RHINOPLASTY IN PARIS: UNDERSTANDING, CHOOSING AND ACHIEVING A SUCCESSFUL NOSE JOB

WHY CONSIDER RHINOPLASTY?

RECTIFY AN UNSIGHTLY NOSE

Certain hereditary noses or noses deformed by trauma can appear out of sync with facial features. Hunchbacked, too long, asymmetrical or with a rounded tip: rhinoplasty can correct these features while preserving overall harmony.

REGAIN OPTIMAL RESPIRATORY FUNCTION

When the nasal septum is deviated or the turbinates are enlarged, airflow can be significantly impaired. A septoplasty, associated with a functional rhinoplasty, allows you to restore fluid nasal ventilation while improving aesthetics.

CHANGING YOUR NOSE, TRANSFORMING THE WAY YOU LOOK AT YOURSELF

Modifying the nose also means redefining the balance of the face. Many of my patients report that, after the operation, they feel more confident about their appearance. greater confidence about themselves tolerance of other people's views, and even a real sense of belonging. psychological release.

THE DIFFERENT TYPES OF RHINOPLASTY

OPEN VS. CLOSED SURGICAL RHINOPLASTY

In rhinoplasty, several surgical techniques are used by specialists according to nasal morphology, the type of procedure (primary, secondary, aesthetic or restorative) and the objectives to be achieved. The choice between a closed lane or open depends on the degree of correction required and the desired access to the internal structures of the nose.

The closed rhinoplasty, also known as the Jost technique, is often reserved for simple cases, such as the correction of a bump or excess width. The incisions are located inside the nostrils, which allows avoid visible scarring. This approach is generally quicker and can be accompanied by lighter postoperative effects. It does, however, have certain limitations, particularly in the case of complex corrections or fine reshaping of the nasal tip. wing cartilages not directly exposed. In some cases, it can also lead to dorsal irregularities if the bump is not treated with a preservation technique.

The open rhinoplasty involves a small incision in the columella, the area between the nostrils. It offers a complete visibility of bone and cartilage structures, This allows for more precise reconstruction work, particularly in the case of secondary rhinoplasty or in the presence of marked defects. Although it leaves a discreet scar, This method offers more extensive surgical control, but at the cost of longer operating times and a higher cost for the patient. postoperative edema often more pronounced.

As each patient is unique, the surgeon determines the most appropriate technique following a thorough evaluation that takes into account the patient's expectations, condition, and needs. skin quality, the condition of the nasal septum and the anatomy of the nose. The objective remains the same: deliver natural, balanced, long-lasting results.

To get a better idea of how it looks, take a look at the before and after rhinoplasty photos by Dr Djian. This page contains results from medical and surgical rhinoplasty, to compare the effects of the two methods.

RHINOPLASTY PRESERVATION

Personally, I mainly perform this rhinoplasty, also called preservation rhinoplasty or conservation rhinoplasty, an innovative technique in France, in line with recent developments in the aesthetic nose surgery. Performed via a closed approach, without external incision, this approach aims to preserve the fundamental structures of the noseand correct the bump without removing it directly.

Unlike conventional rhinoplasty, which weakens the dorsum by severing it, rhinoplasty preservation allows you to gently move the nose back to correct the nose shape while maintaining its architecture. The result is more natural, more stable over time and less traumatic for fabrics.

Produced under general anesthesia, The procedure lasts an average of 2 hours and 30 minutes and offers several advantages for the patient:

• No plaster nor wicks after the operation,
• Less edema (swelling after the operation),
• No visible scar under the nose, thanks to the closed approach,
• Structural preservation essential features of the nose (ligaments, bones, cartilage)
• Faster recovery, with same-day delivery possible.

This modern technique is particularly aimed at patients seeking harmonious aesthetic result, without excessive modification of nasal structures. It is ideal for many primary rhinoplasty projectswhen the nose tip and airways do not require complex reconstruction.

ULTRASONIC RHINOPLASTY: PRINCIPLES, ADVANTAGES AND LIMITATIONS

The ultrasonic rhinoplasty is based on the use of an instrument called the Piezotome, which uses ultrasound to precisely reshape bone structures, without traumatizing soft tissue. This technique makes it possible to correct the dent,, smooth out irregularities in the dorsum and optimize the final result, while minimizing post-operative bruising. Performed exclusively by open path, it offers a optimal surgical control, It is particularly useful for traumatized, very wide or asymmetrical noses. On the other hand, it requires a major detachment, a longer intervention and a swelling after surgery sometimes increased.

