Nose correction / rhinoplasty

The nose is an expressive feature that shapes the character of the face and contributes significantly
to the overall appearance of the face. However, culturally or congenitally prominent noses are often perceived as disturbing. Do you want a more attractive nose and a harmonious appearance? I will be happy to assist you as an objective specialist. During the consultation, I would like to show you solutions to help you achieve your desire for an individual, naturally shaped nose with good breathing function.

Frequently asked questions:

• What is rhinoplasty?
• Is rhinoplasty right for me?
• How does the operation and aftercare proceed?

What is rhinoplasty?

Minor corrections can be carried out conservatively, e.g. by injections with autologous fat or hyaluronic acid. Major changes require surgery. There are many different types of nose problems, which is why we offer many different surgical techniques to achieve a long-term stable, beautiful shape
with good breathing function.

During a classic nose operation, the skin, soft tissue and the nasal framework of cartilage and bone are shaped and sutured using fine special instruments. In order to be able to visualize all structures as precisely as possible, I will operate on you using the open technique, which leaves only a minimal scar on the bridge of the nose

Is rhinoplasty right for me?

The various causes of an aesthetically and functionally unpleasant nose can be treated with a wide range of corrective operations. If you find yourself in the following list, rhinoplasty may be a good solution

These include:

• Correction of the nasal septum.
• Reduction of the turbinates.
• The correction of a narrowed nasal valve.
• Reshaping, raising or lowering the tip of the nose.
• Correction of the nostrils.
• Profile correction of the bridge of the nose, for example by removing a nasal hump or compensating for the defect in a saddle nose.
• Straightening the nasal axis in the case of crookedness.
• Narrowing of the bony nasal pyramid.
• The reduction of a nose that is too large.
• The structure of a nose that is too small.
• Shortening a nose that is too long.
• Profiloplasty of the face (building up the upper jaw region, changing the shape of the chin).

How does the operation proceed?

Removal of a nose hump

After the removal of a “classic” nasal hump, the nasal bones must also be detached from the bony surroundings and mobilized in order to close the “roof” of the nose again. The bony nasal pyramid is reshaped. This explains why the nose is immobilized in a cast after the operation so that the nose does not deform unfavourably after the operation.

After removal of the hump, however, the nose appears visually elongated, so that the tip of the nose must also be shifted in order to achieve a harmonious result. Especially with thin skin, it may be necessary to cover bone edges and small irregularities. Muscle skin (the body’s own connective tissue or alternatively tissue from the tissue bank) is used for this purpose.

Compensation of the nasal bridge defect with a saddle nose

Cartilage obtained from the nasal septum, the ear or the rib is usually used to compensate for the defect in the case of a sunken nasal bridge.

Straightening of a crooked nose

To straighten a crooked nose, the bony nasal framework is completely detached from the bony surroundings and mobilized and straightened. In order to protect the nose and minimize the mimic muscles, the nose is immobilized with a nasal cast for up to 14 days. Nevertheless, a certain degree of new misalignment may occur later on, which can be caused by the traction of the soft tissue.

Narrowing of the nose

Even when narrowing a broad nose, the bony nasal framework must be detached from the base and reshaped with immobilization in a plaster cast for 10-14 days. However, the narrowing of the nose should never be at the expense of nasal function. The functional and aesthetic result also depends on the thickness of the nasal bones, the thickness of the skin and the proportions of the face.

Profile plastic surgery of the face

In order to achieve a harmonious result (aesthetically pleasing facial profile), it can be useful to combine rhinoplasty with, for example, the development of the upper jaw region or a chin correction. We will be happy to advise you on the possibilities.

Secondary rhinoplasty/nose correction

According to worldwide specialist literature, even highly experienced rhinoplasty surgeons require a second, albeit usually smaller, operation in 5 – 8 percent of patients. If you decide to have rhinoplasty surgery, you must therefore be aware from the outset that a second operation may be necessary. The reason for this is not necessarily a lack of surgical technique, but the tissue (skin texture, cartilage, bone, etc.), i.e. the “natural” conditions that the patient brings to the operation, play a major role, especially in nasal surgery.

In most cases, neither the patient nor the surgeon can influence this in advance. In addition to the surgeon’s experience and surgical skills, the patient’s tendency to bleed, swelling during and after the operation and individual scarring are also important. However, the patient can positively influence the healing process through their behavior before and after the operation.

Minimally invasive rhinoplasty

With conservative rhinoplasty under local anesthesia with filler without surgery, the result is visible immediately after the procedure.

Would you like to find out more?

If you are interested in a nose correction, I will be happy to assist you as an objective consultant. It is important to me to give you a comprehensive picture of the procedure. I will talk to you about the options and risks in a non-binding consultation. This consultation provides you with a reliable basis for making a fundamental decision for or against an operation.