Whether one is dealing with a hump nose, broad nose, long nose, bulky nose tip, short nose, saddle nose, a crooked nose or any other undesired nose form – any rhinoplasty belongs in the hands of an experienced plastic surgeon. This procedure requires three-dimensional thinking and abstractive abilities of the surgeon, as well as a profound anatomical knowledge. It takes a couple of months for the nose to assume its final shape, thus patience is necessary.
The operation is performed under general anesthesia. After that an in-patient stay of 1 – 2 days is
necessary.
The surgeon makes a very small, imperceptible incision at the nose bridge and several more incisions in the nose itself, which are thereby completely invisible. Depending on the desired outcome, the cartilaginous and/or the osseous part of nose is altered to result in an entirely new nose shape. If an osseous nose is to be narrowed, two small additional puncture incisions are made on the sides. An analgesic against the pain will be administered directly after the operation. No further medication is necessary, except for the antibiotic. In some cases, additional cartilage tissue has to be taken from the auricle or ribs in order to restore lost forms and defects.
The patient has to wear a plastic nose splint for 2 weeks after the operation. The swelling will ease after 4-8 weeks, the bruises/hematomas after 14 days. All sports activities should rest for a period of 4-6 weeks.
In cases of minor irregularities of the nasal bridge, hyaluronic injections in the affected areas have proven to be very effective as a minimally invasive procedure in recent years. This treatment is performed as an outpatient procedure and under local anesthesia.