MEDICAL RHINOPLASTY (WITHOUT SURGERY): HYALURONIC ACID INJECTIONS

The medical rhinoplasty is based on hyaluronic acid injection for change shape of the nose without the need surgical operation. This aesthetic medicine, which I practice in my office, is indicated for smoothing out a small bump, raise the tip of the drooping nose or harmonize asymmetrical contours. It is particularly well-suited to patients who need a solution that immediate, reversible and without social eviction. The injection is made under local anaesthetic or without, in 10 to 15 minutes, with a immediate results. However, it does not reduce nose sizenor to treat a respiratory discomfort or a deviated nasal septum.

ADVANCED AND STRUCTURAL RHINOPLASTY

This rhinoplasty is intended for patients with a highly projected nose, a nasal apex globular, asymmetrical or drooping. It consists of fine reshaping of the wing cartilage while reinforcing the nasal structure to ensure long-term survival. This technique enables’achieve a natural result, better proportioned, in harmony with the features of the face, while preserving respiratory function.

ETHNIC RHINOPLASTY

The ethnic rhinoplasty is designed for patients of Afro-Caribbean, Asian, Middle Eastern or Mediterranean origin. Each morphology has its own specificities, with thicker skin, wider nasal bones, The more flared nostrils require a customized approach. The objective is no westernization features, but to respect the patient's identity while improving facial harmony. Dialogue during consultation is essential for identifying expectations, which are often influenced by references aesthetic and cultural diversity.

In ethnic rhinoplasty, certain mild indications can be treated by injection; in other cases, only an injection is required. aesthetic rhinoplasty or restorative surgery may be considered.

WHO SHOULD UNDERGO RHINOPLASTY IN PARIS?

WHAT IS THE EARLIEST AGE AT WHICH AN OPERATION CAN BE PERFORMED?

A rhinoplasty can only be considered once facial growth has been achieved, generally between 16 and 18 years. This is when bone and cartilage structures are sufficiently mature to allow intervention without disturbing their development.

Among young people, the skin is more elastic and adapts better to changes in shape. With age, it becomes thinner and less supple, especially in the case of’heavy sun exposure or chronic smokingwhich can complicate remodeling.

After age 40-45, the bones become more fragile and stiffer cartilage. The changes made must then be more measured in order to avoid dorsal irregularities (the bridge of the nose). The same principles apply as for thin skins To preserve the nasal structure as much as possible, in order to maintain facial balance and harmony.

CAN RHINOPLASTY (SECONDARY OR TERTIARY) BE REDONE?

Yes, but a secondary rhinoplasty, or tertiary, is much more technical than a first operation. It concerns patients who have already undergone surgery and wish to remove a residual dent, a ill-defined tipor a persistent deviation. These operations are complex because of the fibrosis, and internal scars and sometimes loss of cartilage. This requires the use of cartilage grafts (e.g. ear, rib). Such surgery must be performed by a specialist in reconstructive rhinoplasty.

POST-TRAUMATIC OR POST-PREGNANCY RHINOPLASTY

After a nasal fracture that has not healed properly or a blow to the face, deformities such as a bump,, a deviated nose or a tip asymmetry may appear. Likewise, pregnancy can thicken the skin on the nose or subtly modify its contours. A secondary rhinoplasty the perfect solution to these alterations, sometimes involving cartilage grafts.

RHINOPLASTY FOR VOICE PROFESSIONALS

Any intervention can influence the vocal resonance, This is particularly true when it involves changes to the septum or horns. Singers, teachers, actors and lecturers are particularly concerned by these subtle but important changes. In my practice, a pre-operative ENT assessment is systematically recommended to evaluate risks and adapt the surgical procedure. Some modifications can even improve resonance by correcting chronic nasal obstruction. In rare cases, however, a period of vocal adaptation is required.

Find out more about rhinoplasty and its impact on the voice: https://www.youtube.com/watch

CONSULTATION, CHOICE OF SURGEON AND PREPARATION

CHOOSE A RECOGNIZED EXPERT IN PARIS

Choose a plastic surgeon in Paris registered with the French Medical Association (Conseil National de l'Ordre des Médecins), graduate in surgery aesthetic and reconstructive surgery. Analyze its clinical cases, technical approach, read verified customer reviews and choose a professional at clear, ethical language.

