Rhinoplasty in Paris

Preservation rhinoplasty is a modern rhinoplasty technique that preserves as much of the nasal structure as possible, particularly the back of the nose, to avoid distant deformities.
Dr. Djian is a plastic surgeon practicing rhinoplasty in Paris.

WHAT IS PRESERVATION RHINOPLASTY?

The rhinoplasty preservation refers to a cosmetic surgery operation, the aim of which is to save certain parts of the body. nose structures.

The aim is to preserve three major groups of nasal structures :

• the back of the nose (dorsum preservation)
• nasal ligaments
• the cartilages of the nose tip.

Here, the surgeon reshapes the nose without modifying its external architecture. He will work under the bridge of the nose to reshape it.

Preservation rhinoplasty is also called rhinoplasty, conservation rhinoplasty. This is a recent technique, recommended by a number of world experts.

The « Preservation Rhinoplasty »rhinoplasty is simpler, more reliable and safer.

It offers more natural results, without irregularities, since it preserves the native aesthetic lines nose.

This technique reduces the risk of significant nasal obstruction following surgery.

AT WHAT AGE CAN I HAVE A RHINOPLASTY?

The operation can be performed when the

The operation can be performed when the face has finished growing. bone and cartilage, or around 16-18 years of age.

It is important to know that, overall, the nose skin of younger subjects adapts better to changes in shape. The younger the patient, the greater the chances of successful rhinoplasty will be high. On the other hand, as we age, skin tends to become thinner and lose its elasticity. This phenomenon is amplified when the skin has been exposed to a lot of sunlight, or when the person is prone to smoking.

Moreover, after the age of 40-45, bones become more brittle and cartilage harder. These structural changes can lead to irregularities. To counter this, the plastic surgeon uses the same principles as with thin skins, trying not to reduce the osteo-cartilaginous structures too much. This is where conservation rhinoplasty comes into its own.

Rhinoplasty is one of the plastic and aesthetic surgery.

There are two types of rhinoplasty

• aesthetics
• reconstructive

Rhinoplasty with deviation of the nasal septum or reconstruction can have a significant covered by Social Security.

The most common case is respiratory discomfort due to nasal obstruction. Most often, the nasal septum is deviated.

In the case of complex rhinoplasty or reconstruction, a cartilage graft may be required.

A nose scanner must demonstrate an anomaly in the nasal septum responsible for respiratory problems.

Some patients may be referred by their GP for functional discomfort.

WHEN TO HAVE A PRESERVATIVE RHINOPLASTY?

Conservation rhinoplasty is suitable for people who expect a natural result and who have a :

• With a bump; ;
• A nose that's too long
• A drooping tip
  
• A deviated nose
• Or a tip that is too wide or bulbous.

Most aesthetic anomalies of the nose can be corrected with a «nose job".« Preservation Rhinoplasty ». In some cases, it can be used for the ethnic rhinoplasty.

The technique is constantly evolving, and scientific conferences are held regularly to improve and disseminate it.

This type of rhinoplasty may not be the best solution for :

• Complex secondary and tertiary rhinoplasty ;
• Very broad nose; ;
• Corrections requiring an open track

In addition, people who can't stand general anesthesia will not be able to undergo this intervention.

Example of a rhinoplasty with a before-and-after photo of a patient in profile. Postoperative appearance at 1 month after rhinoplasty in Paris.

• The hump is treated while preserving the patient's dorsum.
• The tip is refined and slightly raised on women.
• Smoother face

WHAT ARE THE ADVANTAGES OF PRESERVATION RHINOPLASTY?

This type of rhinoplasty preserves the bridge of the nose, classically called the «nose bridge".« dorsum« .

Here, the plastic surgeon reshapes it, thus avoiding :

• The visual effect of a nose job, the famous «surgical look»; ;
• Major obstructions of the nose: the nose is not «narrowed».
• Irregularities in the dorsum.

Moreover, aesthetically, this operation gives a natural appearance.

This type of rhinoplasty is suitable when the patient suffers from its nose in profile, but the nose looks good from the front. This technique will not be the most suitable for a nose that is very wide from the front.

CAN THE TIP OF THE NOSE BE CORRECTED WITH THIS TECHNIQUE?

This procedure also makes it possible to correct noses with a unsightly tip, by remodeling the wing cartilages to refine them.

The surgeon performs invisible incisions inside the nostrils to expose the wing cartilage responsible for the shape of the tip of the nose.

If the wing cartilages are too wides (in the majority of cases), the surgeon performs a wing cartilage resection.

If the wing cartilages are too long, a remodeling is possible to shorten them.

In the majority of cases, the tip is fixed with a cartilage graftinge to prevent it from falling out postoperatively and ensure a lasting result.

When the nostrils are too large, A reduction of the nostrils can be performed during the operation. The scar is hidden inside the nostrils.

If the skin of the nose is very thick, the structural changes made by the surgeon will be less visible.

Before and after photos of a bulbous (round) tip correction on a woman. 3-month result of a Rhinoplasty in Paris

Before and after photos of a rhinoplasty for men Complex tip correction with deviation. Postoperative appearance at 1 month.

• Excess wing cartilage is corrected
• The tip is refined and symmetrical

WHAT'S THE DIFFERENCE WITH ULTRASONIC RHINOPLASTY?

