Archives des Rhinoplasty on thick skin - Rhinoplastie Paris : Votre Rhinoplastie Ultrasonique à Paris - Dr Gerbault - Dr Makhoul

Ethnic rhinoplasty on thick nasal skin

To have a thick skin , a wide tip lacking definition with very weak cartilages lacking support: it’s a difficult situation to achieve a good result in nose aesthetic surgery.
For this patient, there’s also an alar cartilage malposition, increasing the bulbous appearance of the tip. It even worsens when the patient smiles ecause of the lack of tip support.
In this case, a highly structural rhinoplasty reinforcing all the parts of the nose with cartilaginous grafts is the only way to significantly refine the whole nose. It’s combined with n ultrasonic rhinosculpture to refine the bony vault.
The result is still early at 3 months post op, and the nose will keep on refining in the next months.

Reducing harmoniously and naturally an overprojected nose on a thick skin patient is one of the most difficult tasks in primary rhinoplasty.
This requires to use very specific techniques of structural rhinoplasty, but also alar reduction.
An ultrasonic rhinoplasty has allowed to refine also the bony vault.
4 months after, the nose size is more balanced with the face, even if the tip still remains a little swollen.
The result is natural and doesn’t make any surgery noticeable.

Structural rhinoplasty for refinement.

Primary rhinoplasty on thick skin.
Wide nose, wide and dependent tip.
Reinforcement of the support of the base of the nose achieved through structural rhinoplasty.