nose

Rhinoplasty: Cosmetic surgery of the nose

Rhinoplasty: Cosmetic surgery of the nose
  • Nose
  • Rhinoplasty: Cosmetic surgery of the nose

The nose is one of the most important elements of face’s harmony. This harmony is at the origin of the attractiveness of a face and not the juxtaposition of standardized elements. A rhinoplasty is a treatment of plastic and cosmetic surgery of the nose that allows to create a more balanced face while maintaining its natural appearance. A "successful" rhinoplasty procedure is a rhinoplasty that avoids stereotypes and restores the harmony of the face.

In summary: rhinoplasty

  • Indication: For patients who wish to modify the shape of their nose so as to make it more harmonious with the whole face.
  • Result: Natural from one month - Final result between 6 months to 12 months.
  • anesthesia: General anesthesia
  • Pain: Between 1 and 2/10
  • Scars: Invisible with "closed way" (scar in the nostrils), very discreet by "open way" (just a small scar under the middle of the basis of nose)
  • Recovery: Between 7 and 15 days due to bruising, removal of the locks the same day before the release, removal of the splint after 4 days.
  • Resuming sport activities: Progressive from 4 weeks.
  • Duration of the surgery: 90 minutes
  • Hospitalization: Day Hospitalization

What is a rhinoplasty?

A rhinoplasty is a cosmetic surgery procedure that slightly changes the shape of nose of a patient more than it makes a radical change of the face. When performing a nose surgery procedure, it is essential to avoid falling into the stereotype of the excessive "nosejob".

Any rhinoplasty must be personalized. During a preoperative examination, the surgeon makes the suggestions that seem appropriate to him according to the desire of the patient and the anatomical structure of his face. Sometimes only a change in the tip of the nose is enough to balance a face.

The result of a rhinoplasty is predictable according to the thickness of the bone and the cartilages, the quality of the skin, the age and the heredity. The skin is an essential factor for the evolution of the result of a rhinoplasty: a thick skin could, for example, limit the possibilities of refinement of the tip of the nose.

Depending on the patient's desire and facial anatomy, a rhinoplasty may be accompanied by procedure on other facial features to optimize the aesthetic result. Thus, the chin can be increased or decreased at the same time to recreate volumes or curves in harmony with the rest of the face.

Other operating options:

In some patients with particular anatomical features, it is possible to correct the shape of the nose without having to resort to surgery but by injection of hyaluronic acid. It is called medical rhinoplasty or rhinoplasty without surgery.

In patients with nasal septal deviation, surgical rhinoplasty may be associated with septoplasty.

Simulation of the result of a rhinoplasty:

Dr. Kron uses 3D digital photography tools (Vectra XT) to simulate the results of a rhinoplasty with quantitative measurements of volumes and dimensions to be modified.

Simulation of the result of a rhinoplasty using 3D photogtaphy
Simulation of the result of a rhinoplasty using 3D photogtaphy

Post-operational effects

A rhinoplasty is generally performed under general anesthesia. A strict or assisted local anesthesia is possible in some cases, especially for correction of the tip of the nose only.

Scars:

In most cases, a cosmetic surgery of the nose is performed by incisions located inside the nose. The scars are therefore "invisible". In other cases, small external scars (at the base of the nostrils) may be needed.

Pain:

The postoperative course of a rhinoplasty is not very painful usually. Postoperative discomfort is mainly related to nasal dressing and wicks. The nasal bandages are kept for about a week. Lashes are needed when operating the nasal septum. In the vast majority of cases, they are removed the day after surgery before leaving the clinic.

Short-term discomfort may occur, but it will be limited by appropriate drug therapy aimed at reducing the edematous reaction.

During the first weeks following the procedure, bruises may appear and the nose may remain swollen, which can cause breathing difficulty. The duration of this phenomenon varies considerably depending on the patients and the procedure performed.

After a cosmetic surgery of the nose:

A normal life can resume in the days following the intervention. During the first month, the sports activities must be reduced because the nose does not become really solid until 3 to 4 weeks after the procedure. Then, a normal sport activity can resume although it is necessary to avoid sports which involve risks of shocks on the nose.

Exposure to the sun is possible as soon as the bruises are gone.

For most patients, the nose returns to a completely satisfactory appearance within 10 days after the procedure. Between 5 to 8 months are necessary for the subtlest changes in the nose to appear. The nose regain its flexibility gradually.

What are the risks during rhinoplasty?

To prevent any risk in the context of cosmetic surgery of the nose, a preoperative and, in some cases, cardiovascular evaluation is necessary. To avoid hemorrhagic risks, it is not advisable to take aspirin or any of its derivatives during the week before and after the procedure.

Nasal bleeding is the most common risk but is extremely rare. It is usually stopped by simple methods.

The risk of infection is very exceptional and can be treated with antibiotics.

Smoking increases the risk of surgical complications of any surgery. Stopping smoking 6-8 weeks before the procedure eliminates this additional risk. If you smoke, talk to your doctor, surgeon, and anesthesiologist, or call Tobacco-Info-Service at 3989 to help reduce risk and put the odds on your side.

Result in photo before and after: rhinoplasty

Result obtained after a rhinoplasty procedure on a 20-year-old woman
Result obtained after a rhinoplasty procedure on a 20-year-old woman

Result obtained after a rhinoplasty procedure on a 20-year-old woman

Before and after result of a plastic surgery  to remove a lump on the nose

> See before & after pictures of rhinoplasty

> Read information sheep by SOFCPRE

🇬🇧About the translation: Parts of the English version of this website were translated using computer generated translation. If you notice a significant error or if you have any doubt regarding the medical information provided, please send us a message.

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Dr Cédric Kron - Pastic surgeon in Paris
Dr Cédric Kron - Plastic surgeon in Paris

Former resident, Gold Medal of Surgery and Head of Clinic of Paris Hospitals (APHP), Dr. C. Kron is qualified in Plastic, Cosmetic and Reconstructive Surgery. He practices as a plastic surgeon in Paris, with a comprehensive and tailor-made approach of aesthetic treatments.