Noses

Handmade prosthetic noses are meticulously crafted by hand and advanced 3D technology to replicate the authentic shape, contours, and symmetry of your unique features.

close up image of a nasal prosthesis

A nasal prosthesis may be required following a total or partial rhinectomy, usually as a result of cancer or infection. The nasal cavity may be open, closed, or previously surgically reconstructed. If you are anticipating a rhinectomy, we encourage you to come to our office prior to surgery. We can take a 3D scan of your nose prior to removal and use that data when fabricating your nasal prosthesis post operatively. Previous CT Scans may also be helpful. This often helps patients feel more like themselves later on when we create the prosthesis. If you are unable to make it to our office prior to surgery we have a database of nasal templates. We can select one that will fit over your existing anatomy and represent you as we fabricate the prosthesis.

I want to thank you for providing me with a prosthetic nose that has greatly improved my quality of life. Since I received it, I have been more confident and social, attending various events that I used to avoid. The prosthetic nose not only looks natural, but also helps me wear my eyeglasses comfortably. I appreciate your care and support during this challenging time.

– S.

What to Expect at Your Appointments

1

Consultation
Visit one of our clinic locations to meet our team, view before and after photos, and have all your questions answered. When possible, it is helpful to have a consultation prior to your surgery to enable us to take a 3D scan. We also might be able to utilize previous CT scan data to assist in recreating your nose.

2

Pattern
We create a wax replica of your anatomy and determine placement and orientation, as well as planning for implant integration.

3

Sculpting
We hand sculpt every detail to mimic your natural features. This may require multiple sculpting/fitting appointments.

4

Mould Making
After your appointment, we handle key steps of mould making, silicone packing, and intrinsic coloration for a lifelike appearance.

5

Final Fitting
Final extrinsic colouring, tinting. We take your “after” photos, and provide instructions for ongoing care and hygiene.

6

Follow Ups
You can schedule an appointment any time for minor fitting adjustments or check-ins.

nasal prosthesis and painting supplies

Ready to get started?

Care & Hygiene

All patients are recommended to come in on a yearly basis to check on the health of the anatomy, fitting and condition of the prosthesis.

Daily cleaning of the prosthesis, fitting site and implants are essential to maintain good health to ensure wearability of the prosthesis. Inability to keep the site clean can result in irritation, infection, implant complications and ultimately the inability to maintain a prosthesis.

Typically, a silicone facial prosthesis lasts 3-4 years, depending on the individuals circumstance. If the patient is generally pleased with the cosmesis and comfort of the prosthesis, we can retain the same design and shorten some of the appointments.

If the prosthesis is no longer fitting properly due to facial changes or surgical intervention we can restart the whole process of creating a new custom made prosthesis with an updated fitting.

Need to book your yearly check up?

It is essential to clean the skin and around your implants daily! See your doctor or surgeon for evaluation and treatment if you notice any irritation, discharge, unusual swelling, or bleeding. 

To clean the skin around the implant, remove your prosthesis and rinse with water, typically in the shower or with a warm facecloth. Then, use a Q-tip or gauze to apply saline solution to remove any debris. Mild crusting at the implant site can occur.

Cleanse the prosthesis front and back using a mild liquid soap and warm water. If you have an adhesive-retained prosthesis, you may need to rub off the accumulated adhesive on the back fitting surface with your fingers or a soft toothbrush (solely dedicated to your prosthesis). You may use a wet Q-tip to remove any debris collected in the crevices of your prosthesis. 

 

You need to degrease and clean your prosthesis nightly with soap and water. You will also require a deep cleaning approximately every two weeks. The frequency may vary depending on your medical history, retention type and sensitivity.

Step 1: Put water to boil, and place the prosthesis in a bowl.

Step 2: Add 2-3 tbsp of baking soda to bowl on top of your prosthesis

Step 3: Cover the whole prosthesis with the water once the water has boiled. It will bubble.

Step 4: Lightly scrub with a designated toothbrush all over the prosthesis until bubbling is done. Ensure that the back fitting surface is free of debris, and be very gentle with the front, as you may remove the surface pigment. 

Step 5: Remove the prosthesis and rinse with fresh water so there is no chalky residue.

*Note: Do not clean your prosthesis the first day you get it, as the surface pigment is still drying. No, do not overhandle for approximately 24 hours after your final fitting appointment.

The prosthesis placement depends on which facial feature and retention mechanism we use for your case. Our anaplastologists will guide you to the best way for you to place your unique piece with a safe and secure technique. Please note that we sell Daro medical skin adhesive for your convenience.

The different retention methods are adhesive retention, magnet retention, gold bar and clips.

