Rhinoplasty is a surgery of the nose that changes its shape or corrects functional issues.
It is one of the most challenging and meticulous surgeries because of the importance of the nose in the balance of the face.
A corrective and/or a functional rhinoplasty gives the best results when the patient and the plastic surgeon share the same vision on the outcome. The patient must feel comfortable with the plastic surgeon, discuss his needs, tell him his expectations and find an agreement over what result is possible to reach.
This information sheet is issued by Dr Vincent Nguyen board-certified plastic surgeon in Paris, familiar with Rhinoplasty. It provides all the information about the surgery, scars, recovery, before and after comparison photographs, Social Security or Health Insurance Company coverage or reimbursement and the costs of rhinoplasty.
What is Rhinoplasty?
Rhinoplasty is a surgery that changes the shape of the nose for esthetic or functional reasons (to help breathe more easily).
Patients undergo Esthetic Rhinoplasty to correct an esthetic concern due to a birth defect or to aging.
In case of a trauma or after nasal injuries, patients undergo a reconstructive nose surgery to give their nose a natural and normal appearance.
What are the different types of nose surgery?
There is esthetic rhinoplasty, corrective rhinoplasty and reconstructive rhinoplasty.
There is also primary rhinoplasty (first nose job) and revision rhinoplasty (second, third, fourth or even more nose jobs) that is more challenging on a multi-operated nose.
Rhinoplasty may also be partial, only the tip of the nose is addressed, ethnic (Asian, African…) and medical (nose job with fillers) without surgery.
What result is possible?
Depending on the expectations of the patient and what was agreed during the consultation, the plastic surgeon can reduce the size of a large nose, shorten a long nose, change the shape of the tip, modify the contour of the bridge by correcting a bump or correct a deviated septum.
What is the goal of rhinoplasty?
People get a nose job to improve the appearance of their nose, to create a natural balance and harmony to the face.
The plastic surgeon must make sure that it also matches the personality and psychology of the patient to achieve the best possible natural outcome.
BEFORE RHINOPLASTY SURGERY:
AFTER RHINOPLASTY SURGERY:
What about scars?
There are no visible scars after a nose job.
The incisions are hidden inside the nostrils for a closed rhinoplasty, through the columella (skin separating the two nostrils) for an open rhinoplasty, or hidden in the folds at the base, the sides of the nose if the goal is to reduce the size of nostrils (see picture).
The bone and cartilage are sculpted to a new shape through these incisions. Sometimes grafts of cartilage are used to fill a depression, support a part of the nose or improve the shape of the tip. The skin will redrape over the new shape due to its elasticity.
Can rhinoplasty address breathing issues?
Some patients requiring rhinoplasty also complain of breathing discomfort due to a deviated nasal septum or to a hypertrophy of the nasal turbinates. Rhinoplasty is then combined with septoplasty and/or turbinate surgery.
What other procedures may be combined with a nose job?
Rhinoplasty may be combined with genioplasty (chin surgery) to improve the profile of the patient in a spectacular way.
Any other face surgery may be combined with rhinoplasty: blepharoplasty, neck lift, lipofilling, or any esthetic medicine procedure: peeling, Botox, Hyaluronic Acid injections…
What are the alternatives to Rhinoplasty?
Medical rhinoplasty (esthetic medicine) may, in some rare cases, replace a surgical procedure. Dr Vincent Nguyen may suggest injections of Hyaluronic Acid if he thinks it is adapted to the patient’s needs.
What is the interest of morphing?
Computer morphing is very helpful before a nose job as the plastic surgeon uses computer software to touch up photos, to show the patient what surgical results may be achieved with his nose, before the surgery. The virtual pictures obtained help reach a global approach of the outcome.
It enables the plastic surgeon to make his patient understand that his nose must be in harmony with the rest of his face and that certain nose shapes won’t suit his face.
However, Morphing is only a tool, a virtual picture. It is a global approach, not the exact outcome. It helps the patient to better understand what can be done to reach the best natural result in harmony with his face.