Nose job

Rhinoplasty (which is commonly referred to as a nose job) is a procedure in which the nose is re-sculpted using various techniques better facial balance.

Nasal plastic surgery is the most artistic and most complex of all facial plastic surgery procedures. Within the plastic surgery specialties, Rhinoplasty is considered the queen of the surgeries, due to its high level of complexity.

Being one of the most popular procedures in cosmetic surgery, it can be a life changing experience in a person’s life. We all know the importance of having a harmonious and nice face and we focus on proportional and aesthetic balance to the face when evaluating a patient for nose surgery. We meet with each patient individually to discuss the desired outcome as well as discuss realistic expectations given a patient’s unique nasal structure.

INTRODUCTION

Because it is a crucial element in the pursuit of well-being, success and harmony with oneself, beauty has become a requirement of all. For a long time it was considered as a gift from heaven but thanks to cosmetic surgery almost anyone can achieve the beauty we want today. There are of course the financial constraints and physical limitations but apart from that we can make your dream come true.

This is an important decision that should never be taken lightly as its effects are important, physically but also psychologically. The decision should not be motivated by a third party to obtain secondary benefits (“I do it to please someone”) but for oneself.

Rhinoplasty is probably the most delicate cosmetic procedure as the nose is the central feature of the face. It is a very common operation (between twelve and fifteen thousand operations a year in France). Its purpose is to correct an imperfect nose on the aesthetic plan of course but also to improve respiration problems. The difficulties in respiration could be one of the reasons a patient come to see his Doctor.

The preoperative consultations are essential for this type of intervention as a perfect agreement is essential between the patient and the surgeon. This needs to be done before the surgery. This evaluation needs to focus not only on the defects to be corrected but also from a psychological point of view.

The surgeon should have preoperative photographs (face, profile, three-quarters) at rest and with a smiling face. These photos allows a precise analysis of defects to be corrected (change the proportions, the shape..) The photos will then be compared with postoperative photos to see the improvement. This is a great tool that will be the base for the co-operation between the patient and his Doctor from the very beginning. New technologies such as computers are a valuable addition to the photographic analysis of the future nose. Indeed, at the request of the patient, a computer simulation can be performed to better visualize the corrections that will be made.

WHAT CAN BE DONE?

The nose has the distinction of being a complex structure in three dimensions “based on the void” and maintained by its bony attachments; its laxity is related to its components and cartilaginous tissue. The skeleton of the nose can be considered as a roof, supported by a partition. The sides include a portion of the roof top bone, formed by the bones and ascending branches of the premaxillary and a cartilaginous portion at the bottom. The nasal septum is composed of two parts, bone and cartilage. The fleshy external end of the nasal septum is sometimes also called columella.

Thus, the nose is composed of many complex anatomical elements each of which may be the seat of deformation, alteration or functional unsightly, and may be subject to a specific surgical procedure (bone, cartilage, mucous , wall or skin). Most cases are reduction rhinoplasty, with shortening of the nose and lowering the profile line. The procedure is usually performed under general anesthesia providing greater comfort for the patient and the surgeon.

Reduction Rhinoplasty reduces the size of the framework of the nose over which the skin is draped. The skin itself is not touched. The frame of the nose which is made up of bone in its upper half and gristle (cartilage) in its lower half is approached from underneath the skin trough cuts which are made inside the nostrils. This is achieved by a hidden path, called endonasal where the scars are hidden inside the nostrils. In difficult cases (advanced surgery, deviated nose, secondary rhinoplasty), there might be a small external scar.

Once the modeling of the tip is obtained and after possible correction of the nasal septum, the intervention will focus on the correction of the nose bone. Techniques often include cartilaginous excision and bony hump reduction with a chisel or a rasp. The intervention ends with the closure of incisions. The nasal structures are carefully and meticulously compressed to reduce the swelling and special tapes are placed on the surface of the nose along with a custom-molded nasal splint to further improve the shaping and reduce the swelling of the nose which will occur after surgery.

Our books 

“UNE REZ-NEZ-SSANCE “

Rhinoplasty today, and throughout its history …A new nose … For all those who have chosen to use the Rhinoplasty is a nose-re-t on. They revived. The nose is too long, too wide, dented or mashed, arrives to jeopardize the overall harmony of a face …And everyone does not have the verve of a Cyrano to fulfill the gaps of nature. Gone are the days where you had to resign to accept them. Cosmetic surgery overcomes fate.

