Rhinoplasty

The nose at the centre of the face and of observation is a distinctive feature of human beings.

Particularly large, long, crooked, pointed or tubercular noses may make life difficult for the affected individual and  aesthetic/cosmetic surgery can lend nature a hand here.

It is not only the form of the nose which is important here but above all its function:

It breathes, smiles, cleans and warms the air.

With great empathy, an individual natural overall result is achieved with the experience and aesthetic sense of the doctor playing a decisive role.

After careful adjustment to your wishes, your type and technical feasibility, the rhinoplasty operation is carried out under general anaesthetic.

The incision which is invisible from the outside is made on the inner side of the nasal vestibule. From here, the framework of the nose is delineated and changed in such a way as to achieve the desired form.

The closing of the wound and with it, the fixing of the result, is achieved with stitches, which subsequently dissolve, with the use of tissue glue in individual cases.

An external plaster cast is applied for approximately a week, with a tamponade inserted into the nose for at most one night in order to avoid bleeding. The most modern means devices allow us to avoid this to an ever greater degree.

The operation lasts from 60 to 90 minutes, with an inpatient stay of two nights after the operation. After one week, the nose plaster is changed for a new one which you may later remove yourself.

Ideally, you should rest for two weeks after the operation and sleep on your back with a slightly raised torso. Avoid sport for four weeks and direct exposure to sunlight for the following four months. You will be socially presentable after two to three weeks.

Nose Tip Correction

The nose is an absolutely conspicuous feature of the human face. Its nature is a significant factor in the overall look of a face. Evident flaws in the nose make most people uncomfortable so that they desire a correction. This may be a bump on the nose, a nose which is too long, too wide but also a snub nose which stands in sharp contrast to otherwise very noble features.

For many people seeking a nose correction, the nose has a lovely form in itself, but merely has an uneven look which is incongruous with the overall appearance on account of a detail at the tip. A nose tip correction is not a genuinely critical operation but requires detailed surgical work.

If only the tip of the nose is corrected, this may be treated on an outpatient basis. The patient is given local anaesthesia or is placed into a twilight sleep under the supervision of an experienced anaesthetist. The cartilaginous frame of the nose tip is modified with the removal of excess skin. No visible scars remain. For the first three days after the operation, the consumption of nicotine and alcohol must be avoided at all costs.

After a week or so, the patient is already socially presentable again. Direct exposure to sunlight and sport as well as other bodily exertions should be avoided for three to four weeks.

Nasal Septum and Paranasal Operations

The nasal septum lies on the midline of the interior of the nose and separates the main nasal cavities from each other. After a fracture, the nasal septum may become bent. A crooked nasal septum may nevertheless be congenital or arise during growth.

In some cases, this distortion makes breathing through the nose difficult. Inflammation of the paranasal sinuses and the middle ear may occur frequently due to a crooked nasal septum, with headaches and snoring also consequences, and breathing through the nose impaired.

If such symptoms arise, an operation should be carried out. This is generally carried out under general anaesthetic and requires a stay as an inpatient. During the operation, the nasal mucosa is detached in the necessary places, and the cartilage rectified. In order to avoid post-operative bleeding, the nose is plugged.

A crooked nasal septum can be corrected in itself or within the context of a cosmetic rhinoplasty. Excessively large nasal concha are shortened at the same time. As part of this operation, an operation on the paranasal sinuses is also possible.

Complications within the context of rhinoplasty are rare. It is self evident that the patient must avoid nicotine and alcohol after the operation. After the inpatient stay, further outpatient monitoring is necessary. Sport and other bodily exertion, as well as direct exposure to sunlight and hot baths must be avoided at all costs. Around four weeks should be reckoned for complete healing.

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