Rhinoplasty on thick 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.

Rhinoplasty with thick skin and overprojected nose

• Nose too long, wide and overprojected tip
• Structural reduction rhinoplasty with ultrasonic rhinosculpture
• 1 year result