Rhinoplasty now has the power to change your desti’nez.
With humor, psychology, pragmatism, and through the testimony of patients for whom life again, this book proposes to guide the reader to the new nose. it covers topics as varied as art, history and psychological approach to rhinoplasty.

“MON NOUVEAU NEZ”

F. BRACCINI, H. CANALE, H. ERENA
with the special participation of SOSNO

“MEDICAL RHINOPLASTY”

Alessio Redaelli and Frédéric Braccini

144 pages, format 22 x 28 cm, 300 images couleur
prix T.T.C. : 145,00 €
OEO srl Firenze – Davide Di Maggio
Tél.: + 39 055282874 – Fax.: + 39 0554487566
www.oeofirenze.it

 Extract of some messages from testimonial book

Tatiana B.
/ mini rhinoplasty

Dear Dr.Braccini,

First i`d like to say you did an amazing job
with my nose! Thank you so much,it looks
completely natural which was definitely my biggest concern.
Having had the nose job from you i know
that you understand subtly and naturalness
so i trust you.
I`m so happy and i feel gorgeous;)

Thanks so much,
Tatiana

 Archer R
Facial surgery

I recently had a large benign bone growth removed from behind my ear and at the time jokingly suggested that they could give me a lift at the same time (they being; Dr Braccini).
Well, the joke became reality and although I was somewhat anxious that I might look artificially enhanced, (and sadly we see some women who have taken on that ‘overworked’ look) this wonderful doctor assured me that I would look very natural.
It is now several weeks since I had these two procedures and the result is that I no longer have the sore neck from the bone growth but have also a nice surprise when I look in the mirror each morning.
The face reflecting back looks like it has been on holiday, totally natural with the saggy chin a thing of the past. My friends have commented that I’m looking really well, some even say ‘great”.

Thank you Dr Braccini you are at the top of your profession, a real genius and a very nice human being as well.

Irina.
/ Botox (“toxine botulique”)

Dear Dr BRACCINI,

Thank you very much for the treatment.
I am very happy with all you did on my face.
For the first time it seems quite symmetric and I do not need any correction.
I still have some wrinkles between eyebrows, but it might needs more time Botox to work completely?

It was a great pleasure meeting you.
Hope to see you again.

Thanks a lot .

Irina

Karen B.
/ Mésothérapie

“Dear Frederic

After having tried the mesotheraphy I am already very happy and utmost satisfied with the result even after the first two treatments. Besides having an impressive track record and qualifications, you have the ability to create the important trust to your patients in addition to your aesthetic view to each individual. I much appreciate your step-by-step approach with regards to the treatment process as this ensures the perfect final result.

Many thanks and see you soon”

Kind Regards,

Karen

Jayne Walsh
/ Chirurgie du visage

After having been diagnosed with a rare facial cancer which was followed by many years of radical reconstructive surgery which was carried out, fortunately, by the top Plastic Facial Consultants in London at that time; I was somewhat hesitant and anxious when I realised, once again, that I had to find someone who I could trust to carry out further necessary reconstructive surgery here in France. With enormous good fortune and luck I was recommended to you, Dr Braccini. At our first meeting I was to say the least, nervous, terribly pessimistic and bared incredibly low self esteem. However, during the course of our conversation not only did you seem to appreciate and fully understand what I had been through years before and what repair was needed now but your encouragement, confidence and compassion left me feeling reassured, confident, optimistic and so fortunate that I had finally found someone that had the ability and mind-set to do what was necessary. Now, after a couple of operations “under our belt”, the transformation is simply quite amazing. With each session there is such an improvement. For me, what you have achieved is so immense. It really far surpasses what I ever thought possible. You obviously have an in-depth knowledge in your field, combined with your passion for your work and rare exceptional talent. You also possess the silent and very much “unsung” forte to instill lost hope and confidences with your non-judgmental, calm and compassionate demeanor. For me, you are by far more than a surgeon. You have not only given me my beauty back on the outside, you have given me back my inner beauty too. You are a brilliant surgeon, a brilliant man and a true professional in every sense who has obviously found his vocation in life. A simple thank you is not nearly enough to really express the heartfelt gratitude I have. I really am so very lucky to have found you.
J.x
Mail: jaynelwalsh@aol.com

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