Rhinoplasty on short and massive nose, by Dr. Gerbault:
Some patients have a massive nose because the tip is wide and too much upturned, showing the inside of the nose from the front and in profile.
The upper jaw is usually too developed, with an upper lip too long. The well-marked bump further increases this massive nose sensation.
The refinement techniques are complex and go through a lowering of the tip, alae thanks to the use of cartilage grafts, associated with a correction of the bump by ultrasonic rhinoplasty.
The result at 3 months is still early, but it shows not only the refinement of the nose and the correction of the bump, but also the improvement of the appearance of the upper lip.
Too short nose, rounded nasal tip, slight bump, and septal deviation
Too short nose, rounded nasal tip, slight bump, and septal deviation, by Dr. Gerbault:
Short noses are difficult cases to correct. In the case of primary rhinoplasties, they are frequently associated with a strong maxilla that “pushes” in a way the nose upward and forward.
In the present case, 3 other difficulties were present: an acneic and thick skin, a very round tip related to the high position of the tip cartilages, and a significant septal deviation.
The operation has been an ultrasonic rhinoplasty using multiple cartilaginous grafts to lower the tip and the alae, to reposition also the tip cartilages. Those grafts have been harvested on the septum while it has been straightened.
The result is shown at day 6 postop, with some swelling but no bruising, and at 3 months post-op. The nose will keep on getting refined in the following months.