Patient reviews :

I'm leaving this review following a rhinoplasty operation performed by Dr. Djian this month, which went wonderfully. He did a remarkable job, perfectly in line with my expectations, thanks in particular to his advice and attentiveness. What's more, the doctor's secretary was always very pleasant and was able to answer all my questions promptly, whether they concerned the operation or the formalities with the health insurance company. Clerc Julien - February 2025

I chose to put my trust in Dr. Djian for my rhinoplasty preservation project, and I'm more than delighted!
The results after only 1 month are already very promising: the nose looks natural, the face is considerably smoother (as a bonus, I didn't get any bruises!).
Dr Djian is very professional, a good listener and always available to answer any questions I might have. He put me at ease and understood my needs perfectly. A very good post-op follow-up, which took care of all my little worries! - Kassandra Liot April 21, 2023

THE RHINOPLASTY PROJECT AND 3D SIMULATION

At our first meeting, I take a profile photo of my patients to create a 3D simulation. This tool allows me to precisely visualize possible modifications, and to make sure that their request is well understood. Together, we analyze this projection to validate the feasibility of the desired result. This simulation is not a promise, but a valuable exchange medium for evaluating the a coherent, realistic and personalized rhinoplasty project.

RHINOPLASTY AND PSYCHOLOGY: PREPARING FOR CHANGE

Modify the nose shape, the central element of the face, can have an impact on self-image. A successful rhinoplasty is also based on a good mental preparation and a adjustment time after the operation.

A new nose, even a harmonious one, can generate a a form of psychological destabilization. The way we look at ourselves changes, which can lead to doubts or discomfort in the first few weeks after rhinoplasty.

A accompaniment by a mental health professional is sometimes useful, especially for anxious or perfectionist patients. It allows the procedure to be approached more calmed and better manage the aftermath.

Since the surgery, I feel better about myself, I have more self-confidence and this is going to help me a lot in my professional and personal life.
Doctor DJIAN, I can't thank you enough for your kindness, your dedication and for supporting me from A to Z in my aesthetic project. - Teetlie RAMTOHUL Dec 2021

PROCEDURE IN PARIS

PRE-OPERATIVE STAGES IN THE CONSULTING ROOM

Before any rhinoplasty, I receive my patients in consultation to establish a precise diagnosis. Together, we identify areas for improvement (bump,, nose tip, nose too wide or deviated...), and I evaluate the skin quality and facial proportions. A ENT check-up, a examination of the nasal septum, and smoking cessation (if applicable) are often recommended. A second visit allows you to take medical photographs, finalize the technical plan, and answer any questions you may have.

THE DAY

You will be welcomed at the clinic in the morning, at fasting since the day before. Once you have settled into your room, you will meet the’anaesthetist to check vitals and adjust sedation. I then come to redraw the surgical markings on your face and do a final check-up with you.
Thesurgical operation takes place at the operating roomunder general anesthesiaand lasts between 1h30 and 3h depending on the complexity of the case.
In case of rhinoplasty preservation, there is no no plaster, no nose plugs. A simple modeling bandage is applied.
After a visit to the recovery room, you return to your room. In most cases, you can return home the same day.. An overnight observation period may be envisaged, depending on the medical context and the distance from your home.

AFTER THE OPERATION

The nose is protected by a light external bandage. From swelling and bruising around the eyes are frequent in the first few days, as well as slight bleeding. The pain remains moderate and are well controlled by simple analgesics.
The dressing is removed between days 7 and 10.
The swelling gradually diminishes, but the final result, particularly at the tip, between 6 and 12 months after the operation.
A follow-up consultation is systematically provided.

RESULTS AND RECOVERY

WHEN DO WE SEE THE FIRST RESULTS?

The first changes are already visible in the first 10 days, after the dressing has been removed. However, the’edema still masks the contours. The nose begins to take shape at the end of 3 months, but the final resultparticularly in the tip, often requires 12 months to be fully appreciated.

