Falling Nose tip

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.

• 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.

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

Plunging tip

• Primary Rhinoplasty
• Correction by structural rhinoplasty
• Result at 1 year