Rhinoplasty on a wide, deviated nose with a minimal hump: before and after
Case fact sheet
- Patient: Female, 34 years old
- Reason: aesthetic and respiratory
- Starting nose: minimal hump on a low dorsum, nose body too wide for her features and deviated nasal axis
- Technique: ultrasonic rhinoplasty with elimination of the hump through millimeter maneuvers, narrowing of the body of the nose and centering of the axis
- Septum and turbinates: Septoplasty and turbinoplasty (turbinates) in the same surgery, to improve breathing
- Approach: Remove the hump without leaving the bridge lower than necessary, narrow and center the nose
- Entry: 1 night
- Anesthesia: general type TIVA
- Duration: 2 hours and a half
A 34-year-old woman presented with a minimal hump on a low dorsum, a nose that was wide in proportion to her features, and a deviated nasal axis. Using ultrasonic rhinoplasty, I removed the hump with millimeter precision, narrowed the nose, and centered the nasal axis. Septoplasty and turbinate reduction further improved her breathing.
Comment by Dr. Gustavo Sordo
Reason for consultation
A patient with a minimal hump and a low back, which required very delicate maneuvers so as not to remove more than necessary.
What I observed when evaluating it
Besides the minimal hump, the body of the nose was too wide for the overall features, and the nasal axis was not centered.
What was important to preserve
With an already low back and a minimal hump, the working margin was very narrow: one had to be very precise to avoid leaving the back excessively low after surgery.
My surgical approach
I proposed an ultrasonic rhinoplasty to remove the dorsal hump and narrow the body of the nose, symmetrizing the axis, expanding the work with turbinoplasty and septoplasty for functional improvement.
Why I chose this technique
When the hump is minimal and the back is already low, the ultrasonic scalpel allows working with very delicate, millimeter-precise maneuvers, something that a more aggressive instrument would not allow without the risk of leaving the back too low or irregular.
What I did during surgery
I removed the dorsal hump with delicate ultrasound maneuvers, narrowed the body of the nose, which was too wide, and symmetrized the nasal axis, completing the surgery with turbinoplasty and septoplasty to improve breathing function.
What is observed in the result
A narrower and more symmetrical nose, with the axis centered and without the previous hump, maintaining a proportionate dorsum.
More rhinoplasty cases for wide noses and deviated septums . How I perform rhinoplasty in Madrid can be found on my website.
Case operated on by Dr. Gustavo Sordo
Specialist in Plastic, Aesthetic and Reconstructive Surgery. Member No. 282858125.
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Dr. Gustavo Sordo · Member No. 282858125 · Plastic, Aesthetic and Reconstructive Surgery · Madrid