The nose is of central significance in terms of the physiognomy and geometry of the face, the reason being that it divides up the two halves of the face like a symmetrical axis, and in terms of the view from the side, it is a major contributor to determining the profile structure of the face. The practice of aesthetic nose surgery, commonly known as Rhinoplasty, not only has the purpose of enhancing the appearance of the nose by changing its size and/or shape; it also aims to further harmonise the face’s overall structural impact…

An aesthetic nose in terms of its shape and size and one which harmonises to perfection with the physiognomy of my face

The shape of the nose is determined by its bony and cartilage framework. This framework has to be altered to achieve the new shape of the nose, depending on the patient`s expectations in relation to his current features. Bump removal, narrowing and shortening of the nose, elevation or reduction of the tip: there may be many different steps to achieve the desired result. Even cartilage grafting might be necessary. Airway problems caused e.g. by a crooked septum, can also be addressed within the aesthetic operation.

The access to the framework of the nose can be achieved by two ways:

Open approach: a cut in shape of a step is made between the nostrils (Columella) and the skin of the nose is raised. That allows better access and control over the procedure, because the surgeon can work on the bone and cartilage under direct vision. The scar usually heals up to a fine line that is not obvious.

Close approach: There is no cut on the columella, just inside the nose so there is no visible scar left. But the surgeon has no direct vision on his work and therefore has less control over the outcome.