RHINOPLASTY
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WHY SHOULD I HAVE A RHINOPLASTY AT MON VISAGE IN GENEVA ?
In our clinic, where we are specialized both in head and neck and facial plastic surgery professor Marchal combines his functional and esthetic skills for your result.
All possible rhinoplasty techniques are used, from closed to open approaches to optimize your outcome, with the ultimate goal to offer you an"unvisible" nose fitting perfectly and naturally in your face.
MY PHILOSOPHY IS TO SLOW DOWN THE AGING PROCESS
IN AN IMPERCEPTIBLE WAY
YOUR FACE IS UNIQUE. IT DESERVES CUSTOMISED TREATMENTS.
" LOOK YOUNGER BUT NATURAL "
ORIENTAL NOSES
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You are bothered by your nasal hump ?
In cases of protruding noses, the profile line needs firstly to be carefully analysed, in order to determine if a surgery on the chin might be necessary.
The hump will be operated using different techniques, from preservation rhinoplasty (push or let down) to structural rhinoplasty.
Tip surgery is not always associated, particularly in male patients that want to keep their identity. This is discussed with professor Marchal during the multiple pre-operative meetings.
AFRICAN NOSES
The discussion and careful evaluation of the patient is crutial in order simulate a surgery and to determine the possible approaches. The techniques used may include nose augmentation in order to increase the profile line, and eventual alar base reduction.
Most importantly, the surgery aims to be not visible as such, and to be naturally fitting in the face.
ASIAN NOSES
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Professor Marchal is specialized in all type of noses, with the obsessive goal of having a natural result. Asian noses often require a slight augmentation of the profile line, and tip refinement.
As insertion of silicon implants is popular in Asia, some patients consult because of non tolerance, displacement or infection of these implants. In those cases, the preferred reconstructive approach is the use of a rib of the patient, which gives very natural and quick healing results.
NOSE SCULPTING
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Are you suffering from a small hump and or a tip deformity ?
This can be fantastically adressed with a device called « piezzo », which enables a reshaping, a real sculpting of the nose.
The advantage is that there is no necessity to break the nasal bones as it is done in push down or structural rhinoplasties, and therefore very minimal post-operative swelling of the face with a rapid recovery.
This piezzo nose sculpting is generaly associated with a tip surgery, to achieve perfect and natural results
PRESERVATION RHINOPLASTY
This technique has become lately extremely popular as it offers more stable noses, with a shorter healing process and less oedema of the face.
The surgery consists in breaking the nasal bones superiorly and laterally, and keeping the nasal vault intact. Technically, it is accompanied with a reduction of the height of the septum, and as a head and neck surgeon professor Marchal insists on the importance of good breathing. Subsequently, the whole nose is then litterally pushed down, to reduce the profile line.
The procedure is almost always accompanied by a reshaping of the tip, in order to obtain a nice nose fitting perfectly in the face.
STRUCTURAL RHINOPLASTY
In some cases of very large hump or very asymetric noses and large septal deformations creating nasal obstuction and impaired breething, a structural rhinoplasty is considered.
This classical technique consists in removing the hump and fracturing nasal bones laterally to bring them back on the midline.
It is extremely important in these cases to have a good work on the septum, in order to have a happy patient not only in terms of esthetics, but also in terms of breething.
TOTAL RECONSTRUCTION RHINOPLASTY
Indications for total reconstruction include previous implants, failed rhinoplasties, or failed septoplasties, leading in some cases in saddle noses.
While professor Marchal made his facial plastic surgery thesis in 1998 on nasal reconstruction with skull bones, he has been using all type of bone or cartillage grafts including hip or ear cartillage.
His preferred approach is he use of one portion of a rib of the patient via a hidden incision just under the breasts. The way the rib is harvested, keeping enough rib in place to avoid post-operative pain has therefore minimal consequences, but offers enough material to reconstruct both the structure of the nose but also an elegant tip.
