rhinoplasty surgery

Nose correction with surgery – synonyms & principle

synonyms: classic nose correction with surgery, rhinoplasty, septorhinoplasty (if the septum is corrected in the same operation)

principle: more harmony of the nose by changing angles, removing a hump (volume reduction) or filling defects (volume addition)

is sometimes combined with…

• chin implant (to improve the profile)
• autologous fat (for volume building e.g. in the area of the root of the nose
• hyaluronic acid (after an operation for fine optimization)

efficiency

Basically, there are many possibilities for change. In particular, actually reducing the size of the nose is only really possible with surgery.

Common goals of rhinoplasty with surgery are:

• hump removal
• refinement of the nasal tip region
• Reduction of the nose in general
• Loss of harmony & proportions of the nose

But not everything is feasible & sensible!

• Very large to very small is – at least at one time – only possible and useful to a limited extent (function!)
• The nose must still fit the face after surgery

treatment duration

On average, a nose correction with surgery takes 2 hours, if more complex also longer.

repetition of the treatment

Basically, a nose correction by surgery is only performed once.

However, nose correction with surgery is generally an operation that often requires a follow-up procedure.

A final result can only be seen after at least one year. However, sometimes it takes two years or more for the swelling to subside and the skin to take on its true shape.

Repeating the treatment beforehand is not necessarily recommended.

Minor additions and changes can be achieved using hyaluronic acid.

Application in which body region

nose/improvement of the facial profile

decision-making aids

Essentially, these are fundamental decisionsthat constitute a surgical nose correction.

Should I have the nose job do it at all? – Sometimes it is better not to do something at all.

Good results can also be achieved with the alternative nose correction using hyaluronic acid.

Good advice highlights all the advantages and disadvantages of a treatment – and thus helps you make the right decision.

analysis: A good plan is important for surgical nose correction. Even if certain decisions arise during the operation, a good concept and as precise an idea of the result as possible are necessary. We will normally send you standard photos of your nose - so that you can print them out at home and get creative - in other words, take a pen and just start drawing. You can't go wrong. In the follow-up consultation, we will then analyze exactly what of your wishes makes sense and is feasible - and create a joint concept. When it comes to the nose in particular, you have to know that a simulation of a possible effect is basically never 100% achievable. Simply because the nose always changes after the operation.

Possibilities & Limitations: The possibilities arise through precise analysis. However, there are certain limits. Going from very large to very small is almost impossible - and breathing problems are inevitable. My philosophy is to work out key points and concentrate on them, always based on the situation before the operation and the initial situation. Photos of celebrities etc. are not really recommended - every nose is different and so is the initial situation. You can only fail if you have such wishes.

Snub nose? - a snub nose suits some faces, but not others - a lot of things in the field of aesthetic nose surgery are to a certain extent a matter of taste - and depend on the facial environment. A nose that fits perfectly in one face does not necessarily fit perfectly in the other face and vice versa. The current ideal of beauty - which has been changing ever more rapidly recently - also plays a role.

open or closed: is always a decision that has to be made before a nose operation. With the closed technique, cuts are made inside the nose, with the open technique, there is a connecting cut in the nasal bridge.

The advantages and disadvantages are actually logical: the disadvantage of the open technique is more incision and scarring (with possible slight step formation, firmer and/or more noticeable scarring - but this is not very common). One advantage, however, is that the operation is usually more precise and clearer. Furthermore, the larger scar in the tip area often causes a certain shrinking effect of the tissue (but also the opposite - namely firmer volume-increasing scar tissue. This can also cause the nose to lose a little height - and this can either be desired - or not.

In some cases it is advisable to leave the final decision to the surgeon. In this case, for example, the procedure can begin with a closed technique and if the operation proves more difficult in terms of accuracy and visibility, the open technique can be used. It is important to discuss in detail beforehand what you as a patient want and what you do not want. There is no advantage without a disadvantage and vice versa.

Every operation is different: In my opinion, individual adjustment to the face and facial profile is crucial for maximum harmony and balance.

What should you have heard/read before having a nose job?

Follow-up treatments/interventions: Rhinoplasty is a very complex procedure - the rate of follow-up treatments or follow-up procedures is relatively high. Unrealistic expectations should be discussed before the operation. The human nose is not made of marble - where the surface could be made perfectly flat - but consists of many different hard materials and transitions (bone, hard cartilage, softer cartilage) and angles (all of which influence each other).

