Non-surgical medical rhinoplasty – Cannes & Nice | Dr. Victor Médard de Chardon
A secondary rhinoplasty is nose surgery that aims to restore the aesthetics and function of a nose which has already been operated on, the result of which is insufficient (failed rhinoplasty).
What is the difference between a rhinoplasty retouch and a secondary rhinoplasty?
A retouch usually involves the correction of a minor defect and is usually a very quick procedure. A secondary rhinoplasty is a complete second rhinoplasty. A retouch can sometimes be performed using a medical rhinoplasty (injection of hyaluronic acid),
What is the necessary delay between the first rhinoplasty and the secondary rhinoplasty?
A secondary rhinoplasty can only be performed one year after the first procedure. Retouching a primary rhinoplasty can be performed from 6 months after the procedure.
What are the functional complications of a rhinoplasty?
- Internal nasal valve syndrome
- External nasal valve syndrome: collapsus of the nasal flaps on inhalation
- Nasal obstruction due to persistent septal deviation: permanent blocked nose
- Nasal obstruction due to persistent cornet hypertrophy: alternating blocked nose
- Septal perforation: perforated septum
What are the imperfections in the aesthetic result of a rhinoplasty?
This list is non-exhaustive:
- Appearance of hooked nose due to cartilaginous or cutaneous reasons
- Inverted V appearance
- Irregularity of the dorsum
- Open roof
- Residual bump
- Tip too big, asymmetrical or too small
- Tip has no support causing a loss of projection of the nose
Good planning of the rhinoplasty is just as important as precision when operating.
- It is necessary to obtain the surgical reports from the previous procedures.
- A clinical-aesthetic and functional analysis is performed.
- A photographic projection of the new nose is established in 2D and 3D.
SECONDARY NOSE SURGERY TECHNIQUES
The incision is usually external at the columella that is furthest from the interior of the nose (rhinoplasty by external incision).
A final analysis of the cartilaginous structure is performed.
There are an abundance of technical principles for correcting the aesthetic or functional deformities resulting from a failed rhinoplasty (non-exhaustive list):
- Additional cartilaginous resection
- Cartilage graft harvested from the ears or cartilage from the rib, which can play several roles:
- Supporting the tip of the nose using a columella strut
- Remodelling the tip of the nose by using a tip graft
- Support graft or filling the nostrils
- Augmentation graft of the projection of the dorsum or the nasal root, notably by DCF (Diced Cartilage – Fascia graft).
- Spreader grafts or spreader flaps to treat an internal nasal valve syndrome.
- Remodelling the tip of the nose by using a cartilaginous suture
Before-after photos of a medical, surgery-free rhinoplasty by injections
Injections at the office in rue d'Antibes, Cannes
- Rhinoplasty without surgery
- Anaesthesia with cream or Kalinox
- Duration: 15 minutes