With the right instict for your nose
Individually adapted
and natural looking
Rhinoplasty
Surgical correction of the nose is probably the most challenging operation in the field of aesthetic surgery. Nose correction is a delicate and artistic, at the same time surgical-technical matter.
Modern surgical techniques have made it possible to raise the results to a high standard.
Unfortunately, no surgeon can guarantee a positive outcome and a good result, since the body’s own wound healing and scar formation influence the healing process. The surgeon can only do everything in his power to achieve the best result.
Learn more about rhinoplasty here:
Modern Rhinoplasty
Preservation and piezo
In recent years, the surgical technique of rhinoplasty has changed a lot, nowadays it is often possible to preserve the natural bridge and structures of the nose.
Where rhinoplasty was once often associated with hammers and chisels, it has now become a very gentle operation using fine instruments: Rhinoplasty has become an almost painless procedure that no longer requires breaking bones.
By using the ultrasonic knife (piezo), it has become possible to cut bones gently and selectively without bleeding. During surgery, the bone, cartilage and soft tissue of the nose are sculpted and the angles to the upper lip and forehead are worked to achieve the desired natural-looking result.
Aesthetics and function
In addition to the aesthetic appearance of the nose, functional problems are always addressed and can be also corrected during the rhinoplasty operation. Deviated septal cartilage can be straightened and hypertrophic turbinates can be reduced in unison with reshaping of the nose.
Frequent Questions:
What is the nose made of?
The upper third of the nose consists of bony structures, while the lower two thirds are made up of cartilaginous structures. The immovable nasal bone forms the basic supporting framework in the upper third. The cartilaginous part of the nasal bridge, which consists of the upper edge of the nasal septum and two triangular cartilages on either side (Upper lateral cartilages), is attached to the nasal bones on the upper end. The arch-shaped lower lateral cartilages shape and stabilize the tip of the nose. The nasal septum forms the central support element of the nose and consists of cartilage and bone.
How is the surgery performed?
Nose surgery has developed rapidly in recent years. On the one hand, the technical equipment has improved due to the ultrasound knife, and on the other hand, the surgical technique has improved due to the possible preservation of the bridge of the nose. Modern rhinoplasty can provide individualized and natural solutions to problems through a differentiated approach and thanks to refined surgical techniques.
A few years ago, most operations were aimed at achieving changes in the shape of the nose by resection (cutting away) of tissue. These operations were mostly performed through a so-called closed approach.
In recent years, it has been recognized that cutting away tissue can compromise the stability of the nose, resulting in highly unsatisfactory results both functionally and aesthetically. Therefore, a paradigm shift has taken place in modern rhinoplasty. The goal of surgery is now to anticipate potential long-term problems and to prevent the emergence of unsightly results at the time of surgery. Taking into account the individual appearance of the nose, the structures of the nose should be reshaped in such a way that the stability of the supporting framework is maintained. This is the only way to achieve stable long-term results.
What are the surgical steps?
A functional-aesthetic septorhinoplasty is performed under general anesthesia and as an outpatient procedure.
The operation is usually carried out through the nostrils and through an incision on the nasal columella (open technique). The extent of correction of the external nose depends on the individual deformity. Therefore, we discuss the surgical procedure with you based on images before the operation. The surgical procedure always includes the correction of the deformity of the internal nose, which involves straightening of the septum and surgery of the lower nasal turbinates. The septum also serves as a „tool box“ for reconstructive purposes as cartilage can be taken from the nasal septum as material for cartilage transplants in the area of the external nose.
In case of re-operations, it may be necessary to obtain cartilage from the ear or rib because no cartilage is left in the septum. Dissection under the skin is always necessary for the correction of cartilage and bone in the area of the external nose. In the case of the open approach, the skin is opened at the thinnest point in the area of the nasal columella and minutely closed at the end of the operation. The advantage of open approach is the significantly better overview of the surgical field and the possibility of direct visualization and fixation of bony or cartilageonous parts, which increases the safety of the postoperative result. Nowadays, bone correction is performed using the ultrasonic scalpel (Piezo), allowing for gentle, minimally invasive correction that can be tailored to the individual needs of the patient.
At the end of the operation, thin silicone splints are sutured to the nasal septum to prevent the formation of a hematoma and keep the septum straight. A soft plastic splint is applied to the nasal bridge. These structures remain in place for 7-10 days and are then removed in the clinic.
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