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The goal of nose reconstruction is to restore nasal shape and function. It is a facial reconstruction surgery procedure.
Reconstructive surgery of the nose may be necessary in various situations:
Nasal fracture repair is the most common form of nasal repair. In most cases, the repair can be performed within days of the accident. Sometimes, treatment of a broken nose is performed in a delayed fashion. Delayed treatment is similar to a rhinoplasty.
Treatment of nasal skin cancer can result in losses of substance that are small and superficial or massive and full thickness and will affect respiratory function.
This medical information sheet was written in June 2021 by Dr Ralph ABBOU who is a plastic surgeon specializing in nose surgery and rhinoplasty in Paris.
Dr Ralph ABBOU defended his medical thesis on the subject of rhinoplasty and has published several scientific publications on this 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.
What is a carcinoma ?
A carcinoma is a malignant tumor of the skin or cancer. There are two types of carcinomas:
The diagnosis is most often made by your dermatologist who has detected a lesion of the epidermis after skin examination or who has palpated a nodular tumor under the skin because the symptoms are very variable and can be discrete.
Sun exposure is a risk factor.
The diagnosis of certainty is based on skin biopsy and anatomopathological examination.
The first step is to definitively treat the lesion surgically.
Once the disease has been ruled out and after having received histological evidence (anatomical pathological examination), reconstruction can be envisaged serenely.
Reconstruction of the nose after cancer requires the restoration of :
A variety of techniques may be required to repair nasal tissue loss secondary to cancer:
The goal is to restore a normal appearance. Careful planning, aesthetic principles, and modern methods can usually produce good results.
One or more operations are necessary to achieve a satisfactory result.
The operating time and the length of the postoperative period depend on the complexity of the reconstruction.
If you live outside of Paris or outside of France, you can send us pictures or schedule a teleconsultation, we will be able to help and advise you remotely.
The repair of a small loss of substance on the nose requires a local anesthetic. More complex treatments require sedation or general anesthesia in the operating room.
A forehead flap is a two-stage surgical procedure to repair loss of substance of the lower nose.
In the first step, a flap of skin from the forehead that matches the dimensions of the nasal defect is transferred to the nose to cover the defect.
The blood supply for the flap is maintained from a tissue bridge connected to the forehead.
In the second step, the bridge connecting the nose to the forehead is removed and the incisions are completely closed. This is a technique for reconstructing complex nasal tissue loss.
Nasolabial flaps are ideal for repairing loss of nasal skin in the nostril area. Fold skin extending from the corner of the nose to the corner of the mouth is transferred to fill the loss of substance.
Dr. Abbou has published a nasal flap reconstruction technique (original reconstruction technique).
The bilobed flap is a surgical procedure that repairs a loss of substance of the nose by transferring tissue from an adjacent site and closing the newly formed defect in the donor area with a second, smaller flap. Bilobed flaps are particularly useful in the reconstruction of nasal defects less than 1 cm in width.
Nasal septal cartilage can be used to replace destroyed or missing cartilage in nasal reconstruction. In the absence of adequate cartilage in the septum, cartilage can be harvested from the external ear or rib without functional or cosmetic sequelae.
Rhinophyma is an excessive thickening of the skin in the lower part of the nose due to a chronic skin infection: rosacea. The result is a progressive enlargement and deformation of the tip of the nose. Treatment involves controlling the infection and surgically removing the excess skin at the tip of the nose.
Starting at 300 euros.
The price of nose reconstruction varies according to the complexity of your case and the number of procedures required.
Nose surgery is covered by social security or health insurance and by your health insurance company.