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Rhinoplasty in Paris. Nosejob

Rhinoplasty or nose surgery is a procedure that allows to beautify the nose and to breathe better. It consists of modifying the bony and cartilaginous structure of the nose in order to correct aesthetic defects and to improve respiratory function.

Patients who consult Dr. ABBOU for this facial procedure wish to correct a drooping nasal tip, remove a hump, narrow the nostrils, improve their profile with a natural result.

Rhinoplasty improves the beauty and harmony of the face and also provides a natural rejuvenation. This medical information sheet was written in October 2021 by Dr Ralph ABBOU.

The price of rhinoplasty depends on the complexity of your case.

Social security coverage is possible in certain cases (septoplasty, post-traumatic).

Dr. Ralph ABBOU is a plastic surgeon in Paris, specializing in nose surgery. He defended his medical thesis on the subject of rhinoplasty and has published several scientific publications on the subject.

Dr. Ralph ABBOU participates in several congresses per year in France and abroad in order to maintain and perfect his theoretical and technical skills.

Before and after rhinoplasty photos in Paris

Cosmetic surgery of the nose

Ultrasonic Rhinoplasty

Ultrasonic rhinoplasty allows for a natural result with simpler aftercare thanks to the piezotome.

Rhinoplastie médicale paris

Medical Rhinoplasty

Medical rhinoplasty makes it possible to beautify the nose without surgery thanks to hyaluronic acid injections.

Rhinoplastie secondaire

Secondary Rhinoplasty

Secondary rhinoplasty or revision rhinoplasty to improve the result of a primary rhinoplasty.

Ethnic Rhinoplasty

Ethnic rhinoplasty for patients of Asian and African origin.

Reduction of the nostrils

Nostril reduction rhinoplasty to reduce the tip of the nose

Nose bump treatment

Rhinoplasty to treat the nose hump

Septoplasty

Treatment of deviated septum

Post-traumatic rhinoplasty

Treatment of sequelae in the nose after trauma

Simulation before rhinoplasty

Preoperative simulation software before rhinoplasty

This is a facial surgery procedure that allows the shape of the nose to be modified to obtain a natural and harmonious result and a satisfactory respiratory function.

Many evolutions and improvements have appeared in recent years. The most notable are preservation rhinoplasty (conservative) and ultrasonic rhinoplasty, which provide greater surgical safety and a more natural result.

The most frequent requests for nasal surgery are

  • Treat a bump
  • Narrow and shorten the nose
  • Correct a drooping tip
  • Refine the skin of the tip
  • Improve breathing
  • Correct a deviation of the nasal septum
  • Improve the profile
  • Improve the front view

Patients who consult us for surgery want a natural result.

For patients who do not wish to undergo surgery, it is possible to perform a medical rhinoplasty using hyaluronic acid injections in aesthetic medicine.

Les objectifs de la rhinoplastie dépendent du désir de chaque patient(e), de son vécu et sont différents selon les différentes cultures. Les demandes les plus fréquentes en consultation médicale sont :

  • To treat a hump, to reduce the thickness of the tip, to reduce the length of the nose, to correct a deviation.
  • In ethnic rhinoplasty, the request is on the contrary to increase the projection of the nose and to enlarge it.
  • To improve breathing through septoplasty or cartilage grafts (spreader grafts)
  • Repair after a trauma or a previous operation (secondary rhinoplasty)

Current surgical techniques allow me to treat a hump, a nose that is too wide or a globular tip, for example. My philosophy is to obtain a natural look, in harmony with the other facial features and the skin.

It is important to avoid the appearance of an operated nose: the surgical look (trumpet nose, too small, too short etc…).

To correct a bump on the nose

If you wish to have your nasal hump removed, a procedure will harmonize and beautify the top of your nose. It intervenes on the nasal pyramid, the nose bone and the cartilages.

To embellish the tip of the nose

Many patients consult us in order to embellish the tip of the nose, often by refining it or by increasing the projection in the case of an ethnic rhinoplasty.

The main modifications on the tip of the nose :

  • Reduce a wide nose tip or a large nose tip
  • Reduce the projection of the nasal tip
  • To refine the tip of the nose
  • Increase the projection of the nasal tip, especially in ethnic rhinoplasties
  • Correct a deviation of the nasal septum
  • Straighten a drooping nose tip

Before the operation

I always start the consultation by asking patients what they don’t like about their nose.

