DR. PHILIPPE CHOUT INFORMATION PAGES ABOUT FACIAL PLASTIC COSMETIC SURGERY : RHINO , FACELIFT etc...
INFORMATION PAGES ABOUT RHINOPLASTY NOSE RESHAPING SURGERY
RHINOPLASTY Aesthetic surgery of the nose
Rhinoplasty is the well-known surgical operation that deals with either modifying the exterior shape of the nose and/or correcting a deviation of the nasal septum, which causes breathing discomfort (rhinoseptoplasty). It is possible to change the shape of the nose without changing the respiratory function and reciprocally. In the western people the rhinoplasty aim is to reduce the size of the nose, in the eastern and African nose it’s a reduction on the front view and sometimes and increase of the height of the nose bridge.
What are the most Common reasons for people wanting nose operations?
Most people who dislike their nose have concerns about the bridge or the tip, or nostrils or columella (below the tip). At the bridge, or dorsum, people often complain about having a hump. Meanwhile, people who want to change the tip often see this part of the nose as being too wide, round, blobby, beaked or lacking in definition. Some people also dislike the length of their nose.
Other patients may opt for a rhinoplasty
because of an injury to the nose, whereby the nose may be broken or bent following an accident of some kind. Others may have functional breathing problems relating to the nasal airways. In these cases, surgical interventions would be considered reconstructive, whereas for the majority of nose operations the surgery is classed as cosmetic. In Doctor Chout’s practice anyway, the operations are always done without any involvement of national insurance or any sort of private insurance, and are paid in full by the patients only.
The septum is the cartilage
« wall l» that separate the two sides of the nose. This « wall » may be deviated, inclined thus making the airway less permeable to the air, on one or both sides.
While performing a rhinoplasty involving the anterior part of the nose and septum, the surgeon may have to perform a septoplasty as well. The sum of these two procedures done together is called a rhinoseptoplaty.The cost of this double procedure is higher than the cost of a simple rhinoplasty.
Nose operations such as rhinoseptoplasty are most commonly carried out to:
1. Alter the hump at the bridge of the nose
2. Reshape the tip of the nose, changing its shape and /or position
3. Alter the length of the nose
4. Alter the width of the nose
5. Alter the width of the nostrils, the heights of its insertion reduce the alar base
6. Restructure and reposition the nose after an injury
7. Open up the nasal airways to help breathing, modify the septum’s position (septoplasty)
Doctor Philippe Chout prefers the close rhionplasty (scar-less technique),
this technique is more difficult than the open technique and require more skills and self-confidence from the surgeon. You will have no incision and no scar on your columella. I will make cuts inside your nostrils to reach the bone and cartilage. Partially removing and re-shaping the bone and the cartilage will then create the shape of your nose. The skin over your nose is left untouched and due to its elasticity, can shrink down to the new shape. Making the nose smaller and narrower may mean it is also necessary to make your nostrils smaller. This is done by making further cuts in the skin of the nostrils located at its threshold, which leave fine scars on each side. Your surgeon will advise you whether you may need this procedure.
Augmentation Rhinoplasty (rare)
Your surgeon will make a cut inside or between your nostrils and re-shape the bone. Additional bone or cartilage may be needed to build up the nose. Bone may be taken from: your hip, a rib; this is called a bone graft. If cartilage is used it may be taken from: your own ears spare cartilage inside your nose, sometimes artificial implants are used in Asian people. The skin over your nose will probably not need to be cut as it stretches over the new shape. After reduction or augmentation rhinoplasty, the cuts inside or between your nostrils will be closed up with dissolvable stitches. Your nose may be filled with surgical packing to help control any bleeding. You may also have small pieces of soft plastic inside your nose to prevent scar tissue from forming.
- The primary rhinoplasty is already the most difficult procedure of all cosmetic surgery procedures. The probability to need a minor touch up, called retouching, and performed under local anaesthesia, as a day case is around 10% even in the best hands. Agreeing to undergo a rhinoplasty means accepting this possibility. This may involve a scar revision, removal of some fibrous tissue simple filing of the bone.
- The revision of a rhinoplasty (secondary rhinoplasty), is different. This procedure under general anaesthesia is required when all the shape of the nose is wrong despite a primary rhinoplasty, and requires osteotomy revision and an important alteration of the bone and cartilage shape, amount or position. This is obviously even more difficult than a primary rhinoplasty.
FACELIFT. FACE AND NECK LIFT, FOREHAEAD AND BROW LIFT.
FACE & NECK LIFT
Before the Operation
The purpose of the facelift is rejuvenation by the reduction of lower face and neck sagging (ptosis) of jowls and loose lower cheeks and neck that is commonplace from about 40/50 years of age. This procedure can be performed under intravenous sedation plus local anaesthetic ( day case) or under general anaesthesia, one or to nights stay in the hospital. It is advisable to make the appropriate diet changes such as stop smoking , no alcohol drinking for a month, balanced weight, hormonal status appraisal
The principle of a face and neck lift operation
is to make incisions in front of and behind the ears ending in the hair-bearing scalp and to detach the skin, and in some cases also the underlying skin muscles, and stretch them to restore some tone to a sometimes prematurely sagging face. Face lifting improves the jowls, cheeks, deepened nasolabial folds, neck folds and turkey’s neck. Facial ageing being sometimes premature, this operation is sometimes performed around forty years old, although most often around fifty or in the following decade.
The Facelift treats a sagging neck and jawline and fat excess, but do not change the actual quality of the skin itself that may require additional specific treatment, if appropriate. A midface lift will address the sagging cheeks and brow. The facelift will have no effect on the lower neck wrinkles, on crow’s-feet or forehead lines, on bulging lower eyelids, nor on smaller wrinkles around the mouth, which can benefit from other specific treatments that would be charged separately. A skin resurfacing treatment such as a face peel is often needed as ell. It will be charged separately. Incisions are made into the hair-bearing scalp above and in front of the ear; in the pre-auricular area; behind the ear and then back into the hairline. Sometimes a small incision is made under the chin. Drains may be placed on each side of the face, under the detached skin for one day. A moderately compressive dressing is applied which will be left in place for 48 hours. Sutures are removed on the 5th day and scalp clips on the 10th day approximately. Work can be resumed in light cases after three weeks, depending on public exposure at work, and on your requirements.