{"id":1182,"date":"2021-05-06T17:24:51","date_gmt":"2021-05-06T17:24:51","guid":{"rendered":"https:\/\/www.drlucasplasticsurgery.ch\/rhinoplastie-chirurgicale\/"},"modified":"2026-04-13T20:19:54","modified_gmt":"2026-04-13T20:19:54","slug":"surgical-rhinoplasty","status":"publish","type":"page","link":"https:\/\/www.drlucasplasticsurgery.ch\/en\/surgical-rhinoplasty\/","title":{"rendered":"Surgical Rhinoplasty"},"content":{"rendered":"<h3>Anatomy and ideal proportion:<\/h3>\n<p>The nose is a major element in the harmony of the face.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-715\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/IMG_20210301_171656_400.jpg\" alt=\"\" width=\"1001\" height=\"994\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/IMG_20210301_171656_400.jpg 1001w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/IMG_20210301_171656_400-300x298.jpg 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/IMG_20210301_171656_400-150x150.jpg 150w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/IMG_20210301_171656_400-768x763.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/IMG_20210301_171656_400-600x596.jpg 600w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/IMG_20210301_171656_400-100x100.jpg 100w\" sizes=\"auto, (max-width: 1001px) 100vw, 1001px\" \/><\/p>\n<p>The ideal nose is defined by a multitude of artistic anatomical criteria: a projection\/length ratio equal to 0.67, a naso-frontal angle (between the nose and the forehead) between 115 and 130\u00b0 (close to 115\u00b0 for men and closer to 130\u00b0 for women: in fact, a nose with a more closed naso-frontal angle is a criterion of masculinity), a slight depression above the tip &#8220;supratip break&#8221; of between 5 and 12\u00b0 for women, and an angulation below the tip &#8220;columellar double break&#8221; of between 30 and 45\u00b0. Then, a naso-labial angle between 95 and 105\u00b0 (closer to 95\u00b0 for men and closer to 105\u00b0 for women).<\/p>\n<p>Artistically, Sheen&#8217;s lines, which originate from the eyebrows and descend vertically along the nasal bridge and flare out at the tip, must be harmonized during rhinoplasty.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-704\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/cartilage.jpg\" alt=\"\" width=\"408\" height=\"407\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/cartilage.jpg 408w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/cartilage-300x300.jpg 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/cartilage-150x150.jpg 150w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/cartilage-100x100.jpg 100w\" sizes=\"auto, (max-width: 408px) 100vw, 408px\" \/><\/p>\n<p><b>Anatomically, the nose has 3 levels:<\/b><\/p>\n<ul>\n<li>Upper: formed by the bones of the nose<\/li>\n<li>Middle: formed by the triangular cartilages<\/li>\n<li>Lower: formed by the alar cartilages, which are 2 rings placed one against the other, whose configuration defines the structure of the nostrils and the tip.<\/li>\n<\/ul>\n<p>A nasal hump can concern only the upper level &#8220;bony hump&#8221; or the upper and middle levels &#8220;osteo-cartilaginous hump&#8221;.<\/p>\n<p>Depending on the anatomical structure of your nose and in particular the structure of your cartilages, a <a href=\"https:\/\/www.drlucasplasticsurgery.ch\/en\/medical-rhinoplasty-by-hyaluronic-acid-or-threads\/\">rhinoplasty can sometimes be performed with hyaluronic acid<\/a>, with <a href=\"https:\/\/www.drlucasplasticsurgery.ch\/en\/eyebrow-lift-by-botox-tensor-threads-or-surgery\/\">threads or by surgery<\/a>. A consultation with Dr. Lucas is necessary to determine which technique will be most appropriate.<\/p>\n<h3>Technique<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-718\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/unnamed.jpg\" alt=\"\" width=\"512\" height=\"304\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/unnamed.jpg 512w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/unnamed-300x178.jpg 300w\" sizes=\"auto, (max-width: 512px) 100vw, 512px\" \/><\/p>\n<p><b>The &#8220;open&#8221; or &#8220;closed&#8221; approach:<\/b><br \/>\nAn open or closed rhinoplasty can be performed depending on the case. Dr. Lucas favors the open approach because it offers better visibility and the scar on the columella is almost invisible at 6 months. However, for a minimal bump or minimal work on the tip, he most often opts for a closed approach.<\/p>\n<p><b>The different possible procedures during a rhinoplasty :<\/b><br \/>\nWe can correct a hump on the back of the nose: if the base of the nose is thin, we can correct a hump without necessarily requiring lateral osteotomies. When the base of the nose is wide, lateral osteotomies are often necessary to prevent an &#8220;open roof deformity&#8221;. When lateral osteotomies are performed, a plaster cast is placed and kept on for 7 to 10 days.