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.
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.
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.
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.
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.
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
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
