RHINOPLASTY IN PARIS

WHY CONSIDER RHINOPLASTY?

• A nose considered unattractive : A nose that is hooked, too long, asymmetrical, bulbous at the tip, or deformed due to trauma or heredity may appear out of proportion with the other facial features. Rhinoplasty can correct these characteristics while preserving the overall harmony of the face.
• When the The nasal septum is deviated or that the The cornets are enlarged, airflow can also be significantly impaired. A septoplasty, associated with a functional rhinoplasty, thereby restoring unobstructed nasal breathing while improving the nose's appearance.
• Beyond the face, changing your nose also means redefine the balance of all the features. Many of my patients—both men and women—report greater self-confidence, a more accepting attitude toward others, and even a genuine psychological release.

THE DIFFERENT TYPES OF RHINOPLASTY

OPEN VS. CLOSED SURGICAL RHINOPLASTY

The choice between closed lane and open path depends on the extent of correction needed.

• The Closed Track, through incisions inside the nostrils, prevents any visible scars and is suitable for simple cases such as a bump,. However, its use remains limited for fine reshaping of the tip, since the alar cartilages are not directly exposed.
• The Open Path, via a a small incision under the nose, provides a comprehensive view of the structures and enables more accurate reconstructions. It takes longer to perform and generally results in more pronounced postoperative swelling.

The most appropriate technique is determined following a comprehensive evaluation: the patient's expectations, skin condition, and the anatomy of the nose.

The goal remains the same: a natural, balanced, and long-lasting result.

To see the resulting image, check out the before-and-after rhinoplasty photos by Dr Djian.

PRESERVATIVE RHINOPLASTY

This is the technique I use most often: the rhinoplasty preservation corrects the bump without cutting through the dorsum, by gently moving the nose backward rather than reconstructing it.

Performed using a closed technique, leaving no visible scar, it provides a natural and stable result, with a quick recovery—often without the need for a cast or splints.

It is particularly suitable for primary rhinoplasty procedures, when the nose tip and airways do not require complex reconstruction.

Learn more about the procedure, benefits, and outcomes of this technique →

ULTRASONIC RHINOPLASTY: PRINCIPLES, ADVANTAGES AND LIMITATIONS

The ultrasonic rhinoplasty uses an instrument called a Piezotome to precisely reshape bone structures without damaging the surrounding soft tissues. Performed exclusively by open path, it provides optimal surgical control over the traumatized noses, very wide or asymmetrical.

On the other hand, it involves a longer procedure and postoperative swelling that is sometimes more pronounced.

Learn more about the indications, procedure, and follow-up for this technique →

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, lift the tip of the drooping nose or harmonize asymmetrical contours.

It is particularly well-suited for patients seeking a solution immediate, reversible and without social eviction.

The injection is administered under local anaesthetic or without, in 10 to 15 minutes, with a immediate results. However, it does not reduce nose size nor to treat a respiratory discomfort or a deviated nasal septum.

ADVANCED AND STRUCTURAL RHINOPLASTY

This method is intended for patients with a very prominent nose, a nasal apex globular, asymmetric or falling.

It consists of fine reshaping of the wing cartilage while reinforcing the nasal structure to ensure long-term survival.

This technique allows you to’achieve a natural result, better proportioned, in harmony with the features of the face, while preserving respiratory function.

ETHNIC RHINOPLASTY

The ethnic rhinoplasty is intended for patients of African-Caribbean, Asian, Middle Eastern, or Mediterranean descent.

Each body type has its own characteristics, such as thicker skin, wider nasal bones, wider nostrils, which require a customized approach.

The goal is not 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.

Sometimes, certain mild symptoms may be processed by injection.

RHINOPLASTY FOR MEN

The Rhinoplasty for Men meets specific expectations: maintaining a masculine, virile, and natural look, without the «nose job» look».

The skin, which is often more thick and sebaceous, as well as a nasal skeleton more pronounced, requires a tailored technical approach.