The ultrasonic rhinoplasty is a surgical technique using open path (scar under the nose), some of which are performed with motorized instruments.

Because the surgery is «open», each structure of the nose must be rebuilt one by one, usually with multiple cartilage grafts.

There's no such thing as the «best» technique, as long as it's mastered by the specialist.

Nevertheless, the approach and philosophy of open ultrasonic rhinoplasty and closed preservation rhinoplasty are quite different.

The aim of rhinoplasty preservation is to minimize the amount of structure to be reconstructed.

WHAT IS MEDICAL RHINOPLASTY?

The medical rhinoplasty is an aesthetic medicine technique that corrects minimal defects of the nose, such as a small bump, a slightly drooping tip.

Unlike surgical rhinoplasty, volume is added to the nose using a resorbable product called hyaluronic acid.

This technique is therefore not suitable for noses with a pronounced hump, or for noses that are too long, where volume needs to be reduced first and foremost.

The result is also short-lived, since hyaluronic acid resorbs after 9 to 12 months.

WHAT IS PUSH-DOWN?

The Push-Down is one of the main techniques for rhinoplasty preservation.

Instead of surgically cutting the hump, the entire nose is moved back.

To achieve this, the surgeon performs osteotomies combined with resection of a strip of septal cartilage, enabling the nose to be moved further back.

Once these two gestures have been performed, the surgeon performs the push-down with a controlled gesture that gently allows the surgeon to pull back the nose.

The alternative to PushDown is the LetDown.

These techniques allow most bumps to be corrected, and therefore most profile anomalies.

This preservation of the structures at the back of the nose helps to avoid the deformations caused by sectioning the cartilaginous hump, which can lead to major deformities at a distance.

These surgical techniques require the use of a specialist.

INSTRUCTIONS BEFORE PRESERVATIVE RHINOPLASTY

Visit advice before rhinoplasty of preservation to follow :

• Strict cessation of tabac 1 month before surgery; ;
• Stop taking aspirin, anti-inflammatory drugs and oral anticoagulants 15 days before the operation (risk of bleeding);
• Beard and moustache perfectly shaved ;
• Medical treatment sinusitis or a cold.

In the case of cosmetic rhinoplasty, no sick leave will be issued.

Preservation rhinoplasty

• avoid splinting
• avoid wicks
• a same-day outing

Allow around 10 days' downtime.

INSTRUCTIONS AFTER CONSERVATIVE RHINOPLASTY

Some advice to follow after a conservation rhinoplasty:

No special treatment is required, apart from washing the nose with saline solution and gomenol oil to prevent crusting.

Other instructions are :

• Do not blow your nose.
• Rest
• Apply a compress of cold water to your nose every night for 1 month to help deflate; ;
• Sleep with your head slightly elevated; ;
• Avoid all sporting activities for 1 month. You can resume stretching and brisk walking after 15 days;
• Avoid combat sports.
• No SPA (sauna and hammam) for 2 months.

The final result of a rhinoplasty can be assessed between 6 and 12 months. This is the time needed for all the swelling to subside.

HOW DOES THE CONSULTATION WORK IN PARIS?

Dr. Jérémy Djian is a plastic surgeon specializing in rhinoplasty preservation at Paris.

The patient explains his or her wishes, and the surgeon takes a medical and surgical history to ensure that there are no contraindications to surgery.

A clinical examination of the nose enables the doctor to assess any nasal defects that can be corrected. Nasal obstruction is sought.

In consultation with the surgeon, it is possible to perform a simulation by computer.

It's important to understand that the aim of this simulation is to ensure that the patient's wishes are in line with pre-operative planning, in terms of the desired shape of the nose.

To do this, the surgeon takes a profile photo and uses software to simulate the expected result.

Front photos do not provide a simulation of the postoperative result.

Simulation is a help, but does not guarantee’aspect post-operative. It allows surgery to be tailored to each individual face.

A quotation is given to the patient, and photos are taken: front, profile, three-quarter, top and bottom views.

IS THIS TECHNIQUE SUITABLE FOR SECONDARY RHINOPLASTY?

If the first surgery was a non-preserving surgery, rhinoplasty will probably not be the most suitable technique to correct the defects of a primary rhinoplasty.

On the other hand, if the aim is to correct imperfections resulting from initial preservation surgery, this technique can be reused, for example, in the case of

• bump recurrence
• tip displacement

HOW MUCH DOES RHINOPLASTY COST IN PARIS?

The price of a rhinoplasty is identical to that of a classic primary rhinoplasty .

The price of rhinoplasty can vary according to the specialist and the city.

The total price of a rhinoplasty corresponds to the sum of the fees of the surgeon, the anesthetist and the clinic. As a result, prices can vary from one clinic to another, particularly between Paris, the Paris region and the provinces.

Count on between 6,000 and 7,000 euros in Paris for primary rhinoplasty.

This fee does not include the first consultation with the Doctor Djian (surgeon rhinoplasty specialist in Paris), nor the anesthesia consultation.

In the case of complex or reconstructive rhinoplasty, the operating time and anesthesia are longer. The price changes accordingly.

To find out about the rhinoplasty price preservation in Paris, it is necessary to carry out an initial consultation with the plastic surgeon in Paris. Dr. Djian can then draw up a detailed estimate for the patient.

Find out more about price of rhinoplasty.