Specialty within the specialty, it requires a specific training and specific motivations from the surgeon. >
The motivation of the patient who has actively considered the correction of a physical malformation of the nose is a key element.
This complex operation combined many technical and aesthetic possibilities. And concerns both men and women, as of the end of the puberty age.
The aim of this procedure is to modify the osseo-cartilaginous nasal framework on which the nasal skin and soft tissues will fit themselves. The surgeon has to carefully analyse the surface of the nose in order to deduce from then the anatomy, size and placement of its internal structure.
The possibilities in terms of modification, either in size or shape, are as various as the population requesting it, be it Caucasian, African or Asian, and should be done according so. The surgeon has to find the perfect balance in proportion and volume while still responding to the patient’s specific requirements. The final result has to be realistic and look perfectly fit for the face of the patient.
The final decision of having a rhinoplasty must have been taken under the light of an accurate and wise dialogue with the surgeon so the best possible project is achieved.
Even though the surgical operations are the same, therer are still anatomical differences to be considered for a rhinoplasty for the male:
The technical side of the project must be consistent with these differences. It is therefore necessary to provide a specific project. The nasal bridge should be straighter than the woman’s one, and the nasal tip in the continuity. The individualisation of the tip must be avoided. The nasolabial angle must be inferior or equal to 90 degrees.
Several meetings are requested in order for the surgeon to have a complete view and understanding of the patient needs and psychology.
The first meeting will be held in order to appreciate the patient’s requests by carefully listening the feelings and ideas expressed. The first words exchanged within this meeting generally present how mature the project is within the patient’s mind and the level of motivation engaged toward this process.
The surgeon will help the patient expressing and describing what she/he is awaiting and wanting from the operation. A mutual understanding is the necessary basis for the best possible result to be.
The surgeon will also look for trauma history, getting information upon the respiratory system, and the possible allergies or rhino-sinusitis infections.
The following should also be appreciated
In the second segment of this consultation, the surgeon will present the technical sides that will be used for the rhinoplasty as well as more practical aspects such as the conditions in which the intervention will takes place and the postoperative care.
At the end of the consultation:
The second meeting focuses on the digitalised projection that will be presented and discussed with the patient. This projection can be accordingly digitally adjusted at the same time.
After recalling the outcomes and principles already outlined in the previous consultation, the final decision is to be taken by the patient herself/ himself.
As impressive may seems the rhinoplasty for the patient, this intervention presents the significant advantage of painless post-operative effects. The main discomfort encounter is to not be able to breathe normally with the nose for a few hours due to the surgical dressings placed in the nasal canals. The splint resin that is bonded to the nose at the end of the surgery is removed in the 10th post-operative day. This operation is painless.
The effect of this procedure cannot be hidden to the social environment as bruises appear on the cheeks within the first 24 hours following the surgery. But these will gradually disappear over a period of approximately ten days. After the removal of the splint - which could have handicapped the patient as it proved to be attracting the attention of others- it is than possible to go back to a normal social life. It is important to notice the shape of the nose will gradually evolve to its final result over a period of three to six months following the surgical procedure.