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Hump and wide ill defined tip on a thick skin nose

Rhinoplasty in Paris on hump and wide ill defined tip on a thick skin nose, by Dr. Gerbault:

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.

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.

Bulbous and wide tips lacking definition are a real challenge when the skin is thick. They need very specific techniques for a global balanced refinement.
Structural ultrasonic preservation rhinoplasty.
She went back to work 6 days after the surgery: no one noticed that she had a rhinoplasty.
She came back at 2 months postop, delighted by the result and happy that everyone found her prettier without knowing what had happened! This is what all the patients say when the final result is natural.

Young woman complaining about a wide nose with an asymmetric hump.
The tip is wide and is lacking definition.
There’s also a septal deviation.
Ultrasonic structural rhinoplasty realized during the live surgery day of the IMCAS – ISAPS end of January 2019.
Result at 3 months post-op with a noticeable refinement of the nose and a hump correction.

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.

Patient having an asymmetric hump more significant on the left side, with a septal deviation.
The tip is also asymmetric with a more concave appearance on the left side.
Ultrasonic structural rhinoplasty for nose symmetrization, with ultrasonic septoplasty : The septum is straightened, the bony vault is symmetrized with ultrasonic rhinosculpture.
The cartilages are also symmetrized with cartilaginous sutures.
The result is shown at 6 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.

Primary Rhinoplasty, Broad Tip