Alternative nose correction with hyaluronic acid: Hyaluronic acid offers a real alternative for some patients – which may be more interesting for some in terms of effort and cost.

Prejudices

everything is possible: not true…

facts

the possibilities are always limited by the existing anatomy, the existing shape, size, skin thickness, etc. For example, it is difficult for the smallest changes to the nasal cartilage to have the desired effect on the skin surface when the skin is very thick. You can imagine it like a tent frame - over which a dermis is placed - or a silk scarf for extremely fine skin. The surface will certainly always be different - depending on the covering.

most common possible side effects/complications

• irregular surface
• hardening, scars
• Asymmetry (always present on two sides to a certain extent)
• numb or changed feeling in the operated area/bridge of the nose – you almost always hear that the feeling of the bridge of the nose is no longer the same as before the operation – but it is almost never perceived as disturbing

details Information on possible complications can be found in the information documents

In summary, good preparation (information, explanation, preliminary examinations, analysis of the initial situation and the options, etc.) and the experience of the surgeon are important factors for the success of a surgical nose correction.

You should avoid…

• unrealistic wishes and role models
• short cuts at any price (sometimes an open technique simply makes more sense for greater precision, especially if a volume or height reduction is planned anyway)

anesthesia

Possible anesthesiaforms for surgical nose correction are possible

• local anesthesia (for minor corrections, e.g. in the tip area)
• twilight sleep
• general anesthesia (most common for us)

the operation

Deadlines must be met in Austria (surgical information and anesthesia information) – this means that there is a waiting period of at least 3-4 weeks from the decision to undergo breast enlargement, but often longer.

We will inform you if a psychological report may be necessary before your surgery.

Precise but also realistic ideas of a possible outcome are important.

Clarifying possible alternatives such as nose correction with hyaluronic acid

the operation

We recommend a night on site with supervision

On the first day after the operation, the nasal packing is removed (usually much less painful than everyone thinks)

Rest for 3 weeks in the sense of:

• do not lift more than 5-6kg
• no jerky activities
• don't work headfirst

nasal bridge splint for about 10 days

then Steristrips for a few more days

Swelling is a special issue in nose surgery:

• the first swelling reaches its peak around the 2nd/3rd/4th day after the operation, but the worst is usually over after about 10 days (with removal of the nasal bridge splint) - decongestant tablets and ice can have a positive effect on the swelling during this time
• Residual swelling can remain for many months, sometimes even 1-2 years - this can also be caused by firmer scar tissue - the introduction of cortisone or softening enzymes may be useful. In any case, patience is always required and a final result is often only available after 1-2 years.

our preferred technique/recommendation

• open or closed (on average more often closed in our case) – depending on the individual case
• less is often more - setting priorities and priorities
• anesthesia-sparing general anesthesia

Cost

from 6500 surgical nose correction including anesthesia

400 overnight stay at the clinic with nurse/450 for overnight stay from Friday to Saturday

500-8500 possible additional effort complexity, septum correction, etc. (depending on extent)

minus consultation costs

possible costs for anesthesia information (approx. 80)

70 optional special price recommended scar ointment + disinfectant spray (regular after surgery 103)

The prices listed are average values and could be cheaper or more expensive. The final total price will be determined during the second consultation (=consent) depending on the individual effort/planned operation time, combinations, desired clinic/room category and other factors.

At the turn of the year, clinic prices are adjusted and may then be slightly higher.

reasonable budget/alternative treatments

A nose operation is a relatively complex operation that almost always requires anesthesia. This determines the price. - Depending on the complexity, additional costs may arise.

If the budget is limited and the treatment really makes sense, a nose correction with hyaluronic acid can be a much cheaper alternative.

A final cost estimate is only possible and meaningful after a detailed on-site inspection and clarification of individual wishes.

downtime

In general, 2-3 weeks of rest be taken into account – this means specifically:

• lifting no more than 5-6 kg
• no jerky movements
• do not perform any activities overhead

socially acceptable Normally you will be there after approx. 2 weeks. Women often find it easier to wear make-up. Residual swelling is an issue for many months

Important to know…

• a good concept is important

Left

Further valuable information can be found at

rhinoplasty surgery