Rhinoplasty on S-shaped dorsum and mixed skin: before and after
Case fact sheet
- Patient: Female, 42 years old
- Reason: aesthetic: I wanted a smooth, straight back
- Starting nose: S-shaped hump on mixed skin, with the radix at a good height
- Technique: ultrasonic rhinoplasty structural: hump reduction with ultrasound, spacer grafts (spreader grafts) and septal extension graft
- Septum and turbinates: septoplasty and turbinates in the same surgery
- Approach: Reduce the hump and leave a straight back, without any inward curve
- Result: straight and smooth back, without the hump and without a slide effect
- Entry: 1 night
- Anesthesia: general type TIVA
- Duration: 3 hours long.
A 42-year-old woman with an S-shaped hump on combination skin. She wanted a smooth, straight bridge, without the inward curve that creates a sloping profile. I performed an ultrasonic structural rhinoplasty with spacer grafts and septal extension: the bridge is now straight and the nose is feminine and natural.
Comment by Dr. Gustavo Sordo
Reason for consultation
He asked for a smooth, straight back. He said it clearly: no inward curve, no slide effect, no concave profile, no sunken mid-back.
What I observed when evaluating it
An S-shaped hump and mixed skin. With one important detail: its radix wasn't low. An S-shaped back usually starts from a low radix, which is why it needs to be closely monitored when reducing the hump. This wasn't the case here, and that allowed for some leeway.
What was important to preserve
The height of the radix. Reducing an S-shaped hump without taking care of the starting point of the back is what ends up in a sunken profile, exactly what she didn't want.
My surgical approach
Ultrasonic structural rhinoplasty with spreader grafts and septal extension graft. This is the same approach as in other cases of S-shaped dorsal dermis published on this website: when the problem is the same, the solution is the same. Age does not change the technique.
Why I chose this technique
Reducing the hump opens up the roof of the back. Spacer grafts reconstruct it and keep it straight and at its proper width; the septal extension graft supports the tip and fixes its position, so that the profile does not depend on how it heals.
What I did during surgery
I reduced the hump using ultrasonic instrumentation, reconstructed the dorsum with spacer grafts, and placed a septal extension graft at the tip. In the same surgery, I performed the septoplasty and turbinate reduction.
What is observed in the result
A straight and smooth back, without the hump and without inward curvature, with a feminine and natural result.
More rhinoplasty cases with a straight and natural dorsum . I explain the different dorsum types in the article "V-shaped and S-shaped dorsums ," and how I perform rhinoplasty in Madrid , on my website.
Case operated on by Dr. Gustavo Sordo
Specialist in Plastic, Aesthetic and Reconstructive Surgery. Member No. 282858125.
Regarding this intervention
Each nose is planned from scratch: what worked for this person may not work for you. At Rhinoplasty in Madrid , we explain how the technique is chosen and what the price includes.
Do you want to know if this can be done in your case?
The first consultation is with Dr. Sordo, either at the Chamberí clinic or via video consultation. You'll leave knowing if you're a candidate, which technique is right for you, and how much it costs.
Dr. Gustavo Sordo · Member No. 282858125 · Plastic, Aesthetic and Reconstructive Surgery · Madrid