THE SURGICAL INTERVENTION

The patient is to arrive at the clinic on the morning of the operation, on a totally empty stomach. Once in his room, he will have an antiseptic shower; he will then be taken to the operating theatre suite.

SURGERY

Function-oriented treatments, if necessary, are carried out at the beginning of the operation:

- reduction of the lower turbinate bones: in case of hypertrophy (chronic, allergic or vasomotor rhinitis) thanks to bipolar cauterization.

- septoplasty: operation enabling to straighten the curvature of a nasal septum leading to nasal obstruction or nose distortion.

- surgery of the sinuses: in case of a chronic sinusitis revealed by the pre-operative scan.

Rhinoplasty can start!

Here are the broad lines:

- It starts with tissue infiltration (adrenalined xylocain at 1% diluted) then an incision will be carried out inside the nostrils to have access to the cartilages of the tip and change their shapes which is called access through concealed tract: CLOSE RHINOPLASTY
- Then the nasal dorsum will be treated (back of the nose) to change the shape of the triangular cartilages and proper bones of the nose (removing of a hump for example).
- The operation will end with lateral osteotomies (breaking the bone partitions of the nose to join them) and the closing up of incisions with resorbable sutures.
- In some cases – a very asymmetrical or plunging tip of the nose, a nose formerly operated on and failed by another surgeon (secondary rhinoplasty) – an incision of the columelle separating both nostrils is added which is called access through external tract: OPEN RHINOPLASTY Such technique enables total visualization of the cartilages of the tip and the dorsum for more precise work and enables the placing of cartilaginous grafts (taken in the hump or the cartilage of the nasal septum) radically altering the shape of the nose.

ANAESTHETIC

The operation is carried out under general anaesthetic in the great majority of cases. The length varies a lot according to the techniques chosen to get the closest as possible to the project and possible associated gestures (surgery of the nasal septum, surgery of the sinuses, possible setting of cartilaginous transplants…). The quality of the result remains of the utmost importance.

DRESSING: NO PACKS EVER!

Post-operative sticking bandages are covering the nose and shutting in the tip to limit swelling, then a thermoplastic splint is shaped to consolidate the bones and keep the shape of the nose. The techniques used imply that dressing is useless. We have not packed any rhinoplasty for the last fourteen years!

After the operation

The appearance of a swollen area (oedema) between the eyebrows and sometimes at the eyelids level is normal. The maximum of the swelling will appear 48 hours after the operation and will gradually die down to usually disappear on the day the removal of the thermoplastic splint. The same happens to the ecchymoses (bruises) the importance and length of which can however vary depending on the patient.

The return to a normal socio-professional life usually takes place after the removal of the splint at the surgery (from 6 to 10 days). The patient has to clean his or her nose with a seawater spray twice a day from the day following the operation to eliminate scabs. Together with this gesture the patient will swab the entrance of the nose with antibiotic ointment.

Violent sport will be banned during the first three months unlike jogging, bodybuilding and swimming which are allowed from the week following the removal of the splint.

WHAT IS RHINOPLASTY?

PHOTO GALLERY BEFORE AND AFTER

PACK-FREE TECHNIQUE