The operation of the nose
What is rhinoplasty or aesthetic nose surgery?
The term “rhinoplasty” refers to the plastic and aesthetic surgery of the nose. The intervention will modify the cartilaginous and bony structures of the nose (either partially or totally). It can sometimes correct possible nasal breathing problems. A rhinoplasty can be performed in isolation or be associated with another complementary gesture at the level of the face. In particular a modification of the chin (genioplasty) to improve the profile.
For whom is the rhinoplasty intended?
Rhinoplasty is for anyone who is healthy from the age of 18. The operation of the nose makes it possible to correct the defects and feel better with one’s image and to be fully confident.
What is the purpose of this operation of the nose?
The intervention aims to reshape the nose to beautify it. It is a question of correcting only the defects present, answering to the requests of the patient,(that they are congenital, or traumatic). It allows to keep the rest of the nose intact in order to obtain a nose of natural aspect in harmony with the rest of the face and suitable to the psychology and the personality of the patient. The image that our mirror sends us determines our level of self-assurance and our ability to communicate with others.
The nose, central character of the face, but also element that can not be hidden, is lived in his deformation as a handicap. It can become a permanent obsession. Its modification subject to a natural aspect, beyond the physical change, brings a happy change of the self-image.
Rhinoplasty
What is the surgical technique?
It is possible to reshape the various components of the nose by incisions in the nose. Bone and cartilage can be redrawn to correct a lump or reduce a tip too wide to find a nose proportionate with the face.
The skin covering the nose will shrink thanks to its elasticity on this new osteo-cartilaginous framework. The fineness of the quality of the result will depend in part on the fineness of this skin. Rhinoplasty does not usually leave a visible scar on the skin.
When there is a nasal obstruction to the breathing, it can be treated at the same time( deviation of the septum).
Consultation for rhinoplasty in Nice?
The consultation will allow to analyze your motivations, your desires of correction which are strictly personal to you. The most often encountered faults are: a tip too round and wide, a hump, a crooked nose, with a falling and hooked aspect accentuated with a smile.
You will see with Dr. Sabatier what is reasonable to do in your case, given the structure of your nose and your face. An interrogation of your medical history is necessary to check the absence of an operative contraindication. You will see with him the various anesthetic and operative modalities.
What is the type of anesthesia for this operation of the nose?
Rhinoplasty can be performed most often under “general” anesthesia. This general anesthesia is shallow and given with rapid elimination products, allowing most often to go out even in the evening.
It makes it possible to feel nothing and to see nothing during the operation making its realization very comfortable for the patient. In the case of a single isolated gesture on the point only local anesthesia can be envisaged.
A preoperative blood and cardiological examination is carried out in accordance with the prescriptions of the anesthetist who will be seen in consultation at the latest 48 hours before the intervention. No aspirin-containing medication should be taken within 10 days of the intervention.
For this anesthesia, you will be asked to stay on an empty stomach (do not eat or drink anything) 6 hours before the intervention.
After the operation
How is one after the operation of the nose?
The consequences are marked by swelling and bruises under the eyes more or less important depending on the actions performed. The small wicks are removed at 48 hours and the external splint is removed at 8 days. The pain is rare which is almost amazing for the operated!
Anti-oedematous treatment and nasal wash with saline will be prescribed. The dressing is removed at day 7. The nose is still a little swollen and marked by the traces of the bandage. At 10-12 days the result begins to be guessed. The bruises are absorbed within 10 to 15 days and the edema in 3 weeks after the procedure. Because of the bone sections made, any combat or collective sport is forbidden for a month and a half. It will be necessary to avoid the wearing of glasses too heavy in order to avoid moving the bones of the nose. Resumption of work is usually done at 10-15 days.
If it is not visible to others, you will feel your nose freeze for 3 to 4 months, the time that the tip is mobile again with facial expressions. If after 2 to 3 weeks the result is already there, it is gradually appraised over the months with the disappearance of the edema of the back of the nose and finally the tip in a period of 6 months to a year after the intervention.
What is the interest of computer simulations?
The expected result can be simulated by retouching digital photos on a computer. The preoperative photos will facilitate the surgeon’s explanations, allowing to insist on the limits of the techniques and the improvements to be expected but also on the deformations that could not be corrected.
The theoretical image, thus obtained, will allow you to better visualize the changes that rhinoplasty will cause in your face. This will sometimes allow you to change your desires for correction and allow you to consider this intervention more concretely.
However, this virtual image remains theoretical. It can not be considered as a certainty because it does not take into account operational and cicatricial hazards. After computer correction you will need to understand the limits of the result to expect from your intervention: the dream is the first cause of failure!
Before- and-after photo reviews of a few similar cases can help you. You must have the time to ask all the questions you have in mind even if they seem ridiculous. If during the time of important and personal reflection, other questions come back to you, do not hesitate to re-contact your surgeon.
Rhinoplasty nice price
How much does the operation cost?
Indicated rates include clinic fees, anesthetist fees and surgeon fees.
For example, the price of a rhinoplasty of the tip in outpatient surgery in the clinic is from 2400 euros to 2800 euros. In case of complete rhinoplasty or more complex the price is from 3200 euros to 4200 euros.
For more information about the rhinoplasty consult the sheet of the French Society of Plastic and Aesthetic Surgery.