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-721\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.28.11.png\" alt=\"\" width=\"1325\" height=\"514\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.28.11.png 1325w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.28.11-300x116.png 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.28.11-1024x397.png 1024w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.28.11-768x298.png 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.28.11-600x233.png 600w\" sizes=\"auto, (max-width: 1325px) 100vw, 1325px\" \/><\/p>\n<p>Then, the tip can be refined and the nasolabial angle opened by reconfiguring the wing cartilages.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-722\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.26.50.png\" alt=\"\" width=\"1282\" height=\"593\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.26.50.png 1282w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.26.50-300x139.png 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.26.50-1024x474.png 1024w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.26.50-768x355.png 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.26.50-600x278.png 600w\" sizes=\"auto, (max-width: 1282px) 100vw, 1282px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-large wp-image-724\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.35.49-1024x297.png\" alt=\"\" width=\"1024\" height=\"297\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.35.49-1024x297.png 1024w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.35.49-300x87.png 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.35.49-768x222.png 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.35.49-600x174.png 600w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.35.49.png 1129w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<p>During an aesthetic rhinoplasty, we take the opportunity to correct functional disorders: deviation of the symptomatic septum, anomaly of the turbinates.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-726\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/deviation-cloison-nasale.jpg\" alt=\"\" width=\"800\" height=\"500\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/deviation-cloison-nasale.jpg 800w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/deviation-cloison-nasale-300x188.jpg 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/deviation-cloison-nasale-768x480.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/deviation-cloison-nasale-450x280.jpg 450w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/deviation-cloison-nasale-600x375.jpg 600w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/p>\n<p>Finally, we can correct a thickening of the nostrils in the same operation.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-727\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.34.48.png\" alt=\"\" width=\"307\" height=\"332\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.34.48.png 307w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/Capture-decran-2021-04-26-a-22.34.48-277x300.png 277w\" sizes=\"auto, (max-width: 307px) 100vw, 307px\" \/><\/p>\n<h3>Results :<\/h3>\n<p><b>Time to final results:<\/b><br \/>\n2 weeks to see a significant result, 2 to 5 months to see the final result<\/p>\n<p><b>Longevity of results : <\/b><br \/>\nDefinitive<\/p>\n<h3>Before surgery:<\/h3>\n<p>Stop smoking 1 month before the operation (risk of skin necrosis important if active smoking)<br \/>\nDo not take Aspirin 10 days before the operation, inform Dr. Lucas of any anticoagulant medication (Sintrom, Coumadin, Eliquis, etc.) to arrange for its discontinuation or replacement.<br \/>\nTake Arnica capsules 5 times a day for 5 days before surgery to prevent hematoma.<br \/>\nSometimes a preoperative CT scan is necessary to plan the procedure.<\/p>\n<h3>Intervention :<\/h3>\n<p><b>Pain:<\/b> the pain during the intervention will be almost non-existent, with an adapted anesthesia<br \/>\n<b>Duration of the procedure:<\/b> 60-150 minutes depending on the complexity<br \/>\n<b>Anesthesia:<\/b> local with sedation or general depending on complexity<br \/>\n<b>Location:<\/b> operating room<br \/>\n<b>Outpatient or 1 night hospitalization<\/b><\/p>\n<h3>After surgery:<\/h3>\n<p><b>Post-operative pain:<\/b> 1\/10 often responding to Dafalgan<\/p>\n<h3>Social eviction :<\/h3>\n<p>7-10 days with hematoma and swelling<br \/>\n<b>Return to work:<\/b> 10 days<br \/>\n<b>Return to sport:<\/b> 3 weeks<\/p>\n<h3>Instructions:<\/h3>\n<p>Bed rest without major effort (which can cause the opening of small vessels during effort and lead to a hematoma) for 48 hours<br \/>\nIce for 1 week, as often as possible, to reduce swelling<br \/>\nArnica capsules 5 times a day for 5 days after surgery to prevent hematoma<br \/>\nPermanent cessation of smoking to prolong the effect of the surgery and minimize complications<br \/>\nRemoval of wicks on D2, removal of plaster on D7-J10<br \/>\nCheck-up by Dr Lucas on D1, D2, D7, 3 weeks, 3 months, 6 months, 1 year<br \/>\nSun protection with an index greater than 50 for 6 months following surgery.