MEDICAL RHINOPLASTY PARIS

WHAT IS MEDICAL RHINOPLASTY?

DEFINITION AND PRINCIPLE OF THE PROCEDURE

Medical rhinoplasty, also known as « rhinoplasty preservation« , « rhinomodulation of the nose »or « liquid rhinoplasty »in English, consists of l'controlled injection of hyaluronic acid to correct certain aesthetic defects of the nose. Unlike classic rhinoplasty which involves permanent structural modification by surgical means, this method non-invasive is based on adding strategic volume to rebalance the proportions of the nose.

The hyaluronic acid used is an absorbable gel, biocompatible, identical to that naturally present in our bodies. Some practitioners also use calcium hydroxyapatite for specific cases requiring greater durability. The products I use are cross-linked hyaluronic acids, They have a medium to high density and can be shaped like «modelling clay». They are formulated to maintain their shape and projection over time.

The fundamental distinction with cosmetic plastic surgery lies in the approach: whereas in surgery we removes or restructures tissue, In aesthetic medicine, we work by volume addition to create harmonious «optical illusions».

This approach considerably reduces risk while offering natural, proportionate results.

RHINOPLASTY WITHOUT SURGERY: WHY THE SUCCESS?

Its success is part of a societal context in which the aesthetics of the nose occupies a predominant place, particularly on social networks. People are now looking for immediate, no-holds-barred solutions. Non-surgical rhinoplasty is the perfect answer to these modern expectations.

The advantages that explain this craze are many:

• Results immediately visible after the operation
• Without anaesthetic general, only local anesthesia
• No convalescence
• Possibility of resume business normal same-day
• Reversible, without obligation

In my practice, 85% of my clients return to work immediately after the session.

Thepsychological aspect is not insignificant: the reversibility of the treatment considerably reassures patients anxious about the idea of a definitive change to their face. This «trial period» often allows them to confirm their expectations before considering, if necessary, a permanent surgical solution with a plastic surgeon.

INDICATIONS AND LIMITATIONS OF MEDICAL RHINOPLASTY

AESTHETIC DEFECTS CORRECTED BY HYALURONIC ACID INJECTIONS

I mainly treat six types of nasal defects with hyaluronic acid injections.

• Nose hump (osteo-cartilaginous hump) approx. 60% applications: by injecting above and below the bump (convexity), we create a straight, harmonious line that visually eliminates the irregularity.
• Hollows on the bridge of the nose (dorsum depressions), Whether present since birth, due to shock (post-traumatic) or following previous surgery, they can be effectively filled by targeted injections.
• Pronounced nasofrontal angle Injection at the transition point between the forehead and the nose to soften the hollow angle.
• Nose asymmetry (nasal asymmetry) Small, precise injections rebalance volumes and correct slight deviations to restore natural symmetry.
• The tip of the nose falls off (drooping nasal tip) injection at the base of the nose (columella and naso-labial angle) creates a projection effect that visually straightens the tip and gives it more character.
• The tip of the nose splits in two (bifid tip): injection between the cartilages to smooth the hollow and visually reunify the tip of the nose.

This approach provides natural, harmonious results without the constraints of traditional surgery.

CASES WHERE SURGERY IS PREFERABLE TO RHINOPLASTY BY INJECTION

I have to be transparent about the limits of this technique. A very wide nose cannot be refined by injection: only surgery can reduce bone and cartilage width. Similarly, a deviated nasal septum or a deviated nose require structural surgical correction.

Functional respiratory disorders represent a problem and an absolute contraindication to a purely aesthetic approach. In these cases, I suggest that my patients undergo surgical rhinoplastysometimes with the ultrasonic rhinoplasty to preserve fabrics as much as possible.

The unrealistic expectations are my main concern when it comes to first consultation. When a woman or a man wants a drastic modification of their nose, comparable to the effects of a major surgical rhinoplasty, I have to make it clear that medical rhinoplasty will not be able to meet their expectations.

PROCEDURE FOR MEDICAL RHINOPLASTY IN PARIS

INITIAL CONSULTATION

The first appointment, a average duration 30 to 45 minutes in my practice near avenue Victor Hugo in Paris, I then determine the feasibility and strategy of treatment. First, I perform a complete morphological evaluation: analysis of facial proportions, profile and front view study, palpation of nasal structures and study of surgical anatomy.

A crucial moment is when expectations are taken into account.

The injection plan follows a rigorous methodology:

• Identification of areas to be treated
• Choosing the type of hyaluronic acid
• Calculating volume requirements
• Definition of injection technique (cannula or fine needle)

I systematically photograph the person under different profiles to document the initial state.

