too strong, marked hump.
- Structural Rhinoseptoplasty for Refinement
- Result at 1 year









Hanging Columella
Hanging Columella
- Primary rhinoplasty
- Moderate hump
- Structural rhinoplasty for refinement with ultrasonic Rhinosculpture,
- Result at 1 year












Overprojected Nose (Tension Nose)
Overprojected Nose
- Tension nose with a moderate hump
- Primary rhinoplasty
- Structural rhinoplasty for refinement with ultrasonic Rhinosculpture,
- Result at 1 year









Broad Tip
Broad Tip
- Nose too prominent with bulbous/boxy tip
- Primary rhinoplasty
- Structural reduction rhinoplasty with reshaping of the tip
- Result at 18 months









Nose too strong and masculine
Nose too strong and masculine
- Primary rhinoplasty
- Structural reduction rhinoplasty
- Ultrasonic rhinosculpture
- Result at 6 months












Deviated nose with a hump
Deviated nose with a hump
- 2 years result












Wide nose
Wide nose
- Wide tip,
- Primary Rhinoplasty
- Structural rhinoplasty.
- Result at 1 year









Broad tip
Broad tip
- Hump
- Bulbous tip,
- Primary Rhinoplasty
- Structural reduction rhinoplasty
- Result at 1 year








