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.

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, 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, 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.

Primary rhinoplasty on thick skin of the Maghreb type, by Dr. Gerbault:

A significative refinement of thick-skinned noses is one of the most difficult part of rhinoplasties.
One can’t directly change the skin. Therefore, structural rhinoplasty process has to be used to print on the skin, especially the tip, the desired refinement.
This is what has been performed in this case, with also a Dorsal Preservation Ultrasonic Rhinoplasty the refine the rest of the nose.
Another benefit of structural rhinoplasty is to efficiently avoid tip deformities with smiling.
The result is shown at 1 year post-op, and is the maximum refinement achievable on this type of skin.

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.

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, Dr Gerbault

Nasal Hump

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

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

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