fb Refining and lifting the tip of the nose: Rhinoplasty or Botox?
Dr Jérémy Djian, 5 Square Thiers , 75016
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Nose tip lift: nose surgery, rhinoplasty

published on 03.09.2021 by Dr Djian
Removing the tip of the nose: nose surgery, rhinoplasty
Summary
  • HOW DOES THE OPERATION WORK?
  • WIDE TIP TREATMENT
  • LE TRAITEMENT DE LA POINTE DÉVIÉE
  • TREATMENT OF THE DROOPING TIP
  • QUELLES SONT LES SUITES OPÉRATOIRES ?
  • NOSE TIP LIFT WITHOUT SURGERY: BOTOX
  • PRIX POUR REMONTER LA POINTE DE NEZ ET REMBOURSEMENT PAR LA SECURITE SOCIALE
In short
  • The nose tip rhinoplasty corrects a drooping, broad or deviated tip without visible scarring thanks to the closed technique used by the Dr Djian.
  • Produced under general anesthesia, it refines or straightens the tip by acting on the wing cartilages and the nasal septum.
  • The post-operational effects are straightforward: little pain, social reintegration in 7 to 15 days.
  • The Botox sometimes slightly raise the tip without surgery, by acting on the muscle depressor nasi septi.
  • The price is around 6 000 €, no reimbursed by Social Security.

Do you have a broad, deviated or drooping nose tip? Rhinoplasty is the ideal solution for correcting these «defects».

The main characteristics of patients wishing to modify their nose tip are :

- A excess cartilage which results in excessive projection of the tip (hyperprojected nose); ;
- A drooping nose tip, which may fall more when the patient smiles; ;
- Some upturned nostrils, or too flared, revealing the columella; ;
- A asymmetrical nose tip.

 

HOW DOES THE OPERATION WORK?

 

Since there are several features considered defects, the plastic surgeon has several methods for correcting the tip of the nose.

Regardless of the technique used, a aesthetic nose surgery takes place under general anesthesia. Doctor Djian, plastic surgeon in Paris, the closed rhinoplasty. The operation takes place at’inside nose. There is no visible scar.

To raise the tip of the nose, it is not necessary to work on the’nose bone.

The nose tip surgery peut être pratiquée aussi bien chez l’homme que chez la femme. (Consultez notre article sur la rhinoplasty for men.) Elle relèvera la pointe de façon harmonieuse et esthétique. Elle permet aussi de project the tip of the nose to give a «trumpet nose» effect, if the patient so desires.

For an overview of the results obtained after this type of procedure, consult the before and after rhinoplasty photos by the Dr Djian. They present a variety of cases, both male and female, illustrating both medical and surgical rhinoplasties.

 

WIDE TIP TREATMENT

 

There are several ways to correct a wide nasal tip. The surgical technique will depend on the patient's needs and problems.

Rhinoplasty techniques to reduce the width of the tip of the nose:

  • Refining the cartilage at the tip of the nose Remove the upper part of the wing cartilages, on the upper part of the nostrils, to make the tip of the nose less broad and globular.
  • Sutures of the nasal tip cartilage the sutures shape the cartilage. They refine the contours of the tip. The choice of suture depends on the patient's nose.
  • Cartilage graft placement the grafts project the cartilage ultrastructure. The relief of the tip is enhanced, particularly in the case of thick hide.
  • Skin degreasing This technique is only used on patients with very thick skin (ethnic rhinoplasties).

 

It is also possible to combine this procedure with resection of the wings of the nose, to refine the nose on the sides.

 

LE TRAITEMENT DE LA POINTE DÉVIÉE

 

Deviated tip treatment corrects each element responsible for the deviation.

In general, several gestures are associated:

  • Correction of partition deviation nasal ;
  • Readjustment of the tip-defining cartilage;
  • Correction of cartilage in the middle third of the nose (dorsum).

 

TREATMENT OF THE DROOPING TIP

 

Removing a drooping tip is a delicate operation. The aim here is to obtain a final result without raising the tip too much.

The technique can combine different gestures:

  • Resection (removal of part of) the anterior nasal septum;
  • Work on wing cartilage with possible suture or section-suture;
  • Setting up a supporting cartilage graft, called «columellar strut».

 

Il est possible d’associer des gestes de correction du nose too long (hyperprojected nose) to the treatment of drooping tip, or the treating a bump.

En ce qui concerne la pointe tombante associée au sourire ou à la parole, il existe un geste supplémentaire. L’effet de pointe tombante lié au sourire ou à la parole est dû à l’hyperactivité du muscle depressor septi nasi.

The operation consists in dislodging this muscle from its high bony attachment (anterior nasal spine), without cutting it. An operation without nose surgery is also possible (see end of article).

 

QUELLES SONT LES SUITES OPÉRATOIRES ?

 

The immediate aftermath is as follows not too restrictive.

The patient does not feel no real pain after the operation. Doctor Djian does not use no wicks.

