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.
17 comments on “Thick Skin Bulbous Tip Rhinoplasty”
Deborah
Hello Doctor Tas, how long does it take to heal the scars on the alar base?
Assoc.Prof.Dr. Suleyman TAS
Hi Deborah, the scars on the alar base are performed skillfully, and in case of proper after care become invisible and hidden in the natural line of the nose in 2-3 months.
Charlie
What is the difference between the scar on the columella and alas of the nose?
Assoc.Prof.Dr. Suleyman TAS
Hi Charlie, thank you for a good question. With the Closed Technique the nerve, ligament and vascular tissue is protected at the nose tip and this way nose tip’s flexibility ability isn’t deteriorated. Whereas, alarplasty requires the removal of the excessive skin and fat tissues without causing an injury to the functionality of the nose.
Michael
Hi doctor, your thick skinned patients’ noses look so defined. Which technique do you use to define the bulbous tips?
Assoc.Prof.Dr. Suleyman TAS
Hello Michael, thank you for your question. I have developed a Novel Superior Based Transposition Flap technique, which protects the anatomy, supports the weak parts and reshapes the tip. You may have a look on this awarded technique on https://drsuleymantas.com/superior-based-transposition-flap-a-novel-technique-in-rhinoplasty/ for detailed information please get in touch via Whatsapp number + 90 543 456 36 93
Sandi
Hello Doctor, how long does it take for the recovery of thick skinned patients? Your 7 day results look like recovered how come?
Aleksandra
Good evening Doctor, I have checked your before and after pictures and there isn’t even one I didn’t like. How may I know the price of rhinoplasty surgery with you and booking procedure for international patients?
Assoc.Prof.Dr. Suleyman TAS
Hello Aleksandra, thank you very much. You can get the detailed information on booking procedure for international patients and prices via Whatsapp number +90 543 456 36 93.
Lina
Incredible results doctor. Do you break the bones during the rhinoplasty?
Assoc.Prof.Dr. Suleyman TAS
Hello Lina thank you for your comment. I don’t break the bones during the rhinoplasty, but reshape using ultrasonic endoscope assisted micromotor devices to reshape the bones precisely in an atraumatic manner.
Keane
Is rhinoplasty a painful procedure?
Assoc.Prof.Dr. Suleyman TAS
Hi Keane, the level of pain depends on the severity of the case and utilized techniques. Since Closed Atraumatic technique doesn’t cause any injury on the nose, the pain level is from mild to zero pain.
Katzchen
Hello doctor and the entire team,
I like your work and would like to have rhinoplasty in following months / year.
Please do you have experience with alternation / removal of anterior nasal spine in order to shorten the projected nose ?
Assoc.Prof.Dr. Suleyman TAS
Hello Katzchen,
Thanks for your message. You may get in touch us to have free online examination. So, we can help you to arrange a surgery.
Yes, we do have experience with deprojection of the nose. Please visit Before&After Gallery and Instagram page to see similiar cases. There are various techniques for deprojection of the nose. The best technique can be chosen depending on the needs of the specific case.
ashley
Hello doctor, very impressive case 9. How did you manage thinning such thick skin ? Also how many MMs lenth from beginning to tip was reduced totally.
Assoc.Prof.Dr. Suleyman TAS
Hi, thanks for your nice question. Did you have chance to read this article about Preparation for Thick Skin Rhinoplasty: https://drsuleymantas.com/preparation-for-thick-skin-rhinoplasty/
For online examination, you can get in touch us via WhatsApp +90 543 456 36 93.
Regards.