Rhinoplasty is a plastic surgery procedure of the nose. The objective behind this surgery may be functional required to remove respiratory problems as it can also be aesthetic when it is intended to correct the imperfections that often lead to large complexes. This surgery can be associated with chin surgery (profiloplasty)
Everything about rhinoplasty:
Rhinoplasty is also called cosmetic surgery of the nose. This surgical procedure consists in improving the aesthetic appearance of the nose.
Microrhinoplasty can be performed alone or in combination with chin aesthetic surgery also called genioplasty. The combination of these two simultaneous surgical procedures alters the patient’s facial profile.
The aim of the procedure is to obtain a natural nose in harmony with the rest of the face and not a “reconstructed” and artificial aspect
Principle of surgery:
The architecture of the nose consists of cartilage and bone that will be modified to correct defects, scars are hidden in the nose. The skin covering this organ will also be affected by these changes.
If there is difficulty breathing due to nasal obstruction, nasal septum surgery (seoplasty) can be performed simultaneously with rhinoplasty. In this case, the aesthetic surgeon will perform a rhino-sep- toplasty.
Preoperative consultation is fundamental before rhinoplasty. It will take place at the clinic. A thorough interview with the surgeon is essential to know the discomfort and wishes of the patient. Dr. Mahjoub always begins his examination with a complete facial analysis. The nose can be studied only in the general context of the face; The nasal septum will also be examined.
The photos taken after the clinical examination will make it possible to simulate, on an image of the patient’s profile, the result after the rhinoplasty. This simulation will correspond to the points that have been discussed with the cosmetic surgeon.
Rhinoplasty: anesthesia and hospitalization
As with any surgical procedure, it is strongly recommended to abstain from smoking before surgery.
Rhinoplasty is usually performed under general anesthesia, sometimes under local anesthesia (neuroleptic sedation).
Rhinoplasty can be performed in outpatient surgery (check-in and check-out on the same day of the procedure). For more safety, the surgeon advises you a hospitalization of one night with a departure from the clinic the following morning.
The course of surgery
Nose surgery usually causes little pain, but the patient will have trouble breathing through the nose. In order to prevent infection antibiotic treatment and local care will be prescribed.
There are frequent bruising and swelling around the eyes (edema) that can be noticed by the patient and his entourage, but these blues generally regress after 10 or 20 days.
You will be systematically taken care of by the department of physiotherapy, for postoperative care. The check-out will be done the same day, in the case of an outpatient surgery or the next day, if you stay at the clinic overnight.
Delicate massage of treated areas and care such as lymphatic drainage will promote the healing process.
The dressing that packs into the nasal cavity will be removed the day after surgery, the splint is usually removed to the 10th day. If septoplasty associated rigid splints inside the nasal cavity will also be removed in the 10th day.
The practice of combat sports can be resumed at least three months after the surgery, other sports can be resumed after 4 to 6 weeks.
The results of a rhinoplasty:
It takes about 3 to 4 months for the edema to regress completely and gives a definitive picture of the result. This result will be considered final after 6 months. This corresponds to the wish of the patient and is mainly similar to the simulations carried out before the procedure.
The benefit to the patient is not only aesthetic but also psychological.
The risks of complication:
They can be caused by unexpected healing reactions persistent nasal asymmetry, especially when it existed before. It should be noted that there is always some degree of asymmetry between the two sides of the face.
Progressive deformations of the tip of the nose, linked to scar fibrosis and / or to a bad retraction of the skin, in particular in the case of thick skin.
Because the intervention is motivated by aesthetic reasons, the results can only be evaluated subjectively. It is therefore important to recognize that the results obtained may rarely fail to correspond exactly to the expected results.
With regard to any cosmetic surgery in general, it must be remembered that the modifications must always be reasonable and natural. As excessive correction is more complex to correct, the situation can lead to some discontent.
The risk of surgical retouching is therefore not negligible with respect to a rhinoplasty. If necessary, this can be done under local or general anesthesia. It should not be done after less than one year after the initial procedure. It is necessary to wait until the complete disappearance of the phenomena of scarring works under good conditions.