<br \/>\nFollow-up of the scar by Dr. Lucas for 1 year after the surgery is essential.<\/p>\n<h3>Complications<\/h3>\n<p>-Bleeding: this may occur in the first few hours but usually remains very moderate. When they are too important, it may justify a return to the operating room.<br \/>\n-Hematomas: they may need to be evacuated if they are large or too painful.<br \/>\n-Infection: despite the natural presence of microbes in the nasal cavity, it is very rare. If it does occur, it warrants rapid and appropriate treatment.<br \/>\nUnattractive scars: they can only concern external scars (when they exist) and are only very rarely so unsightly as to require a touch-up.<br \/>\n-Skin damage: although rare, they are always possible, often due to the nasal splint. Simple wounds or erosions heal spontaneously without leaving any trace, unlike skin necrosis, which are fortunately exceptional, and often leave a small area of scarred skin.<br \/>\n-Asymmetry, functional respiratory problems, aesthetic dissatisfaction<\/p>\n<h3>Combinations and alternatives<\/h3>\n<p>A consultation with a thorough clinical examination is necessary to determine if you can benefit from <a href=\"https:\/\/www.drlucasplasticsurgery.ch\/en\/medical-rhinoplasty-by-hyaluronic-acid-or-threads\/\">rhinoplasty with filler or threads<\/a> or if surgery is more appropriate.<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_2125\" aria-describedby=\"caption-attachment-2125\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2125\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/07\/IMG_20210719_173446_026-300x285.jpg\" alt=\"\" width=\"300\" height=\"285\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/07\/IMG_20210719_173446_026-300x285.jpg 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/07\/IMG_20210719_173446_026-1024x973.jpg 1024w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/07\/IMG_20210719_173446_026-768x730.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/07\/IMG_20210719_173446_026.jpg 1080w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2125\" class=\"wp-caption-text\">Surgical rhinoplasty<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_2276\" aria-describedby=\"caption-attachment-2276\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2276\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/09\/IMG_20210928_182905_036-300x244.jpg\" alt=\"\" width=\"300\" height=\"244\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/09\/IMG_20210928_182905_036-300x244.jpg 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/09\/IMG_20210928_182905_036-1024x834.jpg 1024w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/09\/IMG_20210928_182905_036-768x626.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/09\/IMG_20210928_182905_036.jpg 1080w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2276\" class=\"wp-caption-text\">Rhinoplasty by fillers<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_2741\" aria-describedby=\"caption-attachment-2741\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2741\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/06\/Screenshot_20220623_155306_com.instagram.android_edit_21462879995162-300x278.jpg\" alt=\"\" width=\"300\" height=\"278\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/06\/Screenshot_20220623_155306_com.instagram.android_edit_21462879995162-300x278.jpg 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/06\/Screenshot_20220623_155306_com.instagram.android_edit_21462879995162-1024x948.jpg 1024w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/06\/Screenshot_20220623_155306_com.instagram.android_edit_21462879995162-768x711.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/06\/Screenshot_20220623_155306_com.instagram.android_edit_21462879995162.jpg 1080w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2741\" class=\"wp-caption-text\">Rhinoplasty by fillers<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_2736\" aria-describedby=\"caption-attachment-2736\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2736\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/06\/IMG_20220622_152211_872-300x300.webp\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/06\/IMG_20220622_152211_872-300x300.webp 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/06\/IMG_20220622_152211_872-1024x1024.webp 1024w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/06\/IMG_20220622_152211_872-150x150.webp 150w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/06\/IMG_20220622_152211_872-768x768.webp 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/06\/IMG_20220622_152211_872.webp 1057w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2736\" class=\"wp-caption-text\">Revision rhinoplasty (IIIR)<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_2777\" aria-describedby=\"caption-attachment-2777\" style=\"width: 