Most patients don’t like it:

  • length and width
  • a hump
  • a drooping nasal tip.

For a successful rhinoplasty you need to :

  • First of all, a careful consultation
  • Then a precise surgical technique
  • Finally, artistic talent and years of experience.

The rhinoplasty can last between 1 and 3 hours

The procedure is performed under general anesthesia in the operating room. Each plastic surgeon has his or her own operating technique that is adapted to each case.

The practitioner will modify the bone and cartilage structure of the nose.

We can thus :

  • narrow a nose that is too wide
  • remove a bump
  • correct a deviation
  • refine a tip
  • shorten a nose that is too long
  • Correct a deviation of the nasal septum.

 Post-operative care

We wish you the smoothest and shortest recovery period possible. We are here to help you and will give you detailed postoperative instructions.

  • Smoking cessation before and after the procedure
  • Wicks or silicone tubes (Doyle splint) inside your nostrils and an external splint for 7 days
  • Local care several times a day.
  • Removal of the splint and threads one week after the procedure.
  • Two to four weeks for bruising and swelling to dissipate.
  • Return to work within 15 days after the procedure
  • Duration of the procedure: 1 to 3 hours
  • No meching of the nostrils 
  • No splinting 
  • No plaster cast
  • Little pain
  • Nasal respiratory discomfort for a few days.
  • Edema (swelling) or bruising: 7 to 15 days
  • No sport: 1 month
  • Results: good overview at the 3rd month, final appearance at 12 months

The cost of a rhinoplasty operation varies according to the type of procedure.

Interventions
Prices
Aesthetic and ultrasonic rhinoplastyFrom 6000 €
Secondary RhinoplastyFrom  8000 €
Ethnic RhinoplastyFrom 8000 €
SeptoplastyFrom  4000 €

Its price depends on the complexity of your case and the mode of hospitalization (ambulatory or overnight stay at the clinic)

Nose surgery and reimbursement: in certain cases (respiratory disorder, trauma) there is a coverage by the social security.

Rhinoplasty is for all patients who wish to improve the aesthetics of the nose and breathe easier. Regardless of your age, you must be in good general health, a non-smoker and have realistic expectations.

The choice of open or closed rhinoplasty is a frequent question for the consulting patient: these terms simply designate the two possible surgical approaches.


Rhinoplastie ouverte

Rhinoplastie fermée

Endonasal rhinoplasty: the closed approach

In the closed rhinoplasty approach, also called endonasal rhinoplasty, the surgeon positions the scars inside the nostrils.  Although an external scar is avoided, considerable challenges and technical limitations are associated with the relative lack of surgical access.

External rhinoplasty: the open approach

Unlike closed rhinoplasty, the open rhinoplasty approach uses a small incision, called a transcolumellar incision or rethi route to connect the right and left nostril incisions. This allows the nasal skin to be folded upward and full visibility of the lower nasal skeleton is achieved. Thus, the hallmark of open rhinoplasty is the greatly improved surgical access afforded by the transcolumellar incision.

Some surgeons remain faithful to the closed technique, especially when the nasal anatomy is relatively simple. Open rhinoplasty allows the treatment of complex nasal deformities such as :

  • twisted noses
  • severe post-rhinoplasty deformities.

In fact, most rhinoplasty experts consider open rhinoplasty to be the procedure of choice for difficult nasal anatomy. For these same reasons, I prefer to use the open approach because it improves diagnostic accuracy. However, the technical requirements of open rhinoplasty are rigorous, and substantial dedication and commitment to this approach are necessary to achieve consistently superior results.

How to choose between the open or closed technique?

Depending on your nasal anatomy and aesthetic goals, Dr. Abbou will perform either an open or closed rhinoplasty. Open rhinoplasty involves incisions inside the nose and a small incision under the nose between the nostrils. In closed rhinoplasty, all incisions are made inside the nose. Open rhinoplasty offers better access and visibility in more complex cases.

For example, I would recommend open rhinoplasty if you wish to :

  • rhinoplasty after a shock or trauma to the nose
  • spectacular cosmetic changes
  • secondary rhinoplasty.

If you only need minor changes to the nose, closed rhinoplasty may be the best option. In both cases, the incisions are barely visible.

