Peak Defect

Secondary rhinoplasty – tip defect: nose appearance too small, too shortened, too high, too long with a drooping nose tip, crooked nose…

Secondary ethnic rhinoplasty

Secondary ethnic rhinoplasty, by Dr. Gerbault:

  • Ethnic rhinoplasty requires very specific structural rhinoplasty techniques.
  • This woman of African descent had come to see me 2 years ago for a refinement rhinoplasty and had finally chosen another surgeon who performed a "classic" rhinoplasty on her.
  • She then came back to see me almost a year after this rhinoplasty with an even wider and bulkier tip than initially.
  • She then had a secondary rhinoplasty with me which consisted of structuring the entire nose through the use of costal graft combined with ultrasonic rhinoplasty for the upper nose.
  • 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.
Rhinoplastie ethnique secondaire vue de profil avantRhinoplastie ethnique secondaire vue de profil apres
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Secondary rhinoplasty on nostrils too visible

Secondary rhinoplasty: too much cartilaginous trimming with conspicuous nostrils and retracted alae, by Dr. Gerbault:

  • Correction of aesthetic and breathing issues is common in secondary rhinoplasty. The appearance of very conspicuous nostrils after secondary rhinoplasty is very common, due to excessive resections of cartilage.
  • This young woman had a significant resection of her tip cartilages, and an incomplete correction of her deviated septum. She breathed worse after her rhinoplasty. She was very embarrassed by the appearance of her tip of the nose, the nostrils too conspicuous and retracted, the asymmetrical tip…
  • She benefited from an ultrasonic structural rhinoplasty with the use of costal grafts to reconstruct her nose, lower the tip and alae. These are long and complex operations that I continue to perform, having stopped secondary rhinoplasty for minor aesthetic and functional problems.
Rhinoplastie secondaire sur narines trop visibles vue de face avantRhinoplastie secondaire sur narines trop visibles vue de face apres
Rhinoplastie secondaire sur narines trop visibles vue de profil avantRhinoplastie secondaire sur narines trop visibles vue de profil apres
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Nez trop raccourci, pointe trop remontée, rétraction des ailes du nez

Secondary rhinoplasty on an over shortened nose, with an over rotated tip and alar retractions, by Dr. Gerbault:

  • It’s rare that a patient can’t stop smiling as she discovers her new nose after the splint removal six days after her secondary rhinoplasty. This is what happened with this charming patient whose nose had been severely damaged after a first rhinoplasty performed 11 months earlier.
  • She arrived significantly affected psychologically by her foreshortened nose with an overrotated tip and a strong alar retraction creating an excess visibility of the inner part of her nose.
  • A global reconstruction of her nose has been done with a lowering of the tip and alae and a lengthening of the nose, while keeping a natural and feminine look of the nose.
  • The result at day 6 post-op shows a natural result without any stigmata of the surgery after 3 hours and a half spent in the OR.
Nez trop raccourci, pointe trop remontée, rétraction des ailes du nez vue de profil avantNez trop raccourci, pointe trop remontée, rétraction des ailes du nez vue de profil apres
Nez trop raccourci, pointe trop remontée, rétraction des ailes du nez vue de quart avantNez trop raccourci, pointe trop remontée, rétraction des ailes du nez vue de quart apres
Nez trop raccourci, pointe trop remontée, rétraction des ailes du nez vue de face avantNez trop raccourci, pointe trop remontée, rétraction des ailes du nez vue de face apres

Tip asymmetry

Tip asymmetry

  • Pollybeak deformity
  • Tip asymmetry with retraction of the left alar rim.
  • Structural secondary rhinoplasty establishing a good support to the tip.
  • Correction of the retraction of the left alar rim and refinement of the rest of the nose.
  • Nose having been restructured are more rigid at digital pressure
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Correction of a failed rhinoplasty

Correction of a failed rhinoplasty.

  • Twisted nose with deviation of the septum and significant asymmetry of the tip after rhinoplasty
  • Secondary rhinoplasty with repositioning of the septum,
  • Tip repair with cartilage sutures and cartilaginous grafts.
  • Preventive camouflage because the skin is very thin
  • Result at 6 months
Reprise pointe de nez ratée vue de face avantReprise pointe de nez ratée vue de face apres
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Reprise pointe de nez ratée vue de profil avantReprise pointe de nez ratée vue de profil apres

Secondary Ethnic Rhinoplasty

Secondary Ethnic Rhinoplasty

  • Iranian patient already operated for a hump and a broad tip.
  • Persistence of 2 problems with inverted V deformity.
  • Persistent septal deviation.
  • Secondary rhinoplasty with ultrasonic rhinosculpture.
  • Spreader grafts and rebuilding of the architecture of the nasal pyramid.
  • Result at 1 year.
Rhinoplastie ethnique secondaire vue de face avantRhinoplastie ethnique secondaire vue de face apres
Rhinoplastie ethnique secondaire vue de profil avantRhinoplastie ethnique secondaire vue de profil apres
Rhinoplastie ethnique secondaire vue de quart avantRhinoplastie ethnique secondaire vue de quart apres
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