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Rhinoplasty

Rhinoplasty, or nose surgery, is a very delicate procedure on one of the most important facial features. Dr. Marc DuPéré approaches rhinoplasty for his Toronto-area patients with an understanding that successful results come from a combination of technical skill, artistry, and knowledge of the architecture of the face. Dr. DuPéré studied under world-renowned rhinoplasty surgeon Dr. Gilbert Aiache in Paris and has extensive experience with the most advanced surgical techniques to improve the size or shape of the nose or correct breathing obstructions.

If you have been unhappy with the appearance of your nose and are interested in learning more about how Dr. DuPéré can help, request a consultation online, or call our office at (416) 929-9800.

Rhinoplasty
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This 52 year old trans-woman was living as a woman for several years before coming to see Dr. DuPere. She was interested in the breast augmenation procedure, having a smaller, more feminine nose as well as a smaller chin to compliment her facial features. Dr. DuPere suggested fat grafting along... Read On

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How Can Rhinoplasty Help?

This procedure can improve the look of the nose by:

  • Refining and elevating the nasal tip
  • Correcting the nose hump
  • Correcting the size and width of nostrils
  • Adjusting the lip-nasal angle
  • Removing excess cartilage
  • Correcting a deviated septum
  • Augmenting the nose with implants or fillers

Dr. DuPéré's Rhinoplasty Techniques

There are two major techniques for nose surgery: open and closed rhinoplasty. Open rhinoplasty uses a small incision across the base of the nose, and the closed technique uses incisions inside the nostrils. Dr. DuPéré has vast experience with both methods and works to hide all scars to the point of near invisibility. During the surgery, Dr. DuPéré will adjust the bone and cartilage framework of the nose that lies beneath the skin and then redrape the skin over it.

Dr. DuPéré believes that no 2 noses should be operated on in the same way. During the consultation, he will consider many factors that make each case unique, including patients' goals and medical history and whether they have undergone any nose trauma or need correction for breathing concerns.

He will also account for gender and ethnic differences. With a strong background in classical art, Dr. DuPéré is very familiar with the qualities that make a nose more slender and feminine or more strong and masculine. He also has extensive worldwide training and knowledge of the differences in facial and nose structure between ethnic groups. He works to preserve these "cultural signatures" based on an understanding that they can be a part of a patient's identity.

Dr. DuPéré also considers the proportion of a patient's nose as compared with other facial features. He believes facial beauty and harmony have a lot to do with the balance of features and will carefully consider the height and width of the face, chin, and cheeks when planning adjustments to a patient's nose. For a more comprehensive surgical result, he will sometimes recommend additional facial procedures such as eyelid surgery, chin surgery, or face and neck lift.

Rhinoplasty surgery is usually performed under general anesthesia and takes up to about 2 hours, with more complicated cases taking longer.

Recovering from Rhinoplasty

At Dr. DuPéré's practice in Toronto, rhinoplasty is usually performed as an outpatient procedure with patients returning home on the same day as surgery. Most people should be able to return to work about a week after surgery, depending on the level of activity at their job. More strenuous activity including exercise should be eased back into slowly over the course of several weeks.

Patients usually leave the surgical center with a splint or other materials applied to the nose to help it maintain its shape in the first few days after surgery. Facial swelling is common after the procedure but can be alleviated with cold compresses. Dr. DuPéré and his team will provide detailed instructions on how to make the recovery go as smoothly as possible.

A patient's result can be subtle or dramatic depending on the level of work done. Slight swelling may take several months to fade, with final results becoming apparent about a year after the rhinoplasty surgery.

Risks and Complications

Every surgery comes with potential risks. Though serious complications are rare, Dr. DuPéré educates all rhinoplasty patients about risks such as: scarring, temporary discomfort, bleeding and bruising around the nose and under the eyes, loss of sensation over the nasal tip, infection, nerve and vessel injury, skin necrosis, contour asymmetry, skin surface irregularity and implant-related issues when a nasal implant is being used.

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