Thick skin bulbous tip rhinoplasty is one of the most common concerns among the patients considering rhinoplasty. At the same time it is one of the most challenging cases to be addressed as it requires a different approach and fine workmanship. To achieve the best possible results the quality of the skin should be improved before the surgery by the special treatments. Due to a wide alar base and low ability to shrink for thick skin alar plasty is performed to remove the excessive skin and fat tissues on the wings of the nose.
Additionally to the internal interventions it is performed to bring inside the nose from the front, reduce the nostrils’ size and fix asymmetries between them, thus this way catch a harmony between the tip and bridge of the nose. It shouldn’t be confused with the open surgery since all interventions are performed through the nostrils without opening the nose. When it comes to reduction rhinoplasty essential to keep in mind that there is always a limit on how much a nose can be reduced safely without compromising the functionality. Therefore, thick-skinned patients need to set realistic expectations.
In this blog you will find before and after pictures of Thick Skin Bulbous Tip Rhinoplasty with the Closed Atraumatic Technique by Assoc. Prof. Dr. Suleyman TAS.
Case 1 (Before and right after the surgery):
The patient burst up in tears when she saw her new nose, changing it was her dream for a long time. Here long nose, droopy tip with smiling deformity, dorsal hump and deviation was treated in one nose surgery.
Case 2 (Before and right after the surgery):
Here, severe thick- skinned patient, with a deviated septum, alar flaring, droopy tip, and wide alar base was transformed into aesthetically pleasant and natural-looking beauty. The pictures are presented with a survey on instagram.
Case 3 (Before and right after the surgery & 7 days after):
In this case a bulbous and droopy tip, alar asymmetries, deviation of the septum and the nose and dorsal hump was treated by the Closed Atraumatic Rhinoplasty. For thick skinned patients when lifting the tip, it should be designed the way it will be able to carry the overlying structures and avoid a droopy tip appearance in the future.
Case 4 (Before and right after surgery):
Here the tip was reduced, refined and supported, dorsal hump shaved down, deviation of the nose and septum aligned in the middle for the thick and oily skin. Now it is a Celebrity Nose Job which is cute and small nose with a nice nose forehead pass & feminine slope.
Case 5 (Before and right after the surgery):
A male rhinoplasty with thick skin; projected tip, high dorsum, dorsal hump, crooked nose and severe breathing issues treated by Assoc. Prof. Dr. Suleyman TAS. In male cases over reduction should be avoided as it may cause feminization. Male rhinoplasty is different than female rhinoplasty.
Case 6 (Before and right after the surgery):
In this revision rhinoplasty case, the nose has been aligned, dorsal hump eliminated, the tip reduced and refined, alar excision has been performed to harmonise the tip and the bridge, also to fix the asymmetries between the nostrils.
Case 7 (Before and right after the surgery):
In this case; open roof deformity, severe deviation, bulbous and overprojected tip, with old alar scars and extremely distorted anatomy treated by the Closed Atraumatic Technique and ended up with an aesthetically pleasant and natural results.
Case 8 (Before and right after the surgery):
In this case a dorsal hump was eliminated, bulbous and projected tip reduced and refined, the nose aligned to the midline, and breathing issues addressed in one surgery. Immediately we are able to see how much a nose job has altered the overall appearance of the face, beautified it and all facial features became harmonious with each other. That’s what happens in experienced hands of Assoc. Prof. Dr. Suleyman TAS.
Case 9 (Before and right after the surgery):
This is an exceptional revision case performed by Assoc. Prof. Dr. Suleyman TAS. Extremely thick and oily skin with a bulbous and droopy tip ended up with an aligned to the middle nose which was overall reduced and refined without rib cartilage grafting.
Case 10 (Before and 7 days after):
Another thick skin male rhinoplasty with a bulky tip, asymmetric nostrils, dorsal hump, and deviation has been treated by the Closed Atraumatic Technique. Alarplasty has been performed to address the wide base, alar flaring and asymetries between the nostrils.