Rhinoplasty is offered to patients with nasal deformation and/or an aesthetic feature. This intervention is called "primary" if it is a first intervention and otherwise, is called "secondary".
Rhinoplasty is called "functional" in the case of associated nasal obstruction.
The principles of the intervention will be explained to you during the consultation with your rhinoplastician.
THE APPOINTMENT
You will find in the "contact" section our contact details and a form allowing you to send us your photos. Like any surgical project, it is important to come accompanied by a relative during the consultation.
Don't forget to bring your medical record with scanners and old operating reports if you have already had surgery. Computer modeling by "morphing" will be offered to you. This will allow you to expose your wishes and get an idea of what is possible to do. This is of course not a contractual document, but rather a support for an open discussion.
Once the project is specified, a second surgical consultation is often necessary, as well as an anesthesia consultation.
THE INTERVENTION
The rhinoplasty procedure is performed under general anesthesia on an outpatient basis (outing in the evening) or during a brief hospitalization (outgoing out the next day).
Depending on the case, the first will be hidden in the nose ("hidden way" or "closed way") or at a small scar at the base of the nose ("outer way"). It is usual to place a slight splint on the back of the nose (resin) and thin silicone splints in the nostrils ("partition splits"), for 5 to 7 days. There are no tampons.
See the results before/after of primary rhinoplasties
See the frequently asked questions
Rhinoplasty techniques
A "NATURAL RHINOPLASTY"
The objective of the procedure is to correct the shape of the nose, obtaining a natural result and in harmony with the rest of the face, while taking into account the nasal structure. Dr. Carles uses modern techniques called "preservative rhinoplasty" to reconstruct the normal anatomy of the nose as much as possible and to avoid the "surgical look" that can appear years after the procedure.
A RHINOPLASTY WITHOUT TAMPONS
It is not necessary to place tampons. Thus, it is possible to breathe the days following the procedure. As a rule, edema causes moderate obstruction, like a cold.
The stitches placed in the nostrils and at the columella are generally self-absorbable. Pain related to rhinoplasty is usually mild. Edema and bruises are very variable. It is necessary to plan an average of 2 weeks before returning to work. There is usually no longer an external trace of surgery at 3 weeks, even if the result is not yet final. The result of rhinoplasty is quickly visible but it is only definitive from one year in the case of primary rhinoplasty, two years in the case of secondary rhinoplasty.
ULTRASONIC RHINOPLASTY
Since 2016, Dr. Carles has been equipped with the ultrasonic rhinoplasty system. This system using ultrasound ("piezosurgery") improves the finesse of aesthetic results and reduces post-operative edema.
PRESERVATIVE RHINOPLASTY
Dr. Carles uses modern conservative rhinoplasty techniques.
These techniques, based on respect for the anatomy of the nose, make it possible to obtain a very natural result, while reducing post-operative edema. In addition, these techniques make it possible to obtain faster results than with traditional techniques, especially at the cutting-edge level. Conservative rhinoplasty involves the preservation of the ligaments and the envelope of the cartilages of the nose, which are not preserved in classic rhinoplasties. In addition, in some cases, it is possible to preserve the back of the nose, which will be "impacted" to make the bump disappear. This technique is called the "Push-Down". This is the ideal technique for people who do not want a major change in the shape of the nose.
PARISIAN AND FOREIGN PATIENTS
Stay in Montpellier - minimum
If you are from Paris, you can take the train in the morning at 7 a.m. from Gare de Lyon, to arrive around 10:30 a.m. in Montpellier (about 50 euros) and have your operation done in the afternoon. In this case, it is possible to have a light breakfast at 6 a.m. (allow 6 hours of fasting minimum before the intervention).
The easiest way to come from the station to the clinic is by taxi (about 10 minutes, 15 euros). Taxis are often available at the station but it is best to book them in advance. You will spend the night at the clinic and you will leave the next day, at a time that suits you.
A round trip will be necessary on the 6th or 7th day to remove the splints.
Plan a budget of 250 euros for the two round trips if you plan ahead.
Stay in Montpellier - maximum
Provide accommodation for 6 to 7 days on site. You can come the day before or the morning of the operation. As the region is very touristy, there are many accommodation options near the clinic. Note that it is necessary to book in advance in high season.