Rhinoplasty
Rhino-septoplasty

The nose's central position on the face focusses attention on it. It is therefore quite understandable that people with conspicuous nose shapes wish to have them reshaped.

Surgical nose correction aims to improve the function and shape of the nose.

Straightening the nasal septum makes it easier to breathe through the nose, and optimising the proportions of the nose brings the facial features into harmony.

What happens during a nose correction procedure?

Precision surgery will be carried out on the cartilage and bone structure of the nose, from the inside out, in order to change its size and shape in line with your expectations and wishes. Sometimes, for technical reasons, it may also be necessary to make a tiny incision in the bridge of the nose. We use the finest instruments for this, which have been specially developed for use on the cartilage, bones and mucous membranes of the nose. The most common procedures are reducing an excessively high nose bridge, lifting the tip of the nose, refining the nostrils and narrowing the bone structure. Crooked noses often have a misaligned nasal septum, which can also inhibit breathing through the nose. Straightening the nasal septum will then also form part of the operation. In individual cases, cartilage or bone tissue will additionally have to be inserted in order to even out saddle noses or other defects.

What results can be achieved?

In the case of plastic surgery to correct the nose, the shape and size of the nose will be changed to meet your expectations and to bring it into harmony with the rest of your facial features. Nasal humps and excessively large nostrils can effectively be made smaller, a broad nose can be narrowed, and a crooked nose can be straightened. It is easiest to mould the desired shape where a good nasal bone and cartilage structure and normal nasal mucous membranes are in place. In the case of particularly crooked noses and saddle noses, cartilage or bone may in individual cases need to be transplanted in order to achieve a good shape and functionality. These transplants are taken from the ear or from the ribs. Oily skin with coarse pores can prevent the formation of a delicate nose tip, while very fine skin throws the contours of the cartilage and bone structure into sharp relief. In the vast majority of cases, the desired result can be achieved using modern plastic surgery techniques. Chin enlargement using a suitable chin implant is often advisable to optimise the profile. Where the chin is too large, a chin bone reduction is recommended. In such cases, we are talking about a profileplasty.

Forms of anaesthesia and duration of stay in the clinic

Most nose operations are carried out under general anaesthetic. However, some corrections can also be done under local anaesthetic and general sedation. The operation takes 1-3 hours. Depending on the procedure, you can expect to stay in the clinic for 1-3 days. Minor corrections can also be carried out on an outpatient basis.

How should I prepare for the operation?

For 14 days before the operation you should refrain from taking painkillers containing acetylsalicylic acid (e..g. aspirin, ASA), as these delay blood clotting. You should also avoid alcohol and sleeping tablets as far as possible. During the preliminary screening, your breathing function and the condition of your nasal mucous membranes will be checked. In the case of sensitive mucous membrane, it is recommended that a soothing nasal ointment such as Bepanthen or oily nasal drops be used for 2-3 weeks prior to the scheduled operation.


What happens during the operation?

The desired changes in shape are made via small incisions inside the nose. In an open rhinoplasty, further preparation is carried out via a small incision in the area of the bridge of the nose. For this purpose, the cartilage and bone structure is temporarily exposed by peeling back the skin and mucous membranes. Instruments specially developed for nasal plastic surgery can then be used to even out excessive bone and cartilage structure in the case of a hump nose, shorten a nose that is too long or reshape the nose tip. When all reshaping measures have been carried out, the mucous membranes are put back precisely in place and sutured with fine dissolving stitches. In addition, the inner nasal passages are splinted with soft silicone splints, small tubes or ointment gauze. The skin of the nose is moulded using fine strips of plaster, and a plastic splint shaped specially for your nose is fitted.

What happens after the operation?

Immediately after the procedure, you can expect swelling and bruising, especially in the area of the cheeks and lower eyelids. Both of these will subside within a few days. The soft-tube or ointment-strip splints inside the nasal passages will be painlessly removed after 2 days. The external plastic splint should be worn during the day for 2 weeks in order to provide support for the new shape of the nose. In the initial period after the operation you should keep your head elevated in bed.

What risks do I need to be aware of?

If you have any allergies (medicines or personal care products) or other illnesses, you must always inform us about these.

If you bruise easily or suffer persistent bleeding after minor injuries, we need to conduct laboratory tests before the operation to rule out the possibility of a clotting disorder.

What are the possible complications?

Serious complications such as purulent wound infections, injuries to the tear ducts, embolisms and thromboses are extremely rare.

Following a rhinoplasty, there may be a change in the nose's sensitivity to touch for several weeks. In the surrounding skin areas of the cheeks and upper lip, too, there may be a reduction in sensitivity to touch for several weeks.

What follow-up treatment is required?

A soothing nasal ointment or nasal oil helps the mucous membranes to regenerate faster.

What do I need to be aware of after the procedure?

You should avoid all sporting activity for three to four weeks after the operation, as the new nose shape will not be stable enough during this period due to internal healing.

However, you will normally feel scarcely any impairment in terms of sensitivity and movement as little as one week after the operation.

If there is a tendency to swelling due to fluid retention or scar formation, this can be countered by means of professionally performed lymph drainage. If you need to wear glasses, you can aid post-operative recovery by attaching a special upright bracket. The nose will be sensitive to pressure for several weeks following the operation.

Despite all precautions, minor follow-up corrections are occasionally necessary; these can be performed as outpatient procedures under local anaesthetic.

 

Membership of professional associations:

International Society of Aesthetic Plastic Surgery
Deutsche Gesellschaft für Ästhetisch-Plastische Chirurgie
Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen

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