Many patients are looking for a discreet correction of the bump, or a aquiline nose, or the tip, without changing the’overall facial balance.

This requires specific expertise that takes these morphological differences into account for a A harmonious and masculine look.

PRICES AND COVERAGE

HOW MUCH DOES A RHINOPLASTY COST IN PARIS WITH DR. DJIAN?

*Prices for cosmetic surgery and aesthetic medicine are provided for informational purposes only and are not binding. The initial consultation at the office in the 16th arrondissement of Paris costs 100 euros.

To learn more about the price, you can read our article on the topic: Rhinoplasty: how much does cosmetic nose surgery cost?

SOCIAL SECURITY AND MUTUAL INSURANCE COVERAGE

Although the rhinoplasty is not reimbursed., a functional intervention for partition deviation or respiratory discomfort can be covered by Social Security. In this case, a scanner and a request for prior approval are required.

If your claim is accepted by the Assurance Maladie, your mutual insurance company can then cover the following costs excess fees and hospitalization costs. If not, check whether your contract includes a cosmetic surgery« package».

It is advisable to submit a detailed quote to your complementary health insurance provider to confirm reimbursement terms.

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 third-level, is much more technical than an initial response.

It applies to patients who have already undergone surgery and wish to remove a residual dent, a ill-defined tip or a persistent deviation.

These operations are complex due to the fibrosis, and internal scars and sometimes loss of cartilage. This requires the use of cartilage grafts (e.g., ear, rib).

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 occur.

Similarly, pregnancy can thicken the skin on the nose or subtly modify its contours. A secondary rhinoplasty A customized solution can then resolve these alterations, sometimes involving cartilage grafts.

RHINOPLASTY FOR VOICE PROFESSIONALS

Any intervention can influence the vocal resonance, particularly when it involves a surgery on the septum or turbinates.

Singers, teachers, actors, and public speakers are particularly affected by these subtle but significant changes.

In my practice, a Preoperative ENT Evaluation is routinely recommended to assess risks and tailor the surgical procedure. Certain modifications may even improve resonance by correcting chronic nasal obstruction. However, in rare cases, a period of vocal adjustment is necessary.

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 NOSE SURGERY IN PARIS

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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 the possible modifications and to ensure 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 tool for discussion to facilitate an assessment consistent, realistic, and personalized.

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 operation is also based on a good mental preparation and a adjustment time.

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 during the first few weeks following the procedure.

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.

RHINOPLASTY PROCEDURE IN PARIS

PRE-OPERATIVE STAGES IN THE CONSULTING ROOM

Before any procedure, I see 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 as well as the proportions of the face.

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 all your questions.

THE DAY

You will be welcomed at the clinic in the morning, at fasting from the previous day.

After you've settled into your room, you'll meet the’anaesthetist to monitor vital signs and adjust sedation.

I'll go next 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 1 hour 30 minutes and 3 hours depending on the complexity of the case.

In case of rhinoplasty preservation, there is no no plaster or 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 The bandage is removed between the 7th and 10th day.
• 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 removing the bandage. However, the’edema still obscures the outlines.

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

Hematomas, infections, irregularities the outline or persistence of a asymmetry are rare but possible events.

Thanks to expert technique and careful planning, these complications are minimized.

It’s essential to discuss this beforehand so you aren’t caught off guard.

Approximately 5 to 10 % of patients may require a surgical touch-up after 12 months. For example, a slight residual bump or asymmetry at the tip may warrant a follow-up procedure. The touch-up is generally less extensive and is performed under local anaesthetic or short-term general.

POST-OPERATIVE FOLLOW-UP: KEY STAGES

As a surgeon, I personally ensure that patients receive regular and thorough follow-up care after every 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.

RHINOPLASTY IN PARIS: A NEW LEASE ON LIFE, A NEW SENSE OF SELF

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 now makes it possible to precise movements, respectful, whether they are aesthetic or functional.

Restoring harmony to the face, regain fluid breathing, reconciling with your reflection all reasons to consider this intervention.