There are several types of operations for different objectives. It is essential to have an initial consultation to understand your needs and motivations. This first appointment will help orient you towards a specific type of rhinoplasty.

Ultrasonic rhinoplasty allows for a less restrictive postoperative period

Its objective is to achieve an operation with simpler after-effects and better surgical control without any fracture of the nasal bones. Ultrasonic rhinoplasty is a gentle technique that allows to obtain a natural result thanks to ultrasounds.

Rhinoplasty for men: what are the specificities?

  • The back of the male nose or dorsum must be straight otherwise there is a risk of feminization of the face.
  • The tip of a male nose should not be raised: it is necessary to keep a closed nasolabial angle.
  • The tip of a man’s nose should not be too thin in order to preserve the harmony of the face.

What are the technical characteristics of a rhinoplasty for men? 

  • The hump of the nose must be removed without hollowing it: the objective is a straight dorsum.
  • Very little cartilage must be removed in order not to weaken the structure of the nose.
  • The nose should not be shortened too much. 

Ethnic rhinoplasty: nose surgery adapted to black, North African and Asian skins

To increase the projection of the nose and reduce the nostrils in patients with thick skin of African or Asian origin, ethnic rhinoplasty is more suitable. This operation usually involves a cartilage graft to obtain a satisfactory and natural result.

The secondary rhinoplasty allows to correct a first operation

It happens that some patients contact us after a first nose surgery that does not satisfy them. To remedy this, it is possible to perform a secondary rhinoplasty to improve the results of the first failed operation.

Can a rhinoplasty be done without surgery?

Today, it is possible to beautify the nose without surgery: this is medical rhinoplasty. This is made possible by injections of hyaluronic acid and botox at the tip and back of the nose. Medical rhinoplasty allows the removal of a bump or the embellishment of a hollow on the nose. The advantage is that the result is immediate and lasts one year.

Conservative rhinoplasty to preserve the anatomy of the nose

Conservation rhinoplasty or preservation rhinoplasty involves reshaping the existing anatomy of the nose, using very little tissue resection and no grafting to achieve a more natural look to your nose without destabilizing the nose. 

It preserves the anatomy of the patient’s nose and can convert a hump into a straight or concave nose and reshape the cartilage to create an attractive nose without compromising nasal function or support. The result is a natural looking nose and reduces the number of patients requiring secondary or tertiary surgery.

Years ago, in rhinoplasty, significant amounts of normal cartilage and bone were removed to reduce the size of the nose, but this resulted in artificially pinched hollow noses. In modern rhinoplasty surgery, a good surgeon will retain the important structural components to refine the nose and improve its definition.

This procedure is considered to be the next revolution in plastic surgery!

Dr. ABBOU performs Teorhinoplasty: a technique invented and popularized by Dr. Teoman Dogan.

Conservative rhinoplasty is based on :

  • new anatomical studies of the nose.
  • New less invasive rhinoplasty techniques.
  • Advanced suturing techniques.
  • Refinement of surgical techniques: no bone and very little cartilage are removed.

This type of nose surgery is intended for people who want a very natural result and simpler postoperative procedures. The objectives can be multiple:

  • A more natural look: In a traditional rhinoplasty, the plastic surgeon reduces the height of the nose (dorsum) by removing the cartilage and nasal bones. In conservative rhinoplasty, I remove the cartilage and bone from below. This preserves the native aesthetic lines that are extremely difficult to recreate during traditional rhinoplasty. This allows for a harmonious and natural appearance and avoids a surgical look.
  • Preserved respiratory function: Conservative rhinoplasty presents less risk of respiratory damage. In traditional nose surgery, certain nasal structures necessary for breathing are destroyed and must be reconstructed. Here, it preserves these nasal structures so there is no need for reconstruction during surgery.
  • Replace resection with preservation, i.e., preserve as much as possible of the nasal structures (bone and cartilage)
  • Prioritize remodeling of the nasal structures
  • Secondary reconstruction with minimal and simpler revisions.

Endoscopic rhinoplasty does not leave a scar

Endoscopic rhinoplasty allows to perform a rhinoplasty under visual control thanks to the use of a mini camera that is introduced through an incision inside the nose. It allows to improve the safety of the surgical gesture and to control step by step all the sequences of the rhinoplasty in order to obtain a natural and harmonious result and to reduce to the maximum the risks of irregularities and defects on the final result.

