Secondary Rhinoplasty - Peak Defect

Rhinoplastie secondaire – défaut de pointe : aspect de nez trop petit, trop raccourci, trop remonté, trop long avec une pointe de nez tombante, nez tordu….

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
Rhinoplastie secondaire, ailes de nez retractées vue de face avantRhinoplastie secondaire, ailes de nez retractées vue de face apres
Rhinoplastie secondaire, ailes de nez retractées vue de profil avantRhinoplastie secondaire, ailes de nez retractées vue de profil apres
Rhinoplastie secondaire, ailes de nez retractées vue de quart avantRhinoplastie secondaire, ailes de nez retractées vue de quart apres
Rhinoplastie secondaire, ailes de nez retractées vue de profil avantRhinoplastie secondaire, ailes de nez retractées vue de profil apres

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
Reprise pointe de nez ratée vue de face avantReprise pointe de nez ratée vue de face apres
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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