HOW DOES A PRESERVATION RHINOPLASTY SESSION WORK?

The protocol I apply in my practice follows a standardized sequence to guarantee safety and optimal, natural-looking results. After careful disinfection of the area to be treatedI apply a local anaesthetic cream (lidocaine 5%) for 20 minutes to make the procedure virtually painless.

The choice between cannula and needle depends on the area to be treated: I prefer to use

• foam cannula for injections on the back of the nose, which is less traumatic and enables more precise sculpting.
• Fine needles are reserved for precision touch-ups and delicate areas such as the nasal tip.

The injection itself takes between 15 and 30 minutes.. I proceed by small quantities successive (0.1 to 0.2 ml per spot), with a visual inspection and constant palpation. This progressive technique enables real-time adjustment of the result and avoid overdosing.

Immediate control is an integral part of the procedure: gentle massage to homogenize the product, checking for symmetry.

From photos at the end of the appointment document the result obtained.

IS RHINOPLASTY BY INJECTION PAINFUL?

This question always comes up during consultations. In my experience, 90% of people describe the sensation as «bearable» to «slightly uncomfortable».». Pre-application of anaesthetic cream significantly reduces pain.

The most sensitive areas are the nasal tip and the wings of the nose., richly innervated.

To optimize comfort, I apply several proven techniques:

• Slow, progressive injection to minimize tissue pressure
• Systematic use hyaluronic acid enriched with lidocaine (local anaesthetic)
• Installation of relaxation techniques and distraction during the procedure

Discomfort generally disappears within minutes of the end of the procedure.

RESULTS, DURATION AND MAINTENANCE OF MEDICAL RHINOPLASTY

IMMEDIATE RESULTS: WHAT TO EXPECT?

One of the major advantages of this technique is the immediate visibility of changes. As soon as the procedure is over, the patient can appreciate the change obtained, even if the final appearance will only be visible once the swelling has completely subsided (48 to 72 hours).

If the correction is important, it is preferable to make several appointments. This will ensure a harmonious result and avoid complications due to excess product.

Naturalness is my top priority A good result from medical rhinoplasty shouldn't be obvious. The nose should appear harmonious and proportionate, with no obvious signs of intervention. This «least visible possible» philosophy guides all my injections. The effect is subtle but clear.

HOW LONG DO THE EFFECTS LAST?

The duration of visible effects is a legitimate concern for the people who consult me. In my practice, I observe a average duration 12 to 18 monthswith significant variations depending on a number of factors. Individual metabolism influences considerably: sports enthusiasts and those with a fast metabolism metabolize hyaluronic acid more quickly.

The type of product injected also determines longevity: dense, highly cross-linked hyaluronic acids last longer than less dense versions. Calcium hydroxyapatite sometimes offers superior durability.

The injection zone also plays a role The back of the nose, which is less mobile, retains the product longer than peripheral areas.

I have established a personalized follow-up protocol: checks at 15 days, 3 months, 6 months and 12 months. This monitoring makes it possible to objectify the evolution and anticipate retouching needs.

WHEN TO REPEAT A TREATMENT?

Renewal is not always required on a fixed date. I teach my patients the signs that indicate it's time to have injections again: gradual reappearance of the initial defect, loss of projection visible from the side, incipient asymmetry.

In 60% of cases, an annual maintenance procedure is sufficient to maintain the optimal result. This follow-up procedure generally requires less product (0.5 to 0.8 ml vs. 1 to 1.5 ml for the initial session), as some of the previous hyaluronic acid remains.

Adjustment can also be an opportunity to improve the initial result or treat new areas. This progressive approach optimizes overall facial harmony over time.

THE DANGERS OF MEDICAL RHINOPLASTY

POSSIBLE SIDE EFFECTS

Transparency regarding risks is part of my duty to inform. The most frequent side effects I observe are benign and transient : moderate edema (100% of individuals), local redness (80% of cases), small bruises (30% of consultants). These manifestations appear directly after the intervention and disappear spontaneously in 24 to 72 hours.

Temporary asymmetry affects around 15% of people, generally due to uneven edema. It corrects spontaneously or sometimes requires a minor touch-up.

The vascular complications, Although extremely rare (less than 0.1% according to medical literature), this is the most serious risk. Accidental injection into an artery can cause a cutaneous necrosis or, exceptionally, a retinal embolism. These complications mainly arise when the procedure is carried out by practitioners inadequately trained in the complex vascular anatomy of the nasal region.

This is why it is essential to refer exclusively to a specialized doctor, with a thorough understanding of local anatomy and vascular emergency techniques.