RISKS, COMPLICATIONS AND TOUCH-UPS

Haematomas, infections, contour irregularities or persistent asymmetry are rare but possible events. Thanks to a well-controlled technique and rigorous planning, these complications can be minimized. It is essential to discuss them in advance, so as not to be surprised. Approximately 5 to 10 % patients may require revision surgery after 12 months. For example, a slight residual bump or asymmetry of the tip may warrant further intervention. The touch-up is generally lighter, and is performed under local anaesthetic or short-term general.

POST-OPERATIVE FOLLOW-UP: KEY STAGES

As a surgeon, I personally ensure regular and rigorous follow-up after each rhinoplasty. A first consultation takes place 7 to 10 days after surgery, to remove the dressing and assess healing.

Other events are scheduled for 1 month, 3 months, 6 months post-operative. and 1 year, to keep track of final result, check the stability of nasal structures, and answer any questions you may have.

This follow-up allows me to’adjust support if necessary, and ensure a smooth, optimal recovery.

PRICES AND COVERAGE

PRICE OF AESTHETIC OR MEDICAL RHINOPLASTY,

Costs vary from 4,000 (cosmetic surgery) to €8,000 (reconstructive surgery). These differences can be explained by a number of factors: the complexity of the surgical procedure, the type of technique used (ultrasonic, preservation, secondary...), but also by the practitioner's experience, the reputation of the practice or the conditions under which the surgery is performed. coverage (anesthesia, hospitalization, post-operative follow-up). Prices for medical rhinoplasty start at around 600 €. To find out more about the price, please consult this article: Rhinoplasty: how much does cosmetic nose surgery cost?

CASES COVERED BY SOCIAL SECURITY

The aesthetic rhinoplasty is not coverage. On the other hand, a functional intervention (rhinoseptoplasty) linked to a deviated nasal septum or a breathing difficult can be reimbursed. A scanner is then necessary to prove the inconvenience. A request for prior approval must be submitted. Supplementary insurance may also cover part of the costs.

COVERED BY MUTUAL INSURANCE COMPANIES

If a respiratory discomfort justifies a coverage by the Assurance Maladie, your health mutual may cover additional costs: extra fees, post-surgical care or hospitalization. Some complementary health insurance plans offer plastic surgery package Check whether rhinoplasty is included, and if so, how. Visit detailed quotation will be sent to you so that you can submit it to your organization for review.

WHY CHOOSE A SPECIALIST IN PARIS?

When you choose Paris for rhinoplasty, you're not just choosing a big city: you're choosing medical excellence, and access to cutting-edge technical innovations. The capital concentrates a unique ecosystem of highly qualified professionals and advanced technologies. This is where find specialists in chplastic surgery reconstructive and aesthetic, often members of the French Society of Plastic Surgery.

EXPERTISE, SAFETY AND INNOVATION

Paris is home to some of plastic surgeons the most experienced in Europe, trained in the most advanced techniques and regularly invited to participate in international congresses. This expertise guarantees greater technical precision, reduces the risk of complication, and ensures more reliable aesthetic results. The medical environment in France also imposes strict safety standards, whether in terms of hygiene, equipment or follow-up. postoperative. Innovations such as the ultrasonic rhinoplasty, 3D simulation rhinoplasty preservationor the techniques at laser are widely available.

CONCENTRATION OF TOP-LEVEL SURGEONS

In Paris, it's possible to consult several specialists, compare approaches, artistic sensibilities and professional backgrounds. This density enables each patient to find a plastic surgeon which includes not only the nature of the project, but also the patient's personality problem, and its subtle expectations. Many practitioners are also teachers or researchers, which encourages them to constantly challenge themselves and master the latest techniques. Get a notice is an essential step in getting off to a good start.

RHINOPLASTY PARIS: A NEW LEASE ON LIFE, A NEW SELF-IMAGE

As you can see, changing the shape of your nose is no trivial matter. It's often the result of a long process, of looking at oneself, of an want to feel better, more aligned. In Paris, the rhinoplasty today enables precise, respectful gestures, whether aesthetic or functional. Restoring harmony to the face, regain fluid breathing, reconciling with your reflection all reasons to consider this intervention.
If you feel this need, I can offer you clear, caring support, based on listening, technique and humanity.
Take appointment as of now at 01 88 33 61 61 to define the nose that suits you.

Here is another article on nose surgery that may be of interest to you:

• Rhinoplasty for men, a common aesthetic operation.