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Rhinoplasty

The nose is of central significance for the appearance of the face.
It divides the face into two halves
and substantially determines the profile.

Rhinoplasty:
For a harmonious face...

There are few parts of our body to which so many different attributes and meanings are ascribed as to the nose: It is a source of inspiration for painters and poets, the centre of numerous pictures and illustrations, fairy tales and stories. It is admired and smiled at. Some even claim that you can tell a person’s character by their nose.

The aesthetic surgery of the nose, also referred to as rhinoplasty, is aimed at not only changing the appearance of your nose but also harmonising your whole face by changing the shape and/or size of the nose...

My new look after rhinoplasty

Rhinoplasty performed at our practice in Munich is aimed at creating an aesthetically shaped and sized nose that harmoniously fits into the physiognomy of your face.

If you have any further questions or would like to learn more about a specific procedure, feel free to email us or arrange for us to call you back or make an appointment for a comprehensive personal consultation at our plastic surgery practice.

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How is rhinoplasty performed?

Comparable to a tent that is shaped by the outline of its frame, the human nose is given its appearance by the individual architecture of its bony and cartilaginous structure as well as the consistency and thickness of the skin and other soft tissues that cover the framework of the nose like a sheet of fabric.

Through small incisions in the skin, the size and/or position of the nasal cartilages and/or nasal bones are changed until the desired shape is achieved – for example, by removing a bump, correcting a crooked bridge or lifting a drooping tip. In some cases, it is necessary to shape or stabilize the nose by inserting additional cartilage extracted from the nasal septum, the ear or a rib.

There is no evident therapeutic principle for rhinoplasty in general. Many patients come to our practice in Munich because they wish to improve the shape or size of their nose. Of course, it is also possible to improve the function of the nose, if necessary – for example, by correcting a deviated septum or reducing the turbinate size in cases of nasal obstruction.

Example of a nose reduction including bump removal, see image. (Unfortunately, the result cannot be shown here, since the presentation of before-and-after pictures on the Internet is prohibited in Germany!)


Frequently asked questions about rhinoplasty

At what age can I have aesthetic rhinoplasty done?
Aesthetic rhinoplasty is performed in nearly all age groups.

In young patients, the nose should have largely stopped growing, which is usually the case after 15 or 16 years of age. There is no upper age limit for rhinoplasty, provided that there are no health concerns.

Will I need to stay at the hospital?
Most rhinoplasty procedures can be performed on an outpatient basis if you have someone to take care of you at home. Complex and lengthy surgeries should be done in an inpatient setting. We will make this decision together with you during the consultation.

How long does the procedure take and what costs can be expected?
Depending on what needs to be corrected, rhinoplasty takes 1 to 4 hours. Depending on the complexity, the fees range between EUR 2,000 and EUR 4,000, plus the costs for anaesthesia and inpatient stay, if required.

We will be happy to find the optimum financing option for you together with our partner MEDIPAY. In the case of pelvic floor tightening, anaesthetist fees and costs for the hospital stay are charged in addition.

Where will the incisions be made?
In general, there are two ways of approaching the framework of the nose:
One way is to make all incisions inside the nostrils without lifting off the layer of skin that covers the nose; this is referred to as “closed rhinoplasty”..

By contrast, in “open rhinoplasty”, a small additional incision is made at the bridge between the nostrils (columella), providing the advantage of being able to lift off the layer of skin that covers the nose. This makes the procedure much easier for the surgeon by allowing a direct view of the framework of the nose while shaping it. The small incision at the bridge between the nostrils usually heals without being noticeable.

To reduce the size of the nostrils or to narrow the base of the nose, an incision at the alar base may be necessary.

What type of anaesthesia is used?
The choice of anaesthesia depends on the scope and expected length of the surgery as well as the overall state of health and personal preference of the patient.

The procedure is rarely performed under local anaesthesia since the injection of the anaesthetic alone is very painful. We usually perform rhinoplasty under twilight sedation or general anaesthesia.

What risks are associated with the procedure?
Fortunately, serious complications are very rare in rhinoplasty.

After rhinoplasty, varying degrees of swelling and bruising are to be always expected, but usually subside after a few days. Postoperative bleeding may occur, but rarely requires surgical intervention. Injuries to important anatomical structures (e.g. tear duct, olfactory nerve, sensory nerves) are also extremely rare.

How certain is a successful outcome?
What applies to all plastic surgery in general applies to rhinoplasty in particular: The successful outcome of an aesthetic, i.e. shape-enhancing, rhinoplasty depends on many factors, with the skill and experience of the surgeon and the expectations of the patient being most important.

Prior to a procedure, it is imperative to carefully assess whether the patient’s expectations of the surgical outcome are realistic. Only when the expectations of the procedure are in line with the technical possibilities can there be a high probability of the surgery being a success for both the patient and the surgeon.

How long will the result last?
The new shape of the nose usually lasts a lifetime. Minor changes may occur as part of the aging process. Moreover, any cartilage transplant inserted for shaping or stabilisation may shrink or even completely disappear over time, but this is extremely rare.

How will I look and how will I feel after the surgery?
What do I need to remember after the surgery?
What preparations are necessary?

At what age can I have aesthetic rhinoplasty done?
Aesthetic rhinoplasty is performed in nearly all age groups.

In young patients, the nose should have largely stopped growing, which is usually the case after 15 or 16 years of age. There is no upper age limit for rhinoplasty, provided that there are no health concerns.

Will I have to stay at the hospital?
Most rhinoplasty procedures can be performed on an outpatient basis if you have someone to take care of you at home. Complex and lengthy surgeries should be done in an inpatient setting. We will make this decision together with you during the consultation.


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