Rhinoplasty on thick skin

Rhinoplasty on thick skin

Broad nose tip when smiling

Rhinoplasty on broad nose tip when smiling, by Dr. Gerbault:

  • Some women have not only a vey broad tip, lacking definition, but also this tip enlarges when they smile.
  • The thick skin emphasize those issues.
  • Those cases are difficult to treat and require to combine ultrasonic rhinoplasty techniques with structural and preservation rhinoplasty.
  • Cartilage is not trimmed from the tip, as sometimes performed, but the tip cartilages are reshaped and supported by a support graft.
  • The result is shown at 6 months, and shows a significant nose refinement, at rest and when smiling.
Grosse pointe du nez au sourire vue de profil avantGrosse pointe du nez au sourire vue de profil apres
Grosse pointe du nez au sourire vue de quart avantGrosse pointe du nez au sourire vue de quart apres
Grosse pointe du nez au sourire vue de face avantGrosse pointe du nez au sourire vue de face apres

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.
Rhinoplastie ethnique : nez large, bosse marquée, pointe tombante vue de profil avantRhinoplastie ethnique : nez large, bosse marquée, pointe tombante vue de profil apres
Rhinoplastie ethnique : nez large, bosse marquée, pointe tombante vue de quart avantRhinoplastie ethnique : nez large, bosse marquée, pointe tombante vue de quart apres
Rhinoplastie ethnique : nez large, bosse marquée, pointe tombante vue de face avantRhinoplastie ethnique : nez large, bosse marquée, pointe tombante vue de face apres

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.
Rhinoplastie primaire sur peau épaisse de type indienne vue de profil avantRhinoplastie primaire sur peau épaisse de type indienne vue de profil apres
Rhinoplastie primaire sur peau épaisse de type indienne vue de quart avantRhinoplastie primaire sur peau épaisse de type indienne vue de quart apres
Rhinoplastie primaire sur peau épaisse de type indienne vue de face avantRhinoplastie primaire sur peau épaisse de type indienne vue de face apres

Primary rhinoplasty on thick skin of the Maghreb type

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.
Rhinoplastie primaire sur peau épaisse de type maghrébine vue de profil avantRhinoplastie primaire sur peau épaisse de type maghrébine vue de profil apres
Rhinoplastie primaire sur peau épaisse de type maghrébine vue de face avantRhinoplastie primaire sur peau épaisse de type maghrébine vue de face apres
Rhinoplastie primaire sur peau épaisse de type maghrébine vue de quart avantRhinoplastie primaire sur peau épaisse de type maghrébine vue de quart apres

Overprojected nose on a thick skin

  • 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.
Nez très projeté sur peau épaisse vue de profil avantNez très projeté sur peau épaisse vue de profil apres
Nez très projeté sur peau épaisse vue de quart avantNez très projeté sur peau épaisse vue de quart apres
Nez très projeté sur peau épaisse vue de face avantNez très projeté sur peau épaisse vue de face apres

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.
Rhinoplastie ethnique structurelle sur peau épaisse vue de profil avantRhinoplastie ethnique structurelle sur peau épaisse vue de profil apres
Rhinoplastie ethnique structurelle sur peau épaisse vue de quart avantRhinoplastie ethnique structurelle sur peau épaisse vue de quart apres
Rhinoplastie ethnique structurelle sur peau épaisse vue de face avantRhinoplastie ethnique structurelle sur peau épaisse vue de face apres

Wide Nose

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.
Pointe de nez large et tombante sur peau épaisse vue de face avantPointe de nez large et tombante sur peau épaisse vue de face apres
Pointe de nez large et tombante sur peau épaisse vue de face avantPointe de nez large et tombante sur peau épaisse vue de face apres
Pointe de nez large et tombante sur peau épaisse vue de profil avantPointe de nez large et tombante sur peau épaisse vue de profil apres
Pointe de nez large et tombante sur peau épaisse vue de quart avantPointe de nez large et tombante sur peau épaisse vue de quart apres

Rhinoplasty with thick skin and overprojected nose

Rhinoplasty with thick skin and overprojected nose

  • Nose too long, wide and overprojected tip
  • Structural reduction rhinoplasty with ultrasonic rhinosculpture
  • 1 year result
Rhinoplastie sur peau épaisse, nez trop projeté vue de face avantRhinoplastie sur peau épaisse, nez trop projeté vue de face apres
Rhinoplastie sur peau épaisse, nez trop projeté vue de profil avantRhinoplastie sur peau épaisse, nez trop projeté vue de profil apres
Rhinoplastie sur peau épaisse, nez trop projeté vue de quart avantRhinoplastie sur peau épaisse, nez trop projeté vue de quart apres
Rhinoplastie sur peau épaisse, nez trop projeté vue de face avantRhinoplastie sur peau épaisse, nez trop projeté vue de face apres

Nose too masculine

Ethnic ultrasonic rhinoplasty

  • Nose too masculine in a patient from Dubai
  • With thick skin
  • Structural reduction rhinoplasty
  • with ultrasonic rhinosculpture to feminize and refine the nose
  • Result at 6 months
Rhinoplastie ultrasonique ethnique vue de face avantRhinoplastie ultrasonique ethnique vue de face apres
Rhinoplastie ultrasonique ethnique vue de profil avantRhinoplastie ultrasonique ethnique vue de profil apres
Rhinoplastie ultrasonique ethnique vue de quart avantRhinoplastie ultrasonique ethnique vue de quart apres