Before & After Results: Female Thick Skin Rhinoplasty (Closed Scarless Approach)
Procedure: Closed (scarless) structural rhinoplasty with auricular graft
Goal: Define nasal tip and improve facial balance in a patient with thick skin by reinforcing tip support and creating a more harmonious profile.
This female patient presented with thick skin and a poorly defined nasal tip, (bulbous nasal tip) making projection and refinement particularly challenging. A closed (endonasal) rhinoplasty was performed using Dr. Paulo A. Escobar’s Combined Auricular cartilage graft, which allowed reinforcement of the nasal framework and better tip definition.
By strengthening the underlying support and carefully sculpting the tip, the nose achieved greater definition, projection, and refinement, despite the limitations of this case of thick skin rhinoplasty. The procedure also harmonized the nasal profile with the rest of the face, achieving a natural and balanced aesthetic outcome.
Thick Skin Rhinoplasty. Results include:
- Improved nasal tip definition despite thick skin
- Stronger and natural shape support thanks to The Combined Auricular Graft Technique
- Balanced and more refined nasal profile
- Natural results with no external scars (closed scarless rhinoplasty)
- Enhanced facial harmony and proportions
Before & After Photos
Before & After Video and Testimonial

Melissa
Closed Rhinoplasty
I found Dr. Escobar after researching the best rhinoplasty surgeons. In my first consultation, he explained in detail what could be done to improve the appearance of my nose. Using photos and simulation, he helped me understand the plan and what results we could realistically achieve. My recovery went smoothly, and Dr. Escobar checked on me throughout the process. I’m very satisfied with the outcome—it looks natural and not ‘operated,’ which was my biggest fear.











