Long, wide nose with wide, drooping tip on thick skin
Rhinoplasty on a long, wide nose with wide, drooping tip on thick skin, by Dr. Gerbault:
Refining an overall wide and long nose with a rather thick skin is one of the most difficult things to succeed in rhinoplasty. The nasal bones must be accurately reshaped to make the bone pyramid narrower without pinching it. In this case, the bony cartilaginous junction is very prominent, making a marked hump on the oblique views.
The cartilages of a wide and drooping tip should not be weakened when the skin is thick, otherwise they will create a polly beak difformity. A good tip support is then essential to refine the tip and prevent it from droping when smiling or over time.
Structural ultrasonic rhinoplasty allows this precise reshaping without compromising bone and cartilage stability, even strengthening the latter thanks to the buried grafts support.
At 6 days, no bruises, just a little edema. At more than 3 months, the refinement is already clear from the front and profile. The nose is shorter and the tip remains well-supported.
The result at 6 months is still early, but it shows well the refinement that can be achieved even in this type of complex secondary rhinoplasty on a person with thick skin thanks to adapted structural rhinoplasty techniques.
Wide nose with bulbous tip on a thick skin
Rhinoplasty on wide nose with bulbous tip on a thick skin, by Dr. Gerbault:
Thick skins with a massive tip lacking finesse and with normal or excessive projection are one of the biggest challenges in rhinoplasty. Removing cartilage often only exacerbates the problem.
Structural rhinoplasty combined with the cartilages bidirectional tensioning allow a significant refinement of the tip even on thick skin. Unfortunately, patience is required on this type of skin to achieve the final result, which continues to improve in the years following the operation.
The result of a structural ultrasonic rhinoplasty is shown here at 1 year after the operation with a satisfactory refinement of the nose and tip without the need to change the position of the tip.
Hump and wide ill defined tip on a thick skin nose
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.
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.
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.
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