284px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2777\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/07\/Watermark_1657050767913-284x300.png\" alt=\"\" width=\"284\" height=\"300\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/07\/Watermark_1657050767913-284x300.png 284w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/07\/Watermark_1657050767913-971x1024.png 971w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/07\/Watermark_1657050767913-768x810.png 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/07\/Watermark_1657050767913.png 1080w\" sizes=\"auto, (max-width: 284px) 100vw, 284px\" \/><figcaption id=\"caption-attachment-2777\" class=\"wp-caption-text\">Revision rhinoplasty<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_2841\" aria-describedby=\"caption-attachment-2841\" style=\"width: 254px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2841\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/07\/Screenshot_20220721-212830_Instagram-254x300.jpg\" alt=\"\" width=\"254\" height=\"300\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/07\/Screenshot_20220721-212830_Instagram-254x300.jpg 254w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/07\/Screenshot_20220721-212830_Instagram-868x1024.jpg 868w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/07\/Screenshot_20220721-212830_Instagram-768x906.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/07\/Screenshot_20220721-212830_Instagram.jpg 977w\" sizes=\"auto, (max-width: 254px) 100vw, 254px\" \/><figcaption id=\"caption-attachment-2841\" class=\"wp-caption-text\">Revision rhinoplasty (IIIR)<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_3237\" aria-describedby=\"caption-attachment-3237\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3237\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/02\/Screenshot_20230216-012605_Instagram-300x287.jpg\" alt=\"\" width=\"300\" height=\"287\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/02\/Screenshot_20230216-012605_Instagram-300x287.jpg 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/02\/Screenshot_20230216-012605_Instagram-1024x979.jpg 1024w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/02\/Screenshot_20230216-012605_Instagram-768x735.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/02\/Screenshot_20230216-012605_Instagram.jpg 1080w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-3237\" class=\"wp-caption-text\">Patient&#8217;s complaints:<br \/>&#8211; the nostrils are asymmetrical, too wide and present an ouward rotation (1)<br \/>-the scar made by a previous liplift is widened (2)<br \/>-the nostrils hole is too open(3) from the front and even from the profile because of the nostril sill damaged after 2 previous rhinoplasty and 1 liplift<br \/>Methodology of reconstruction:<br \/>&#8211; custom asymmetrical internal alarplasty to correct asymmetry and make an inward rotation<br \/>-scar liplift revision with scar hided inside the nostril<br \/>-reconstruction of nostril sill by conchal cartilage<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_3447\" aria-describedby=\"caption-attachment-3447\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3447\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/07\/Screenshot_20230716-113251_Instagram-300x269.jpg\" alt=\"\" width=\"300\" height=\"269\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/07\/Screenshot_20230716-113251_Instagram-300x269.jpg 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/07\/Screenshot_20230716-113251_Instagram-1024x919.jpg 1024w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/07\/Screenshot_20230716-113251_Instagram-768x689.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/07\/Screenshot_20230716-113251_Instagram.jpg 1080w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-3447\" class=\"wp-caption-text\">Liplift with conchal cartilage graft for nostril sill reconstruction<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_3240\" aria-describedby=\"caption-attachment-3240\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3240\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/02\/20230215_113438-300x220.jpg\" alt=\"\" width=\"300\" height=\"220\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/02\/20230215_113438-300x220.jpg 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/02\/20230215_113438-1024x750.jpg 1024w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/02\/20230215_113438-768x563.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/02\/20230215_113438.jpg 1074w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-3240\" class=\"wp-caption-text\">Conchal cartilage for rhinoplasty revision<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_3652\" aria-describedby=\"caption-attachment-3652\" style=\"width: 297px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3652\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/11\/Screenshot_20231127_222740_Instagram-2-297x300.jpg\" alt=\"\" width=\"297\" height=\"300\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/11\/Screenshot_20231127_222740_Instagram-2-297x300.jpg 297w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/11\/Screenshot_20231127_222740_Instagram-2-768x776.