Procedure · Face
A nose is never operated on in isolation. It is read against the brow, the lip, the chin and the light that crosses all of them — which is why the planning matters more than the technique it eventually chooses.
Dr. Marchand performs both closed and open rhinoplasty, and the decision is made by anatomy, not preference. The closed approach leaves no external incision and suits refinements where the framework is sound. The open approach, through a small columellar incision, gives direct view of the tip and dorsum where revision or significant reshaping demands precision that cannot be improvised.
The goal is a nose no one will ever call your best feature.
Natural result is not a marketing word here; it is a discipline. We preserve the structural support that ages well, we resist the over-rotated tip and the scooped bridge that betray surgery from across a room, and we plan for the face you will have in twenty years, not the photograph you bring to the first consultation.
Primary rhinoplasty and revision rhinoplasty are different operations with different risks. Revision works within scarred, altered tissue and often requires cartilage grafting — sometimes from the septum, sometimes the ear or rib. It is slower, less forgiving, and a focus of this practice precisely because so few surgeons take it on with patience.
Whatever the route, you will see the intended outcome in 3D imaging before anything is decided, and you will leave the consultation understanding the trade-offs in plain language. Surgery should be the least surprising thing that happens to you.
An unhurried hour. History, breathing, goals, and a frank read of what surgery can and cannot do for your face.
3D photography and morphing render the proposed result. We adjust it together, millimetre by millimetre, until it is right.
Two to three hours in an accredited suite under general anaesthesia, with board-certified anaesthesiology throughout.
A splint for one week, swelling that fades fastest in the first fortnight, and a coordinator reachable throughout.
The splint comes off, the early shape appears, and refinement continues quietly for a year as the last swelling resolves.
Move the dusk light across each portrait — shadow holds the before, the lit area reveals the result.
That is the failure mode we plan against. The aim is a nose in proportion to your face — a result people read as rest or relief, not surgery. We avoid the over-rotated tip and scooped bridge that announce themselves.
Anatomy decides. Closed leaves no external scar and suits refinements with sound structure; open gives direct access for tip work and revision. You will know which, and why, before surgery.
Social downtime is 7–10 days. By three months roughly 80% of swelling is gone and the nose photographs well. The tip refines for up to a year.
Yes — revision rhinoplasty is a focus of the practice. It works within altered tissue and often needs cartilage grafting. We ask that a previous result has healed for at least twelve months first.