![\"\"](\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/cartilage.jpg\")
<\/p>\nThe nose is a major element in the harmony of the face.<\/p>\n
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Anatomically, the nose has 3 levels:<\/b><\/p>\n The Asian nose is often characterized by its lack of projection, its lack of definition of the tip and a moderate thickness of the nostrils. Medical rhinoplasty with hyaluronic acid and threads:<\/b> Open incision and insertion of an L-shaped silicone prosthesis to increase the projection of the back of the nose and the tip. Medical:<\/b> after a 24-48 hour social eviction, the result can be seen immediately with a hypercorrection of a few mm then to see the final result it is necessary to wait about 1 week. Medical:<\/b> 6-12 months Smoking must be stopped 1 month before the operation (risk of skin necrosis is important if you smoke) Pain:<\/b> the pain during the intervention will be almost non-existent, with an adapted anesthesia Post-operative pain:<\/b> 1\/10 often responding to Dafalgan<\/p>\n 24-48h (swelling) for medical \/ 7-10 days (hematoma and swelling) for surgical Bed rest without major effort (which can cause the opening of small vessels during effort and lead to a hematoma) for 48 hours Removal of wicks on D2, removal of cast on D7 Avoid anti-inflammatory drugs for 48 h Medical:<\/b> Surgical:<\/b> A consultation with a thorough clinical examination is necessary to determine if you can benefit from rhinoplasty with filler and threads or if surgery is more appropriate<\/p>\n","protected":false},"excerpt":{"rendered":" Anatomy and ideal proportion: The nose is a major element in the harmony of the face. Anatomically, the nose has 3 levels: Upper: made up of the bones of the nose Middle: formed by the triangular cartilages Lower: formed by the alar cartilages, which are 2 rings placed one against the other, whose configuration defines […]<\/p>\n","protected":false},"author":2,"featured_media":888,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1178","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/pages\/1178","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/comments?post=1178"}],"version-history":[{"count":0,"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/pages\/1178\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/media\/888"}],"wp:attachment":[{"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/media?parent=1178"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\n
\nDepending on the anatomical structure of your nose and in particular the structure of your cartilage, a rhinoplasty can be performed with hyaluronic acid and threads or surgery. A consultation with Dr. Lucas is necessary to determine which technique will be most appropriate.<\/p>\nTechnique:<\/h3>\n
\nLocal anesthesia, micro-incision of 0.5 mm at the level of the columella of the nose and filling with hyaluronic acid cannula specific for the nose area. The cannula, with its smooth, non-sharp tip, allows for a less painful injection with less bruising. The back of the nose is injected and then the tip to improve projection and definition. Then, through the same micro-incision, threads are inserted to raise and project the tip.<\/p>\nSurgical rhinoplasty :<\/h4>\n
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\nFinally, a thickening of the nostrils “alar flaring” can be corrected in the same operating time.<\/p>\n![\"\"](\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/B9780702031687000439_f043-006-9780702031687.jpg\")
<\/p>\nResults :<\/h3>\n
Final results :<\/h4>\n
\nSurgical:<\/b> 2 weeks to see a significant result, 2 to 5 months to see the final result<\/p>\nLongevity of results :<\/h4>\n
\nSurgical:<\/b> permanent<\/p>\nBefore surgery:<\/h3>\n
\nDo not take Aspirin 10 days before surgery, inform Dr. Lucas of any anticoagulant medication (Sintrom, Coumadin, Eliquis, etc..) to organize its discontinuation or replacement.
\nTake Arnica capsules 5 times a day for 5 days before surgery to prevent hematoma.
\nContraindications hyaluronic acid: autoimmune diseases, pregnancy, breastfeeding, former silicone injection on the same site<\/p>\nIntervention :<\/h3>\n
\nDuration of procedure:<\/b> 60 minutes for medical \/ 90 minutes for surgical
\nAnesthesia:<\/b> local for medical \/ local with sedation or general for surgical
\nLocation:<\/b> office for medical \/ operating room for surgical<\/p>\nAfter surgery:<\/h3>\n
Social eviction :<\/h3>\n
\nReturn to work:<\/b> 24-48h for medical \/ 10 days for surgical
\nReturn to sports:<\/b> 7 days for medical \/ 3 weeks for surgical<\/p>\nInstructions:<\/h3>\n
\nIce for a few days, as often as possible, to reduce swelling
\nArnica capsules 5 times a day for 5 days after surgery to prevent hematoma
\nStop smoking permanently to prolong the effect and minimize complications<\/p>\nSurgery:<\/h3>\n
\nCheck-up by Dr Lucas on D1, D2, D7, 3 weeks, 3 months, 6 months, 1 year
\nSun protection with an index higher than 50 during the 6 months following the surgery.
\nFollow-up of the scar by Dr. Lucas for 1 year after the surgery is essential.<\/p>\nHyaluronic acid and tensor threads:<\/h3>\n
\nPreventive antibiotic Augmentin 1 g twice a day for 3 days after surgery
\nDisinfection with spray 2 times a day for 3 days entry point.
\nControl Dr Lucas D7, 3 weeks, 3 months<\/p>\nComplications<\/h3>\n
\n– Intravascular injection: necrosis, blindness
\n-Secondary displacement of the thread: if the thread is stimulated too strongly during the 7 days following the procedure, it may come off.
\nNerve or vessel injury: the placement of tensioning sutures must be performed by a doctor with a good knowledge of anatomy, with whom the risk of nerve injury is almost non-existent.
\n-Hematoma: there may be bruising, which generally disappears within 4 to 5 days maximum.
\n-Asymmetry, under- or over-correction
\n– Infection: often treated with antibiotics and local care. Exceptionally, the sutures must be removed when the infection is not controlled despite the preceding measures.<\/p>\n
\n-Bleeding: it is possible during the first hours but usually remains very moderate. When it is too important, it may justify a new and more thorough cleaning, or even a return to the operating room.
\n-Hematomas: they may need to be evacuated if they are large or too painful.
\n-Infection : with externalization of the implant
\nUnsightly scars: they can only concern the external scars (when they exist) and are only very rarely so unsightly as to require a touch-up.
\n-Skin lesions: although rare, they are always possible, often because of the nasal splint. Simple wounds or erosions heal spontaneously without leaving any trace, unlike skin necroses, which are fortunately exceptional, and often leave a small area of scarred skin.
\n-Asymmetry, functional respiratory problems, aesthetic dissatisfaction<\/p>\nCombinations and alternatives<\/h3>\n