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2023\/11\/Screenshot_20231127_222740_Instagram-2.jpg 1003w\" sizes=\"auto, (max-width: 297px) 100vw, 297px\" \/><figcaption id=\"caption-attachment-3652\" class=\"wp-caption-text\">Rhinoplasty with filler<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_3797\" aria-describedby=\"caption-attachment-3797\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3797\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/02\/GridArt_20240216_131858680-300x207.jpg\" alt=\"\" width=\"300\" height=\"207\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/02\/GridArt_20240216_131858680-300x207.jpg 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/02\/GridArt_20240216_131858680-1024x707.jpg 1024w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/02\/GridArt_20240216_131858680-768x530.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/02\/GridArt_20240216_131858680-1536x1060.jpg 1536w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/02\/GridArt_20240216_131858680-2048x1413.jpg 2048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-3797\" class=\"wp-caption-text\">Surgical primary rhinoplasty<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_3825\" aria-describedby=\"caption-attachment-3825\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3825\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/02\/20240228205040140-300x237.jpeg\" alt=\"\" width=\"300\" height=\"237\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/02\/20240228205040140-300x237.jpeg 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/02\/20240228205040140-1024x810.jpeg 1024w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/02\/20240228205040140-768x607.jpeg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/02\/20240228205040140-1536x1215.jpeg 1536w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/02\/20240228205040140-2048x1619.jpeg 2048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-3825\" class=\"wp-caption-text\">Surgical primary rhinoplasty with septum deviation correction<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_3832\" aria-describedby=\"caption-attachment-3832\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3832\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/03\/Screenshot_20240306_200630_Instagram-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/03\/Screenshot_20240306_200630_Instagram-300x300.jpg 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/03\/Screenshot_20240306_200630_Instagram-1024x1024.jpg 1024w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/03\/Screenshot_20240306_200630_Instagram-150x150.jpg 150w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/03\/Screenshot_20240306_200630_Instagram-768x768.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/03\/Screenshot_20240306_200630_Instagram.jpg 1078w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-3832\" class=\"wp-caption-text\">Surgical primary rhinoplasty<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_3870\" aria-describedby=\"caption-attachment-3870\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3870\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/03\/Point-Blur_Mar272024_214837-300x286.jpg\" alt=\"\" width=\"300\" height=\"286\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/03\/Point-Blur_Mar272024_214837-300x286.jpg 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/03\/Point-Blur_Mar272024_214837-1024x977.jpg 1024w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/03\/Point-Blur_Mar272024_214837-768x732.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/03\/Point-Blur_Mar272024_214837.jpg 1080w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-3870\" class=\"wp-caption-text\">Surgical primary rhinoplasty with septum deviation correction<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_4104\" aria-describedby=\"caption-attachment-4104\" style=\"width: 296px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-4104 size-medium\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/07\/Screenshot_20240721_143719_Instagram-296x300.jpg\" alt=\"\" width=\"296\" height=\"300\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/07\/Screenshot_20240721_143719_Instagram-296x300.jpg 296w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/07\/Screenshot_20240721_143719_Instagram-768x779.