Step 1: Clean the skin—In the morning, wash your face with soap and water and allow it to dry completely. 

Step 2: Shake the bottle of Daro skin adhesive vigorously.

Step 3: Using a Q-tip, apply glue to the periphery of the prosthesis and let it sit until it turns clear—that’s when you put it in position.

  • Glue takes approximately 5-7 minutes to set. Use a hair dryer on low heat to speed up drying.
  • If one layer of glue isn’t strong enough, apply two, allowing it to dry clear between layers.

Step 4: Place the prosthesis in position and press tightly along the edges of the skin to secure it in position, holding it for a few seconds. 

Step 5: Remove the prosthesis by peeling it off the skin in the evening.

Step 6: The next day, reapply on top of the other layer. You can reapply it for about 3 days, and if it won’t sit properly on the skin, remove the layer of glue by rubbing the surface and reapplying the new glue.

*Note: Keep glue at room temperature! Do not put the product in the fridge. If you live in a cold place, order a few bottles from us in early Fall, as we can not ship during cold winter months.

You may have 2 or 3 magnets retaining your prosthesis. Typically, one magnet is deeper and may accommodate an “O-ring” for stronger retention. If you are having any fitting difficulties with the prosthesis being too tight or too loose, check to see if a small, black silicone ring has been embedded in one of the magnets on your prosthesis. An O-ring creates a firmer fit; removing it will loosen the fit. Please get in touch with your anaplastologist for guidance on adding or removing the O-rings. This may require a visit to the office.

Typically, there are three to five clips on the posterior of your prosthesis that attach to your gold bar. These come in all different configurations, but commonly in a “C” formation. The clips are very delicate; please take caution when placing and removing the prosthesis. Try to ease off and on the clips individually, placing your thumb behind the prosthetic ear for support. You will become more familiar with how to handle your prosthesis over time. With each new prosthesis, the fit and placement will be slightly different. When putting on the new prosthesis, getting used to the placement will take time. Allow extra time before placing your new prosthesis, and remain gentle as the clips are delicate.

It is essential to remove your prosthesis before going to bed. It is vital to allow airflow to the skin and implants and for the integrity of the prosthesis. Your anaplastologist will guide you on how to remove your prosthesis in the best way. Please remove by holding the thickest part of the periphery, as thin edges may tear. If you have implants, try carefully removing one at a time to ensure the magnet substructure does not detach from the silicone prosthesis. You will become more familiar with how to handle your prosthesis over time.
After your final appointment, your new prosthesis will be tacky as the pigment sets. Allow 24 hours before wearing. Once you arrive home, please remove the lid of your container to allow for airflow and proper drying of the pigments. Place in a secure area away from children and pets. Nightly, store in the container provided and ensure the prosthesis has been cleaned and dried.

Naturally, there is variance in the skin as we change temperature, differing seasons, and age-related changes. We aim for a happy medium so the pigment looks natural in most circumstances. Due to the nature of the material and daily handling of the prosthesis, the surface pigment will begin to fade over time. Approximately 18-24 months after receiving your prosthesis, you should return to the clinic for a retinting appointment. We will check the prosthetic fit and integrity and recolour the prosthesis. We will reapply fresh details, which should extend the life of the prosthesis to the 3-4 year mark. Allow 24 hours for the pigments to set before wearing your prosthesis. If you have an old prosthesis that fits, please bring it to the appointment.

Consultations

If you are exploring prosthetic options we welcome you to meet us for a complimentary consultation. At that time you can meet the team, we explain our detailed process, show you example prostheses, and assess your situation to see if you are a suitable candidate. Given the complex nature of facial loss, we aim to create realistic expectations and will discuss any limitations we determine to help you have a clear idea of the outcome. If we do not believe you are a candidate, we hope to guide you to another field or alternative reconstruction that may work for you. A consultation does not commit you to anything, but is simply an information gathering process. Although we are based in the lower mainland, we service all of BC and the Yukon, so we offer telehealth video consultations for your convenience.

Cost Coverage

Most residents of BC fall under the Fair Pharmacare Program, and eligibility is income-based; therefore, coverage for each individual will be different.

Extended Health Care companies may cover a percentage of the balance in accordance with their member’s policy agreement, after any Pharmacare benefits have been accessed. It is best to contact your extended health care provider for clarification. Please note, we can not direct bill any extended health care companies at this time.

Those with ICBC, WorkSafe, First Nations Health Authority, DVA, and Refugee status are eligible under these individual programs respective to their policies.

Please contact our office if you require further details.

Book a consultation for your nasal prosthesis today.