It allows concretely :

  • Improved safety and reproducibility of surgical procedures
  •  No visible scarring
  •  Operative precision
  •  Minimization of postoperative effects

To repair a broken nose

In case of impact on the nose that results in a fracture, the nasal pyramid, bone and cartilage may be damaged. A post-traumatic rhinoplasty is an operation that restores the breathing function of the nose as well as improving the aesthetics of the nose.

Simulation and morphing allow you to project yourself

Before embarking on a rhinoplasty operation, it is possible to simulate the desired result using morphing. This is a software that allows you to simulate the results on the nose. An excellent way to preview the result before the operation!

FAQs

When is the result final?

One year after the operation. During the first year, very progressive changes will occur. An edema of the tip of the nose may persist for several months.

Ready for nose surgery?

The decision to have nose surgery is a very personal one. Only you can make this important decision. For many, a successful rhinoplasty can be truly life changing. It becomes an interesting and rewarding experience for both the patient and the surgeon.

What are realistic expectations?

Realistic expectations are the key to happiness. There is no such thing as the perfect body or the perfect nose. The most attractive nose is the one that blends with the rest of your features. Small changes can do wonders for your confidence.

Can we improve our breathing?

Proper nasal function should never be sacrificed for aesthetic enhancement.

The plastic surgeon is trained in both medical and functional rhinoplasty. He is able to achieve a smaller, more attractive nose and improve nasal function through septoplasty.

How many days off ?

Rest and relaxation are recommended during the first week after nose surgery. People with sedentary jobs can return to work after 7 days. Those whose work requires physical exertion or who are in contact with their clients will return to work after 15 days.

How long is the hospital stay?

In addition to proper surgical technique, rhinoplasty requires favorable healing conditions. Prolonged inflammation and excessive soft tissue swelling complicate healing.

Therefore, control of swelling and inflammation after surgery is paramount. Although some surgical swelling and inflammation are unavoidable, proper follow-up can minimize the inflammatory effects and optimize cosmetic results.

I recommend staying overnight at the clinic. Of course, you can leave the same day (ambulatory) if you wish.

How to massage the nose after the operation?

After the cast is removed, you should massage your nose at least twice a day.
How to massage?
Start from the root of the nose and slide towards the wings, going towards the tip.

Start from the root of the nose and slide under the eyes following the lower edge of the orbits.

Pinch the tip symmetrically.

These different massages will make the swelling disappear much more quickly.

When to blow your nose?

The next day, you can wash the inside of your nose with saline solution. This will bring you great comfort during the first days until you can blow your nose properly after 15 days.

Does the nose job hurt?

This is one of the least painful operations. It is performed under general anesthesia and rarely presents postoperative pain. The main discomfort of patients is the difficulty to breathe through the nose for a few days.

How old is too old to have a nose job?

In practice, it is extremely rare to operate on a cosmetic surgery patient before the age of 18 because it requires a certain psychological maturity to assume the desired cosmetic surgery procedure.

When do we get a definitive result?

Most often, the final result is in accordance with your wishes and quite close to the project established in preoperative. A delay of two to three months is necessary to get a good idea of the result.

It is important to keep in mind that the final result will only be obtained after six months to one year.

The operation brings a morphological and aesthetic improvement that is often quite appreciable. It also brings a significant psychological benefit.

The goal of this plastic surgery is to bring an improvement and not to reach perfection. If your wishes are realistic, the result obtained should give you great satisfaction.

How do I get a rhinoplasty covered?

If you have a breathing disorder or after a trauma of the nose, the surgeon makes the request for reimbursement by a form. The patient sends the form to his primary health insurance fund by registered mail with acknowledgement of receipt.

How long will the nose remain swollen after rhinoplasty?

After your nose job, it will remain swollen for several months. The final result is assessed 12 months after the operation.

How long will the nose remain blocked afterwards?

The nose remains blocked for 7 to 15 days after rhinoplasty, until the swelling of the nostrils diminishes.

how to remove the crusts in the nose after rhinoplasty?

To remove the crusts after rhinoplasty, it is necessary to wash the nose with physiological serum several times a day and apply a greasy cream vitamin A which helps to eliminate the crusts.

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