Prof. asoc. Dr. Gress​

Plastic Surgeon

Prof. asoc. Dr. Gress

Specialist in plastic and aesthetic surgery

RHINOPLASTY
(CORRECTION OF THE NOSE)

Professor Gress is one of the top specialists internationally

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First point of contact for international media for all questions relating to intimate surgery.

Art & Precision

Unique combination of the highest demands in terms of precision and aesthetics.

Professor for
Plastic Surgery

Professor and lecturer
in Plastic Surgery.

Read more about

Prof. Dr. Gress

Experience makes the difference

  • More than 10,000 procedures
  • Over 30 years of experience
  • Inventor and developer of the “Composite Reduction Labiaplasty”
  • Internationally recognized top specialist
  • Author of the international textbook “Aesthetic and Functional Labiaplasty” (Springer Publishers)
  • Professor and Lecturer in Plastic Surgery
prof stefan gress

MEMBERSHIPS

In the most important national and international specialist societies

The Aston Baker
Cutting Edge
Aesthetic Surgery
Symposium

2018, New York

Faculty Member
The greatest honor for
a Plastic Surgeon

RHINOPLASTY
(CORRECTION OF THE NOSE)

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

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…

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.

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!)

Good to know

Frequently asked questions about rhinoplasty

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.

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.

 

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.

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.

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.

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.

 

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.

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.

  • Intense pain after rhinoplasty is relatively rare. More commonly, there may be a feeling of pressure in the centre of the face and on the upper lip.
  • The nose will be visibly swollen for about two to three weeks after surgery, during which time most of the swelling will subside. The remaining swelling will take longer to disappear, which is why the final shape of the nose will not be apparent until six months or, in some cases, even one year after surgery. This means you will need to be patient before you can look at the final result in the mirror, but you will already be able to see and enjoy the new shape of your nose just a few days after surgery.
  • Swelling inside the nose may impede nasal breathing, but this usually subsides without any problems and can easily be treated with nasal sprays or drops.
  • During the first few weeks after surgery, your nose will feel fuzzy and be sensitive to the touch. This sensation usually disappears gradually within three to six months.
  • Bruising after rhinoplasty is concentrated around the eyes and cheeks, but is usually only visible for a few days.
  • Lie and sleep on your back with your chest in elevated position and cool your nose and eyes.
  • Do not adjust the cast, dressing or tamponade yourself.
  • Avoid any physical effort. Do not touch your nose, speak as little as possible, brush your teeth carefully and avoid exaggerated facial expressions.
  • Eat liquid or soft foods
  • Do not blow your nose under any circumstances, not even after the tamponade has been removed. Just let any nasal secretions run into a tissue. If you have to sneeze, make sure to open your mouth wide so that the air pressure is released through the mouth instead of the nose.
  • Avoid direct sunlight and sun beds for at least 3 months.
  • Take at least 10 days before returning to work.
  • Avoid any sporting activities, sauna and strenuous activities for 8 weeks after the surgery.
  • Avoid medications that increase the tendency to bleed (e.g. medicines containing acetylsalicylic acid, such as aspirin or ASS) 15 days prior to the surgery.
  • Stop smoking 2 weeks prior to the surgery! Smoking contributes to circulatory disorders and poor wound healing!
  • If the surgery is performed on an outpatient basis, arrange for someone to pick you up at the hospital or practice after the surgery and to stay with you at home.
  • Get a cooling mask or cold packs for use after the surgery.

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.

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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