Rhinoplasty and reconstructive surgery of the nose

AESTHETIC AND FUNCTIONAL RHINOPLASTIES

Rhinoplasty is proposed to patients with nasal and / or aesthetic deformation.
This procedure is called  » primary  » if it is an initial response, otherwise it is called  » secondary  « .

Rhinoplasty is called  »  functional  « in case of associated nasal obstruction. In this case, or in cases of deformation after a trauma, a request for prior agreement can be achieved with social insurance.

The principles of the intervention will be explained during the consultation with your surgeon. Computer modeling by « morphing » may be proposed to you.

The procedure is performed under general anesthesia on outpatients or during a brief hospitalization. It can be extended in cases of using of a rib graft. 
Depending on cases, the scar will be hidden at the base of the nose, called « external rhinoplasty ». It is common to place splints inside the nose, for at least 5 days.

The pain is usually mild. Swelling and bruising are very variable. Please allow 2-3 weeks before returning to work. The result is quickly visible, but it is not final until a year. Additional time is sometimes proposed a year after surgery.

If you live far away from the clinic, you can send us pictures on the contact form.

 

SURGICAL RECONSTRUCTION OF THE NOSE

The nose can be deformed from birth, in the aftermath of trauma or a medical condition such as after the removal of a tumor. In case of simple deformation of the nose, without loss of skin, it is called  »  reconstructive rhinoplasty .  » It is usually a deviation or a depression of the nose (the « saddle nose »). The intervention can be supported in part by social security after a request for prior agreement.

In cases of a deviated nose, it is common to use of strenghtening cartilage grafts, called « spreader grafts ». In the case of a collapsed nose, it is common to use costal cartilage.

In case of mild amount of skin loss, it is usual to place skin grafts or skin flaps taken from adjacent regions. Skin grafts can be taken from the back of the ears or above the collarbone. If the defect is larger, the repair may require skin flaps taken from the forehead, cheeks and cartilage grafts taken from the ears and ribs. In case of nasal obstruction after reconstruction, it may be necessary to place the grafts in the nasal cavity to maintain their strength.

In cases of complete nasal reconstruction , it is usual to use a frontal flap, combined with rib and ear cartilage grafts. On these occasions, the intervention will take place in two or three stages with a 3 week interval. The procedure can be performed as an outpatient and is almost painless. In case of impossibility of reconstruction, which is rare, it is possible to propose a removable prosthesis, called « epithesis. »

 

Fonctional rhinoplasty.

Patient with a dorsal hump. Pictures before and after surgery.

Aesthetic rhinoplasty.

Patient with a dorsal hump. Pictures before and after surgery.

Aesthetic rhinoplasty.

Patient with a dorsal hump. Pictures before and after surgery.

Aesthetic rhinoplasty.

Pictures before and after surgery.

Secondary rhinoplasty.

Pictures before and after surgery.

Secondary rhinoplasty.

Pictures before and after surgery.

Reconstructive rhinoplasty

Patient whith a saddle nose, caused by a car accident. Rhinoplasty using a costal graft.

Pictures before and after surgery.

 

Reconstructive rhinoplasty

Patient with a deviated dorsal hump. Pictures before and after surgery.