For the first few days, it is advisable to rest as much as possible and to’avoid violent exertion. It is possible that a edema appears, However, bruising under the eyes is rare, as there is no surgical intervention on the bone.

After 5 to 7 days, a inspection appointment is scheduled, during which the nose protection splint and sutures are removed. A return to normal social and professional life is possible 7 to 15 days after the operation.

During 1 month, it will be necessary to proceed to a regular cleaning of the nasal cavities.

 

NOSE TIP LIFT WITHOUT SURGERY: BOTOX

 

Si la pointe du nez d’un patient tombe lorsqu’il parle ou sourit, il est possible de up the nose tip without plastic surgery.

L’affaissement de la pointe du nez lors du sourire ou de la parole est dû à l’action du muscle “depressor nasi septi”. Ce muscle est situé au niveau de la columelle et attire la pointe du nez vers le bas lorsqu’il se contracte.

This effect can be corrected with botulinum toxin, more commonly known as «Botox».

Botox injections réduisent l’action du muscle “depressor nasi septi” par une simple injection et empêchent l’abaissement de la pointe.

The injection technique is simple. A single injection point is defined within the muscle. It is usually located at the base of the nose, above the upper lip.

For a final result optimal, the plastic surgeon goes :

  • Analyze the movements of the tip of the nose when speaking and smiling;
  • Analyze the cartilage structures of the tip of the nose and their rigidity;
  • Analyze the nasal septum or wing cartilage, the structures that support the tip.

Botox injection provides a solution fast and effective, without surgery.

This treatment is particularly indicated for minor drooping and tip lift. Generally speaking, the best treatment for wind up the tip remains conventional surgical rhinoplasty.

 

PRIX POUR REMONTER LA POINTE DE NEZ ET REMBOURSEMENT PAR LA SECURITE SOCIALE

 

The price of rhinoplasty of the tip of the nose is around €6,000.

This price includes doctor's fees, operating room fees, hospitalization fees and anesthetist's fees. It does not include the initial consultation, the consultation with the anaesthetist or post-operative medication.

The rhinoplasty is an intervention by aesthetic plastic surgery. It is therefore not covered by Social Security.

 

To help you in your search for a bon chirurgien en rhinoplastie, To find out more about Dr. Djian's services, please consult our dedicated article or book a no-obligation appointment with Dr. Djian, spécialiste de la rhinoplastie à Paris.

 

Your Questions

FREQUENTLY ASKED QUESTIONS ABOUT ADVANCED RHINOPLASTY

CAN THE TIP OF THE NOSE BE RAISED SLIGHTLY WITHOUT SURGERY?

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Yes, a botox injection can correct a drooping smile tip, by acting on the muscle depressor septi nasi responsible for lowering the nose during facial expressions. This simple, painless procedure leaves no scars, and results become visible within 5 to 10 days. Dr. Djian evaluates smile dynamics, tip mobility and cartilage structure to ensure that the treatment is effective. This protocol is reserved for very mild cases, with no permanent structural loss.

HOW LONG DOES IT TAKE TO SEE THE FINAL RESULT AFTER TIP RHINOPLASTY?

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It takes between 6 and 12 months to judge the final result.. The tip of the nose takes time to deflate, especially if the skin is thick. Dr. Djian provides regular follow-up to monitor post-operative progress. Transient variations in relief or asymmetry may appear in the first few weeks before stabilization.

CAN A HEREDITARY DROOPING TIP BE CORRECTED?

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Yes, rhinoplasty can effectively treat a genetic drooping tip.. Dr. Djian works on the septum, wing cartilage and nasal musculature to restore natural projection. This type of correction often requires a supporting graft. Surgery is fully customized to the shape of the nose and aesthetic expectations.

DOES NOSE TIP RHINOPLASTY LEAVE SCARS?

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No, the technique used by Dr. Djian is a closed rhinoplasty with no visible scar.. All incisions are made inside the nostrils, making the postoperative period more comfortable and the result more discreet. This method is ideally suited to isolated tip corrections, except in the case of very complex noses requiring an open approach.

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Dr. Jérémy Djian
Dr. Jérémy Djian

Dr Jérémy Djian is a plastic surgeon based at 5 square Thiers, near the Victor Hugo roundabout, in the 16th arrondissement of Paris.

He trained in Paris and remains attached to the hospital in the prestigious department of Pr Laurent Lantieri.

 

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Your Questions
ASK YOUR QUESTIONS
TO DR. DJIAN
Odonnat Mael
13.10.2023

Good morning, Dr,

I would like to raise the tip of my nose by having a rhinoplasty.
I have a few questions about the post-op part:
- How long after the operation does the nose remain swollen?
- How long after the operation will I be able to wear glasses again without fear of nose pain?

We look forward to hearing from you.

Best regards,

answer
Dr Djian

Hello, ma'am,
Allow 3 weeks for swelling,
Glasses after 2-3 weeks,
Yours sincerely,
Dr Djian