The main aim of a nose corrective operation is the aesthetic form of appearance, which harmonizes with the facial proportions. Form and function of the nose are inseparable.
Nose jobs are individual, and technically very difficult, operations, which change the appearance of the patient according to her/his wish. All noses are different. Therefore the operation technique has to be adjusted to the each individual situation.
In rhinoplasty access is obtained through a cut in the nose aditus or nose piece.
Nose operations are usually performed under general anaesthesia. In rare cases smaller surgical interventions can be performed under local anaesthesia ambulatory or in half-sleep.
– Improvement of breathing: functional rhinoplasty in case of blockage of the air passage of the nose
– for aesthetic reasons: aesthetical rhinoplasty
– operation after casualties: reconstructive rhinoplasty
– adjustment for physical/psych. impairment: lip-jawbone-cleft palate
TIME OF OPERATION
If possible nor before the age of 18, when reaching adolescence.
In rare cases earlier: in case of aesthetical deformations and non-functional disorders with possible serious consequences.
PRAE OPERATIVE INFORMATION
Extensive consultation, detailed risk-information and photographical documentation will be provided.
The final results will be visible after 6 to 12 months. Long term result!
PRAE OPERATIVE EXAMINATIONS
Anamnesis: hindered respiration, smelling ability, allergy, nasal hyperactivity, polyposis sinus infections, traumata, earlier operations, deformities.
Check-up: nasal proportions related to other facial components, size of the various nose components, distance forehead – nose and upper lip – chin.
Skin condition: plump, thin, atrophic, scars, infections, teleangiektasies
Breathing check: at rest and during laboured breathing.
Changes of the nose and lip complex due to strain on the mimic.
Palpation: Structure and quality of skin, subcutaneous tissue, bones, cartilages, if appl. of implants and scars, lifting the nose tip in order to examine the nasal valve.
Endoscopy: Nose and pharynx
X-ray: nasal sinuses, if necessary lateral view
CT: nasal sinuses
Allergy:Prick test, RAST
Rhinomanometry: in case of functional breathing disorder
INTERNAL OPERATION RELEASE
Internal check up, recent lung x-ray (3 months ago at most), recent laboratory results, EEC
Narcosis: general anaesthetic, rarely local anaesthetic or sedoanalgesis
Stay at clinic: 1 night stationary
Post operation: removal of tampons after 24 hours
Cast removal: after 7 – 10 days
Medicine: antibiotics, decongestant and anti-inflammatory medicine
Care: nasal spray
Contact lenses: instead of glasses
Inability to work: 14 days
Sports: usually possible after 3 to 4 weeks
Sauna: usually possible after 8 weeks
Sun: no direct solar irradiation for 3 months
Duration: operation and convalescence take 2 to 3 months.
The patient will be informed extensively about the possible risks. These can be:
swelling, pains, inflammations, secondary bleeding, secretions, bruising/haematoma, imperfections of the nasal bridge.
As with every operation there can be risks due to general anaesthetic
We strongly recommend not to take an operation in case of: chronic diseases, unrealistic expectations, vague motivation, unrealisable demands, no consensus between patient and doctor concerning the operation, psychopathological behaviour (f.i. adolescent wishes nose of idol; dysmorphophoby syndrome.
Secondary rhinoplasty – Re-operations – Corrections
We are pleased to help patients, who underwent a nose operation and are not happy with it.
We offer professional medical counselling about a possible correction or second opinion.
Re-operations are considerably more complex.
It is possible that for the reconstruction of the nose, cartilages from the ear may have to be used. Complex nasal deformities like lip, palate and cleft palate need several operations.
Our philosophy: careful consultation instead of extenuation. Every patient should know that in certain cases a correction of the nose operation may be necessary. This is however rarely the case. According to international statistics: about 3 to 5%
A reoperation can at the earliest be implemented after one year.
This is because during this time period the result can still change dramatically and the healing process should be fully completed.