Like any surgical project, it is important to come accompanied by a loved one during the consultation.
Don't forget to bring your medical file with scanners and old operating reports if you have already had surgery. Your surgeon will examine you and then take a picture of your nose.
A computer modeling by "morphing" may 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, which can be carried out online.
Programming of the operation
Once you have made your decision, you can book an operating date with the secretariat.
The intervention takes place in the Clémentville and Saint-Roch clinics in Montpellier.
Be careful, as the intervention mobilizes a lot of operating room staff, it is essential to notify us as soon as possible if you wish to move the date of your intervention. Attention, the anaesthetist is to be seen between 30 and 10 days before the intervention.
The splints are removed between 6 and 10 days after the procedure. The face is usually marked for 10 days.
There are no more marks after 3 weeks post-operative.
Ideally, organize yourself to be on vacation in the operating suites.
Avoid placing eyelash extensions before the procedure because eye protections can make them fall.
If you have regular periods, it is better to have surgery outside your cycle. If this is not the case, it does not matter but it is possible that post-operative edema is a little more marked;
Because post-operative edema can be a little more marked during menstruation, for women who can, we advise you to take this information into account when making an appointment.
There is no preferable season for the operation. Note that swimming is prohibited for 3 weeks and that some sports should be avoided in the operating suites.
It is possible to fly in the days following the operation provided that it is a short trip (<3h).
The days before the intervention
Avoid taking aspirin or anti-inflammatory drugs. You will be called by the clinic the day before the operation to give you the exact time of entry.
The day of the intervention
For men, please mow your mustache if you have one.
The operation is outpatient, unless you live at a distance of the clinic or if a rib transplant is planned.
Don't forget to bring your blood test results and scanners if you have any.
It is necessary to avoid eating solids within 6 hours before the operation, no clear liquids within 2 hours (herbal tea water, juice without pulp, tea/coffee without milk), no cigarettes, no vaping. If this young person is not respected, the intervention will be cancelled.
In some cases, especially if you have hypertension, the anaesthetist will ask you to take your medication on the morning of the procedure, with a little water. After the intervention, you wake up in the recovery room. There is no pain and you can breathe through the nose because there are no tampons.
As soon as you are sufficiently awake, you are taken to a hospital room where a snack will be offered. The return is on the evening of the intervention provided that someone comes to pick you up. In rare cases, nausea can encourage us to keep you on the evening of the operation.
The days following the intervention
Avoid consuming for 10 days: Anti-inflammatory drugs, Aspirin, Vitamins and other food supplements. You can consume Arnica.
Care: start the next morning of the operation local care: wash with sea water: instill gently while inhaling. Leave on for 2-3 seconds, then blow your nose gently. Never blow your nose hard.
The splints that are often placed in your nose give the impression of a cold and can give a sneezing reflex. In case of sneezing, don't worry: keep your mouth open.
Shower: avoid baths and take showers that must be fresh. The splint can be slightly passed under fresh water but under no circumstances should it be exposed to steam and hot water, except on the day of the first appointment.
In case of a costal graft
You will have a scar located under the chest on the right. You will have the first night a thin catheter diffusing an anesthetic product ( Naropein), which will be removed by the nurse at the exit the next morning. It doesn't hurt.
Pain related to costal sampling is felt from the moment the catheter is removed and lasts about 15 days.
It is absolutely necessary to avoid contracting the abdominals, especially by getting out of bed, for 15 days.
The scar is in good rule very fine in the long term on Caucasian skin. If you have pigmented skin, it is necessary to protect it from the sun and monitor it.
In case of conchal graft (ear)
The scar is hidden behind the ear. A small gauze of greasy tulle is put in front of the ear.
You can remove it from the day after the operation. The points, absorbable, are placed in front of and behind the ear.
The ear will remain sensitive for about a week.
The first 3 days:
These are the most unpleasant days. It is common to have the impression of strong sinusitis with significant pressure on the face and a little fever. Edema, which was not present on the evening of the intervention, can appear suddenly.
If you are very embarrassed, you can sleep with 2 to 3 cushions and apply ice. Don't stay in a room that is too hot. Try to stay in an upright position outside bedtime. Do not lean forward.
It is normal to have the impression that the nose is running continuously.
Avoid activity that can increase blood pressure.
You can go outside from the 2nd day and walk 2 to 3 km a day, in the shade.
Do not exercise for a month.
Do not put your head under the water of the pool and the sea for a month.
The glasses can be placed on the splint. On the other hand, avoid wearing heavy glasses after removing the splint, for 15 days.
Ideally, use contact lenses.
If you have bruises, avoid the sun. Otherwise, you can expose yourself in moderation, without sweating.
It can happen to have strange sensations of ants and sometimes pain in the palate and incisors. This sensation can persist for about ten days.
On the 6th-10th day
On the day of the removal of the splints, we invite you to take a shower or hot bath just before the appointment, to facilitate care.
Dr. Carles will remove the splints from you. It does not hurt and immediately relieves breathing.
Your nose will be swollen and it is very common to have a residual bump, which will disappear in the following weeks.
In some cases, Dr. Carles will apply an adhesive to you to speed up deflation and facilitate skin healing. This adhesive will have to be kept night and day for a week and night for 1 to 2 weeks.
In the event of an external operation with a scar at the base of the nose, the stitches will resolve on their own and you can rub them in the shower and/or cut what protrudes with a disinfected nail chisel from the 15th post-operative day.
Between the 2nd and 4th week
This is the period during which a risk of infection persists, which increases if it is a revision rhinoplasty, in the case of smoking and if there have been injections of hyaluronic acid. The risk is 3%. The infection is manifested by the sudden appearance of redness and edema of the nose, while the nose was deflating. In this situation, it is necessary to contact your surgeon.
The following months
Nasal edema will gradually decrease. Each patient is different, it can be fast as well as very long, up to one 1/2 year.
In general, the longest area to deflate is the "supra tip" area The more edematous the nose, the more common it is to feel a respiratory gene. The fact that edema varies during the day is a very good criterion to hope for a significant deflation.