Functional Rhinoplasty

Functional Rhinoplasty

Rhinoplasty for symmetrizing a very asymmetrical nose

Rhinoplasty for symmetrizing a very asymmetrical nose, by Dr. Gerbault:

  • One of the biggest challenges in rhinoplasty is to make the nose more symmetrical when there is a significant asymmetry.
  • It is essential to analyze all the causes of asymmetry to try to correct them as best as possible.
  • In this case there is an asymmetry of the face that can be reduced by bone reshaping with ultrasonic rhinoplasty and cartilage reshaping with structural rhinoplasty.
  • In addition, there is a septal deviation that can be corrected by ultrasonic septoplasty.
  • Three months later, even if the nose is still a little swollen, the nose is visibly straighter and refined with a hump that has disappeared.
Rhinoplastie pour symétriser un nez très asymétrique vue de face avantRhinoplastie pour symétriser un nez très asymétrique vue de face apres
Rhinoplastie pour symétriser un nez très asymétrique vue de profil avantRhinoplastie pour symétriser un nez très asymétrique vue de profil apres
Rhinoplastie pour symétriser un nez très asymétrique vue de quart avantRhinoplastie pour symétriser un nez très asymétrique vue de quart apres
Rhinoplastie pour symétriser un nez très asymétrique vue de face avantRhinoplastie pour symétriser un nez très asymétrique vue de face apres

Asymmetrical nose with deviated nasal septum

Rhinoplasty on asymmetrical nose with deviated nasal septum, by Dr. Gerbault:

  • Deviated noses are difficult to perfectly fix, as they are often related to facial asymmetries and nose asymmetries (septal deviation, cartilage and bone asymmetry). When those asymmetries are related to specific nose features, they are easier to correct.
  • This young girl had a mild facial asymmetry, but above all a high septal deviation towards the left, that was creating a hump more visible on one side (in this case more visible on the right oblique view).
  • She had an ultrasonic rhinoplasty and septoplasty in order to straighten her nose and to remove her hump with ultrasonic rhinosculpture: no bone has been blindly broken. Moreover, her tip has been refined with cartilaginous sutures and then secured with a buried support graft: the cartilage has been reshaped and not trimmed.
  • She’s shown at 6 days post-op, when the splint is removed, and then a little after 3 months. Her nose is straighter and her hump has been corrected; her nose is still progressively going to refine in the following months.

Nez asymétrique avec déviation de la cloison nasale vue de face avantNez asymétrique avec déviation de la cloison nasale vue de face apres
Nez asymétrique avec déviation de la cloison nasale vue de quart avantNez asymétrique avec déviation de la cloison nasale vue de quart apres
Nez asymétrique avec déviation de la cloison nasale vue de quart avantNez asymétrique avec déviation de la cloison nasale vue de quart apres
Nez asymétrique avec déviation de la cloison nasale vue de face avantNez asymétrique avec déviation de la cloison nasale vue de face apres
Nez asymétrique avec déviation de la cloison nasale vue de face avantNez asymétrique avec déviation de la cloison nasale vue de face apres

Too short nose, rounded nasal tip, slight bump, and septal deviation

Too short nose, rounded nasal tip, slight bump, and septal deviation, by Dr. Gerbault:

  • Short noses are difficult cases to correct. In the case of primary rhinoplasties, they are frequently associated with a strong maxilla that “pushes” in a way the nose upward and forward.
  • In the present case, 3 other difficulties were present: an acneic and thick skin, a very round tip related to the high position of the tip cartilages, and a significant septal deviation.
  • The operation has been an ultrasonic rhinoplasty using multiple cartilaginous grafts to lower the tip and the alae, to reposition also the tip cartilages. Those grafts have been harvested on the septum while it has been straightened.
  • The result is shown at day 6 postop, with some swelling but no bruising, and at 3 months post-op. The nose will keep on getting refined in the following months.
Rhinoplastie sur nez trop court avec pointe ronde, légère bosse et déviation septale vue de face avantRhinoplastie sur nez trop court avec pointe ronde, légère bosse et déviation septale vue de face apres
Rhinoplastie sur nez trop court avec pointe ronde, légère bosse et déviation septale vue de profil avantRhinoplastie sur nez trop court avec pointe ronde, légère bosse et déviation septale vue de profil apres
Rhinoplastie sur nez trop court avec pointe ronde, légère bosse et déviation septale vue de quart avantRhinoplastie sur nez trop court avec pointe ronde, légère bosse et déviation septale vue de quart apres

