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Before & After Results: Primary Rhinoplasty with Nasal Tip Surgery in Thick-Skinned Patients

Procedure: Endonasal (closed) structural rhinoplasty using the Banner Technique

Goal: Correct bulbous nasal tip with poor support and enhance definition and balance while maintaining a scarless, natural result.

This female patient presented with thick skin, a bulbous tip, and weak nasal cartilages, resulting in poor nasal definition and lack of support. A structural nasal tip surgery was performed, by Dr Paulo A. Escobar, through a closed (endonasal) approach using the Banner Technique, which employs septal cartilage grafts to reinforce and reshape the nasal tip.

In this case of nasal tip surgery, by strengthening the underlying framework, the tip definition and projection were improved without the need for alar base reduction, as the enhanced tip structure naturally refined the base configuration. Additionally, tip asymmetry was corrected, achieving a more harmonious profile.

  • Case 13 Nasal Tip Surgery Thick Skin Abu Dhabi Dubai Dr Escobar 2
  • Case 13 Nasal Tip Surgery Thick Skin Abu Dhabi Dubai Dr Escobar 3
  • Case 13 Nasal Tip Surgery Thick Skin Abu Dhabi Dubai Dr Escobar 1
  • Nasal Tip Surgery Thick Skin | Abu Dhabi | Dubai | Dr Paulo A Escobar
  • Case 13 Nasal Tip Surgery Thick Skin Abu Dhabi Dubai Dr Escobar 4

Scarless Nasal Tip Surgery | Ethnic Rhinoplasty| Thick Skin| Results include:

  • Improved definition and projection of the nasal tip
  • Reinforced support with septal cartilage grafts
  • Better balance of the nasal base without external scars
  • Natural refinement in a patient with thick skin
  • Scarless (endonasal) approach ensuring no visible incisions

About Ethical Photography & Consent

As an International Fellow member of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), Dr. Escobar aligns his before-and-after galleries with the Academy’s ethical principles. This reference does not imply AAFPRS endorsement. All images show our own patients and are published only with written, informed consent. No retouching is used to alter anatomy or postoperative results; only limited technical adjustments (e.g., crop, exposure, white balance) may be applied without changing outcomes. We aim for comparable lighting, angles, and timing. Images are educational; individual results vary. Learn More

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My Rhinoplasty Philosophy: Natural Harmony & Lasting Function

Dr Paulo A Escobar| Revision Rhinoplasty Surgeon| Abu Dhabi | Dubai
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For women and men—whether primary or revision—my intent is to achieve natural, balanced results that blend seamlessly with the face while preserving—often improving—breathing. Guided by facial proportions (Golden Ratio), I design a tailored surgical plan for each patient. When appropriate, I favor the endonasal (closed) approach to refine with precision, reinforce structure, and avoid visible external scars, aiming for long-term stability and function. Every case receives my direct oversight; we set realistic goals together, so results enhance beauty, respect individuality, and build confidence.

Revision rhinoplasty. Secondary surgery is both technically complex and emotionally demanding. I carefully review your prior history, support you throughout the process, prioritize restoring function, correct asymmetries, and pursue a soft, natural look.

About these galleries. The cases shown (women and men; primary and revision) are published with explicit patient consent. They are educational, illustrating the kind of natural and functional outcomes that may be achievable in similar situations. Final results vary according to each patient’s anatomy, previous procedures, and individual healing.

Dr. Paulo A. Escobar, MD FACS

Scarless Rhinoplasty Expertise in UAE

Dr Paulo A Escobar Rhinoplasty Surgeon Abu Dhabi Dubai
Dr Paulo A Escobar Rhinoplasty Surgeon Abu Dhabi Dubai
credentials Dr Paulo A Escobar

Dr. Paulo A. Escobar is an ENT Consultant and Dual Board-Certified Facial Plastic Surgeon with over 20 years of international experience. He specializes in endonasal (scarless) rhinoplasty, including primary, revision, and functional procedures, delivering results that are both natural and long-lasting.

Every nose is unique—shaped by facial proportions, skin thickness, and cultural heritage. That’s why Dr. Escobar’s approach is centered on personalized planning and tailored techniques, ensuring harmony, safety, and authenticity in every case.

Recognized by patients in Abu Dhabi, Dubai, and worldwide, Dr. Escobar combines advanced technology with refined surgical expertise to achieve results that enhance not only appearance but also confidence and well-being.

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Best Scarless Rhinoplasty in Abu Dhabi & Dubai Dr. Paulo A. Escobar

Discover expert rhinoplasty in Abu Dhabi & Dubai, UAE with Dr. Paulo A. Escobar, ENT Consultant and Dual Board-certified Facial Plastic Surgeon with over 20 years of international experience. Specializing in scarless (closed) rhinoplasty, revision rhinoplasty and functional nose surgery.

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