Correct the Focal Point of the Face with Nose Surgery or Rhinoplasty
Overview of a Nose Correction
|Indications for Surgery||Abnormal shape that does not fit the face.|
Severe restriction of breathing due to sloping septum.
|Treatment Period||1.5 – 2.5 hours|
|Patient Stay||1 night|
|Inactive Period||1 week|
|Costs||3000 – 4800 € for the operation; without anaesthesia, without bed, without VAT|
|Post-Treatment||1 week plaster, controls over many months|
|Sport||2 – 4 weeks after the procedure|
The Nose is Undoubtedly Part of the Appearance
The nose is a central and focal component of the face, It shapes the appearance and is important that a nose fits the face.
Individual facial shapes must be incorporated into the planning and execution of an operation, the wishes of the patient, limited by possibilities and technical limits, are heard and taken into account by the surgeon.
Causes of an Unsightly Nose
The shape of a nose is congenital and It develops over the course of a life. Childlike noses all look similar and are inconspicuous but the shape of the nose develops during puberty.
This is when it becomes either harmonious and beautiful or conspicuous and unattractive. In old age it changes again and becomes bigger and longer. Accidents and direct traumas can also change the shape, the classic example would be the boxer’s nose. Repeated violent blows on the organ cause a saddle nose to develop. Nasal breathing can be restricted for various reasons: a crooked nasal septum, polyps (protuberances of the mucous membrane), swelling of the nasal mucous membrane.
The Way to the Desired Nose
A conspicuous nose that does not fit into the face and contradicts our ideas of aesthetics can be changed by a nose plastic, a Rhinoplasty the most common change being the hump nose.
There are differences between the ideal female and the ideal male form, the ideal female nose is finer, more delicate and has a slight swing, i.e. a difference in height between the bridge of the nose and the tip of the nose.
The ideal male nose is stronger, more prominent, the bridge of the nose and the tip of the nose are at the same height, e.g A roman nose.
Even disturbed nasal breathing won’t improve on its own, patients with this condition breathe through the mouth, especially during physical exertion; not enough air enters the lungs through the nose. Then the mucous membranes dry out because the breathing air is not moistened in the nose and they are more likely to snore at night.
The Aim of the Treatment is a Harmonious Result and Satisfied Customers.
The aim of nose surgery is to achieve an aesthetically pleasing shape that fits the face in question and the cause of the breathing obstruction is eliminated.
Before the procedure, we simulate the result with a photo, this allows the patient to better imagine and see what their idea of the perfect nose looks like and which shape can be achieved.
Nose corrections or a nose job take place under anaesthesia and take one to two and a half hours. As a rule, our patients stay one night in our clinic. Then they go home with a plaster cast and come to us for follow-up checks.
If nasal breathing is restricted and the cause is determined by a physical examination and, if necessary, endoscopy and CT, a measurement, a rhinomanometry, determines how severely it is impaired. Then it is treated according to the results of the examinations.
After a week, the plaster and the stitches on the nose bridge are removed, 70 percent of the later form is then visible. However, after nose operations it takes a very long time, up to a year, until the nose has reached its final shape. This is how long it takes for the internal healing process to be completed.
In daily life, the patient must be patient and allow time to do its thing, the last follow-up check then takes place after twelve months in our outpatient rooms located in Germany to see whether all the goals of the surgery have been achieved.
Sport is possible after two to four weeks, however, contact and ball sports must be avoided. The operated nose must not be pushed or pressed.
The most important medical risk is the postoperative respiratory obstruction which careful surgical techniques reduce.
In approx. 10 % of cases, prominent internal scars lead to distension in the course of healing, which can be visible. They cannot really be influenced, the healing takes place according to a fixed pattern. This can make a post-operation necessary, which is then small and only corrects the distension.
When is it not Advisable to Undergo Surgery?
A rhinoplasty that leads to functional problems, i.e. provokes an obstruction of breathing, must not take place. Then the nose is extremely reduced in size and also looks artificial.
Surgery should not create problems, but eliminate them, a nose must fit into the respective face and Everything else should be omitted. Serious underlying diseases also prohibit such an operation.
Costs/Reimbursement by the Health Insurance Company
The health insurance covers the costs for a functional correction if a rhinomanometry determines that there is a severe obstruction of nasal breathing. Aesthetic corrections must be carried out by the patient. The prices are listed above.
The following authors have dealt extensively with this topic: W. Gubisch, M. E. Tardy, R. Daniel