MEDICAL RHINOPLASTY: A REGULATED PROCEDURE

The practice of aesthetic medicine in France benefits from a strict regulatory framework to protect patients. These stringent regulations guarantee high level of competence and a secure care. As a registered doctor, I am subject to strict ethical obligations and constant monitoring of my practices.

RECOMMENDED CERTIFICATIONS AND TITLES FOR PRACTITIONERS

• Medical degree (Doctorat d'Etat)
• University Diploma in Aesthetic Medicine
• Training in injection techniques (attestation)
• Registration with the Ordre des Médecins
• Emergency training

RATES FOR MEDICAL RHINOPLASTY IN PARIS

PRICE RANGE BY ZONE AND PRODUCT

The cost of medical rhinoplasty varies according to several criteria. In my practice, I charge 600 euros, including alterations. This amount varies according to the complexity of the case and the volume of product required.

Generally speaking, the factors influencing the price for different practitioners include :

• The type of hyaluronic acid or hydroxyapatite used (high-end products are more expensive)
• The injected quantity (from 0.5 to 2 ml depending on the case)
• The technical complexity (number of areas treated)
• The experience the practitioner

This procedure is considered purely cosmetic, no Social Security cover is available. However, some mutual insurance companies offer an aesthetic medicine package that can partially cover the costs.

COMPARISON: MEDICAL RHINOPLASTY OR SURGERY?

THE ADVANTAGES OF THE MEDICAL VERSION

As mentioned above, medical rhinoplasty offers undeniable advantages: no surgery or general anaesthesia, minimal pain, immediate results, return to activity, complete reversibility of effects, and a more accessible budget (600 versus €4000 to €8000 for surgery).

The psychological aspect is worth emphasizing: many of my patients use the medical rhinoplasty as a «test» before considering definitive surgery. This 12-18 month evaluation period enables them to validate their expectations and refine their aesthetic project.

If you hesitate between the two approaches, If you have any questions, please don't hesitate to make an appointment for an in-depth consultation, where together we'll analyze the solution best suited to your morphology and expectations.

LIMITS TO COSMETIC SURGERY

Temporary duration means regular maintenance treatments, This represents a cumulative cost that is potentially greater than surgery over the long term. The economic calculation over 10 years may favor the surgical approach.

On the other hand, some major malformations can only be corrected surgically: very wide or blunt nose requiring osteotomy, major partition deviation, functional respiratory disorders.

Expectations of major transformation cannot be satisfied by medical rhinoplasty, which remains a improvement technique not radical transformation.

Only an operation can bring about major structural change.

IS IT POSSIBLE TO SWITCH FROM MEDICAL TO SURGICAL RHINOPLASTY?

This transition is not only possible, but often desirable. I estimate that 30% of my consultants finally opt for a surgical solution after testing the medical approach.. This prior experience considerably refines their surgical requirements.

The conditions are simple: wait for complete resorption hyaluronic acid (minimum delay 18 months) and choose an experienced surgeon informed of pre-treatment.

CHOOSING A PRACTITIONER IN PARIS: MY ADVICE

In addition to the mandatory regulatory qualifications, the choice of practitioner largely determines the quality and safety of results. My recommendations are based on essential complementary criteria:

• Documented experience with nasal injections
• Photo portfolio authentic before and after
• Verified and detailed reviews

Anatomical competence is an essential prerequisite: the nasal area is rich in complex vascular and nervous structures, requiring in-depth knowledge. This anatomical expertise translates into enhanced safety and precise, measured gesture.

I encourage you to take the time to think it over: a thorough, unhurried consultation with a practitioner who takes the time to answer all your questions is the guarantee of quality care.

IN A NUTSHELL: SHOULD YOU OPT FOR MEDICAL RHINOPLASTY?

After more than 10 years of practice in medicine and cosmetic surgery, I can say that medical rhinoplasty is an excellent excellent option for correcting moderate nasal defects for people seeking natural improvement without surgical constraint.

The benefits are real: immediate, natural results, no downtime, complete reversibility, controlled cost. However, the limitations must be clearly understood: temporary duration of effects, inability to treat major deformities, need for regular maintenance.

Paris offers a benchmark environment for aesthetic medicine, with practitioners trained to the highest standards and a protective regulatory framework. This French excellence in aesthetic medicine attracts many people from abroad.

My final recommendation: if your request corresponds to the indications I've detailed, and if you accept the temporary nature of the treatment, medical rhinoplasty can bring you satisfaction. A personalized consultation is essential to accurately assess your case and guide you towards the best solution.

If you have any further questions or would like to schedule a consultation, please do not hesitate to contact me at my office in the 16th arrondissement. The help I can give you and the excellence of your care remain my top priorities.