Dr. Massimo Gianfermi is a leading specialist in the field of Rhinoplasty or nose surgery.
The reconstructive surgery is in this case ENT, and consists in straightening the nasal septum of people suffering from breathing difficulties.
This is an aesthetic plastic surgery operation that consists of modifying the morphology of the nose at the level of the upper bones or cartilages.
Although they have different objectives, these two types of nose surgery can be performed at the same time. Finally, this operation can be requested as early as age 16, when growth is over.
In the case of nose surgery (rhinoplasty), an initial interview allows the patient to express his/her expectations and the doctor to propose possible modifications. This dialogue is essential.
Indeed, changing the shape of the nose is not trivial and changes the overall harmony of the features: the eyes, the mouth and even the chin will be highlighted differently. In this respect, photo simulations performed before the operation are very important.
They will help the patient to become familiar with the new face and to decide, in agreement with the doctor, on the exact course of the operation.
Depending on whether it is a reduction of the bone part, a bump or the cartilage, the procedure is done under general or local anesthesia.
It lasts between 1 hour and 1h30. The hospitalization lasts between 24 and 48 hours.
To correct a hump in the nose that is too visible, the surgeon will remove the excess bone. The space created by the removal of the hump is tightened so that the nose becomes not only straighter, or even deeper according to the patient’s wishes, but also thinner in profile.
If you wish to change the appearance of your nose at the tip, several techniques will be considered to make it thinner: reduction of wing cartilage (which forms the tip of the nose), suturing of cartilage to each other or the addition of cartilage grafts to reshape the nose according to your wishes.
Simulations on photos taken from the side are often close to the final result, those taken from the front are not always very reliable.
The skin texture plays a significant role in the final result: it is not possible to obtain a small and thin nose with a thick skin. The same is true with large nostrils.
There are two types of scars in rhinoplasty.
If the technique used is the “closed” technique, the scar will be invisible since it is inside the nose.
On the other hand, if the technique used is the external one, a fine and even imperceptible scar (3-4 mm) will be present at the level of the columella.
The results of a rhinoplasty are permanent and can be beneficial for people who are dissatisfied with the appearance of their nose as well as for those who have difficulty breathing through their nasal passages.
In both cases, individuals must consult a surgeon.
This operation is suitable for people of all ages, from those under 15 years of age (provided they are no longer actively growing) to those in good health and with realistic expectations.
Remove a bump
Increase / Decrease the projection of the nose
Correct a hooked nose
Refine the nose
Increase / Decrease the size of the nose
Relieve airway obstruction
During a rhinoplasty, the surgeon can correct nose deformities by adding, removing, reshaping and/or rearranging the cartilage and bones in the nose.
Submit your appointment request and one of our patient care coordinators will contact you shortly.
Rhinoplasty is an outpatient procedure. During the procedure, the outer tissue layer of the nose is separated from the supporting cartilage structure. Depending on the correction needed, Dr. Gianfermi removes, adds or reshapes the cartilage to improve the appearance of your nose. Cartilage is often removed from the nasal septum to form and shape the new contours of the nose. However, if cartilage from the septum is not sufficient, ear cartilage can be used. Once Dr. Gianfermi has sculpted your new nose, the tissue layer is re-draped and your incisions are closed.
A nasal dressing and splints are applied to help support your new nasal structure.
You will experience some bruising, swelling and redness after your surgery.
Some patients experience mild discomfort from the swelling and nasal packing. It may take some time to adjust to this nasal obstruction, which is necessary for healing. Oral medications will be prescribed to control the pain associated with this obstruction.
For several days after the procedure, you will need to rest with your head elevated to minimize swelling. You should not engage in any physical activity during this period. Your surgical dressing will be removed after four to seven days. Nasal splints, if placed, will be removed after seven days.
Dr. Gianfermi prefers to secure the nose with flesh-colored paper tape for a week or two after splint removal, depending on the amount of swelling in the tip.
Most patients can return to work within two weeks after the procedure. You may resume strenuous physical activity, including your usual exercise, after three to four weeks, but only after Dr. Gianfermi has given you permission to do so.
By that time, most of the major swelling should be gone. Minor swelling can last up to a year and may slightly affect the overall appearance of your nose.
You should not expose your nose to direct sunlight for several months after the procedure. This is to ensure the best possible healing. Due to the weakness of the nasal structures, if the bones of the nose have been displaced, you may not be able to wear glasses for several weeks after your procedure without special support.