Combined Ultrasonic Rhinoplasty and Upper Blepharoplasty: Real Case on Thick SkinCirugía

At Clínica Pérez Villar in Santander, each procedure is tailored to the individual needs of the patient. Today, we share a real case of a combined ultrasonic rhinoplasty on thick nasal skin and an upper blepharoplasty, a comprehensive intervention with both functional and aesthetic benefits.

Why combine rhinoplasty and blepharoplasty?

Combining rhinoplasty and upper blepharoplasty is an ideal choice for patients seeking to improve facial harmony and enhance the appearance of the eyes at the same time. Both surgeries can be performed in a single session, reducing recovery time and offering a more complete facial transformation.

Real case: Ultrasonic rhinoplasty on thick skin + upper blepharoplasty

Patient with thick nasal skin and sagging upper eyelids

This patient came to our clinic with the goal of refining their nasal definition and rejuvenating their gaze. The presence of very thick nasal skin presented an additional surgical challenge, requiring advanced expertise and a multi-technique surgical approach to optimize outcomes.

Surgical technique: Ultrasonic rhinoplasty

We used ultrasonic rhinoplasty, a technique that employs high-precision piezoelectric instruments. This method allows:

• Greater control when sculpting the nasal bones.
• Reduced damage to soft tissue.
• Less postoperative swelling and bruising.
• A faster, more comfortable recovery.

In thick-skinned patients, like this case, ultrasonic rhinoplasty helps minimize inflammation and facilitates better skin adaptation to the new nasal structure, although the final results may take 18 to 24 months to fully develop.

Complementary treatment: dermatology and medication

To enhance the surgical outcome, we implemented a comprehensive dermatological protocol:

• Laser treatments to improve firmness, texture, and reduce pore size.
• Oral isotretinoin, prescribed before and after surgery, to reduce oil production and improve nasal definition.

This protocol contributed to better skin retraction and enhanced nasal contouring.

Upper blepharoplasty: a more open and refreshed look

The patient also presented excess skin on the upper eyelids, giving a tired appearance. We performed an upper blepharoplasty, removing the excess and tightening the skin, resulting in a younger, more rested gaze that complements the reshaped nasal profile.

Postoperative result

Below is the before and after image of this real case, showing an improvement in nasal contour despite the limitations of thick skin, along with significant rejuvenation in the eye area.

Conclusion

Combining ultrasonic rhinoplasty and upper blepharoplasty can dramatically enhance facial appearance, even in complex cases like thick skin. At Clínica Pérez Villar, we have the experience and technology to handle such cases successfully, always providing customized, high-quality care.

If you’re considering facial surgery, we invite you to schedule a consultation. Our team will offer honest and professional guidance to find the best aesthetic and functional solution for you.