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/07\/Screenshot_20240721_143719_Instagram.jpg 987w\" sizes=\"auto, (max-width: 296px) 100vw, 296px\" \/><figcaption id=\"caption-attachment-4104\" class=\"wp-caption-text\">Surgical primary rhinoplasty (day 7)<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_4173\" aria-describedby=\"caption-attachment-4173\" style=\"width: 293px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-4173\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/08\/Screenshot_20240826_225110_Instagram-293x300.jpg\" alt=\"\" width=\"293\" height=\"300\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/08\/Screenshot_20240826_225110_Instagram-293x300.jpg 293w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/08\/Screenshot_20240826_225110_Instagram-1001x1024.jpg 1001w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/08\/Screenshot_20240826_225110_Instagram-768x786.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/08\/Screenshot_20240826_225110_Instagram.jpg 1080w\" sizes=\"auto, (max-width: 293px) 100vw, 293px\" \/><figcaption id=\"caption-attachment-4173\" class=\"wp-caption-text\">Surgical primary rhinoplasty with septum deviation correction<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_4177\" aria-describedby=\"caption-attachment-4177\" style=\"width: 260px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-4177\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/08\/Screenshot_20240826_231933_Instagram-260x300.jpg\" alt=\"\" width=\"260\" height=\"300\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/08\/Screenshot_20240826_231933_Instagram-260x300.jpg 260w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/08\/Screenshot_20240826_231933_Instagram-887x1024.jpg 887w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/08\/Screenshot_20240826_231933_Instagram-768x887.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2024\/08\/Screenshot_20240826_231933_Instagram.jpg 1080w\" sizes=\"auto, (max-width: 260px) 100vw, 260px\" \/><figcaption id=\"caption-attachment-4177\" class=\"wp-caption-text\">Ethnic surgical rhinoplasty with septum deviation correction<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_4663\" aria-describedby=\"caption-attachment-4663\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-4663\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2025\/09\/Screenshot_20250910_153620_Instagram-300x298.jpg\" alt=\"\" width=\"300\" height=\"298\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2025\/09\/Screenshot_20250910_153620_Instagram-300x298.jpg 300w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2025\/09\/Screenshot_20250910_153620_Instagram-1024x1015.jpg 1024w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2025\/09\/Screenshot_20250910_153620_Instagram-150x150.jpg 150w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2025\/09\/Screenshot_20250910_153620_Instagram-768x762.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2025\/09\/Screenshot_20250910_153620_Instagram.jpg 1080w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-4663\" class=\"wp-caption-text\">Surgical rhinoplasty with septum deviation correction<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_4770\" aria-describedby=\"caption-attachment-4770\" style=\"width: 275px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-4770\" src=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2026\/04\/IMG_20260403_100531_019-275x300.jpg\" alt=\"\" width=\"275\" height=\"300\" srcset=\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2026\/04\/IMG_20260403_100531_019-275x300.jpg 275w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2026\/04\/IMG_20260403_100531_019-940x1024.jpg 940w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2026\/04\/IMG_20260403_100531_019-768x837.jpg 768w, https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2026\/04\/IMG_20260403_100531_019.jpg 1080w\" sizes=\"auto, (max-width: 275px) 100vw, 275px\" \/><figcaption id=\"caption-attachment-4770\" class=\"wp-caption-text\">Neck liposuction with Renuvion (J Plasma) and surgical rhinoplasty (aesthetic and functional with moderate septum deviation correction)<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Anatomy and ideal proportion: The nose is a major element in the harmony of the face. The ideal nose is defined by a multitude of artistic anatomical criteria: a projection\/length ratio equal to 0.67, a naso-frontal angle (between the nose and the forehead) between 115 and 130\u00b0 (close to 115\u00b0 for men and closer to [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":895,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1182","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/pages\/1182","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=1182"}],"version-history":[{"count":3,"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/pages\/1182\/revisions"}],"predecessor-version":[{"id":4782,"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/pages\/1182\/revisions\/4782"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/media\/895"}],"wp:attachment":[{"href":"https:\/\/www.drlucasplasticsurgery.ch\/en\/wp-json\/wp\/v2\/media?parent=1182"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}