Falling Nose tip

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.
Rhinoplastie ethnique : nez large, bosse marquée, pointe tombante vue de profil avantRhinoplastie ethnique : nez large, bosse marquée, pointe tombante vue de profil apres
Rhinoplastie ethnique : nez large, bosse marquée, pointe tombante vue de quart avantRhinoplastie ethnique : nez large, bosse marquée, pointe tombante vue de quart apres
Rhinoplastie ethnique : nez large, bosse marquée, pointe tombante vue de face avantRhinoplastie ethnique : nez large, bosse marquée, pointe tombante vue de face apres

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.
Rhinoplastie primaire sur peau épaisse de type maghrébine vue de profil avantRhinoplastie primaire sur peau épaisse de type maghrébine vue de profil apres
Rhinoplastie primaire sur peau épaisse de type maghrébine vue de face avantRhinoplastie primaire sur peau épaisse de type maghrébine vue de face apres
Rhinoplastie primaire sur peau épaisse de type maghrébine vue de quart avantRhinoplastie primaire sur peau épaisse de type maghrébine vue de quart apres

Wide nostrils and plunging tip

  • Having long and wide nostrils with a plunging tip when smiling creates easily complex. This young woman didn’t want to change significantly her nose, but just correct those defects.
  • She had an ultrasonic structural rhinoplasty, with an ultrasonic rhinosculpture of her bony vault and tip reshaping with cartilaginous sutures. The alae have been also reduced.
  • The result is shown at 3 months postop.
Narines larges et pointe tombante vue de quart avant-apres
Narines larges et pointe tombante vue de profil avant-apres
Narines larges et pointe tombante vue de face avant-apres
Narines larges et pointe tombante vue de quart avantNarines larges et pointe tombante vue de quart apres
Narines larges et pointe tombante vue de profil avantNarines larges et pointe tombante vue de profil apres
Narines larges et pointe tombante vue de face avantNarines larges et pointe tombante vue de face apres

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.
Pointe de nez large et tombante sur peau épaisse vue de face avantPointe de nez large et tombante sur peau épaisse vue de face apres
Pointe de nez large et tombante sur peau épaisse vue de face avantPointe de nez large et tombante sur peau épaisse vue de face apres
Pointe de nez large et tombante sur peau épaisse vue de profil avantPointe de nez large et tombante sur peau épaisse vue de profil apres
Pointe de nez large et tombante sur peau épaisse vue de quart avantPointe de nez large et tombante sur peau épaisse 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
Rhinoplastie ultrasonique vue de profil avantRhinoplastie ultrasonique vue de profil apres
Rhinoplastie ultrasonique vue de quart avantRhinoplastie ultrasonique vue de quart apres

Long nose and drooping tip

Long nose and drooping tip, Primary Rhinoplasty

  • The tip plunges more on smiling,
  • With a nose too long
  • Structural harmonization rhinoplasty
  • Correction of the plunging tip and stabilization
  • Result at 6 months
Nez long et Pointe de nez tombante vue de face avantNez long et Pointe de nez tombante vue de face apres
Nez long et Pointe de nez tombante vue de face avantNez long et Pointe de nez tombante vue de face apres
Nez long et Pointe de nez tombante vue de face avantNez long et Pointe de nez tombante vue de face apres
Nez long et Pointe de nez tombante vue de face avantNez long et Pointe de nez tombante vue de face apres

Plunging tip

Plunging tip

  • Primary Rhinoplasty
  • Correction by structural rhinoplasty
  • Result at 1 year
Pointe de nez tombante vue de face avantPointe de nez tombante vue de face apres
Pointe de nez tombante vue de profil avantPointe de nez tombante vue de profil apres
Pointe de nez tombante vue de quart avantPointe de nez tombante vue de quart apres
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