Significantly twisted nose

Significantly twisted nose, by Dr. Gerbault:

  • Significantly twisted noses are challenges in rhinoplasty: they frequently combine a facial asymmetry and a significant septal deviation. They are real aesthetic issues, but also functional issues with a nasal obstruction at least on one side.
  • This lady had both issues and beneficiated from an ultrasonic rhinoplasty with an ultrasonic septoplasty to straighten the septum, stabilize it in a straight position, and fix the nasal asymmetries while refining the nose.
  • The result is shown at a little more than a year post-op with an improvement of the asymmetry, and the returnof a normal nasal breathing.
vue de face avantvue de face apres
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Ethnic rhinoplasty

Ethnic rhinoplasty

  • Nose too strong with round tip
  • Important septal deviation
  • with breathing difficulties
  • in a young woman of Turkish origin
  • Refinement of the nose and straightening of the nasal septum
  • Result at 1 year
Rhinoseptoplastie ethnique vue de face avantRhinoseptoplastie ethnique vue de face apres
Rhinoseptoplastie ethnique vue de profil avantRhinoseptoplastie ethnique vue de profil apres
Rhinoseptoplastie ethnique vue de quart avantRhinoseptoplastie ethnique vue de quart apres

Ultrasonic rhinoplasty by Dr R. Makhoul

Ultrasonic Rhinoplasty by Dr. R. Makhoul

  • structural reduction rhinoplasty with correction of the crookedness of the nose,
  • important hump reduction and correction of the plunging tip
Rhinoplastie ultrasonique vue de face avantRhinoplastie ultrasonique vue de face apres
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Functional Rhinoplasty

Functional Rhinoplasty - Dr Gerbault

  • Right septal deviation
  • Facial asymmetry
  • Septorhinoplasty
  • Result at 2 years
Rhinoplastie fonctionnelle vue de face avantRhinoplastie fonctionnelle vue de face apres
Rhinoplastie fonctionnelle vue de face avantRhinoplastie fonctionnelle vue de face apres
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Ethnic rhinoplasty in women

Ethnic rhinoplasty in women

  • Israeli-born woman with a nose too strong, marked hump.
  • Structural Rhinoseptoplasty for Refinement
  • Result at 1 year
Rhinoplastie ethnique, pointe bifide vue de face avantRhinoplastie ethnique, pointe bifide vue de face apres
Rhinoplastie ethnique, pointe bifide vue de profil avantRhinoplastie ethnique, pointe bifide vue de profil apres
Rhinoplastie ethnique, pointe bifide vue de quart avantRhinoplastie ethnique, pointe bifide vue de quart apres

Correction of a Hump in a male patient

Correction of a Hump in a male patient

  • Strong and massive nose with marked hump
  • Structural Rhinoseptoplasty
  • Result at 1 year
Bosse sur le nez chez l'homme vue de face avantBosse sur le nez chez l'homme vue de face apres
Bosse sur le nez chez l'homme vue de profil avantBosse sur le nez chez l'homme vue de profil apres
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Posttraumatic male rhinoplasty

Broken nose in the man by Dr Gerbault

  • Nose with a very marked hump after a traumatism
  • Structural Rhinoseptoplasty
  • Result at 1 year
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Ethnic rhinoplasty, hump correction

Ethnic rhinoplasty, hump correction

  • Woman of North African descent
  • Deviated nose with a hump and drooping tip
  • Structural Rhinoseptoplasty for refinement
  • Ultrasonic rhinoplasty
  • Result at 1 year
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