On this page you will find answers to the most common questions from our patients.
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From what age can operations be performed on the nose?

In principle, patients should have reached the age of 18. If, however, the nose has grown to its full length by the time the patient is 17, then nasal correction can take place earlier.


What is rhinoplasty?

Rhinoplasty means the correction of the shape of the outer nose. It may, for example, involve straightening a nose left crooked following an accident, or removing a hump. There is the option of making a cut from the outside to perform the procedure via the bridge of the nose (open rhinoplasty) or correcting the nose via a closed technique, i.e. through the nasal opening without a cut required. I use the closed technique almost exclusively, since that is the way I was taught and it involves less trauma to the skin tissue, particularly around the tip of the nose.


Can an obstruction to nasal breathing or chronic inflammation of the nasal cavities be alleviated concurrently with a rhinoplasty procedure?

Both can take place together in one surgical procedure. This can result in functional improvement of nasal breathing, better ventilation of the sinuses and aesthetic nasal correction all at the same time.


Will I have the desired nose shape right after the procedure?

In spite of the very best advance planning by means of computer simulation and careful work, in some cases the shape achieved may not correspond exactly with the desired form, meaning follow-up correction may be necessary. This is dependent on various factors, including the thickness of the skin and bone, the individual wound healing and scar formation, the different structures of connective tissue and varying elasticity of the skin. Hence generally there is considerable swelling for 2-3 weeks and slight swelling for 2-3 months. Ultimately, due to the properties of the skin, it may take 12 or sometimes even 18 months for the swelling to go away.


What are the possible risks of nasal correction?

You will be informed of the possible risks of swelling of the lids, numbness in the nose, possible infections and unwanted changes to the shape of the nose at the first consultation. For most patients, expectations and wishful thinking are the biggest risk, of course. Depending on the shape of the nose, the skin and bone tissue and the experience of the surgeon, literature on the subject suggests probability of 30-40% that a revision operation will be required. Alongside the cooperation of the patient (see Factsheet: How should I behave after an operation?), the experience of the surgeon, a good planning process and realistic expectations and implementation are all crucial in order to achieve a good result.


How long does an operation last?

Nasal correction lasts approximately 2-3 hours.


For how long do I have to wear a nose cast?

The nose cast is worn for approx. ten days. From the third day post-surgery I will swap the cast so that you can already begin to see the new shape of your nose. From the tenth day post-surgery a small tape dressing will be put in place to help form the shape, and you can change this yourself.


What drugs are used?

The procedure is carried out under general anaesthetic.


How long do I need to stay in the hospital?

Generally with a simultaneous septum and/or sinus operation you need to remain in the clinic as an in-patient for 3-4 days. Rhinoplasty alone can be performed either as an out-patient procedure or with a one-night stay. The patient must always have someone to accompany them for out-patient procedures.


Can a nose correction that was performed elsewhere be corrected at the clinic?

A revision procedure can be carried out for a nose correction performed elsewhere. This requires precise analysis and consultation as well as an experienced surgeon.


Do scars form following rhinoplasty?

Since I generally correct the shape of the nose using a closed procedure with access via the nasal openings, no scars are likely to form. Very occasionally when the wings of the nose are reduced very fine scars might form where the nose joins the face.


Will I experience pain with rhinoplasty?

No. The majority of patients report slight discomfort, such as a feeling of pressure and “burning” at the back of the nose for 1 or 2 hours after the operation.


Is it painful when the nasal tamponade is removed?

Patients tell me they are worried about the removal of the nasal tamponade almost on a daily basis. Only a light foam tamponade is used for just one night, and this does not stick and collapses easily on removal. This prevents any bleeding from the mucous membranes or any pain for the patient.


How should I behave after the nasal surgery/rhinoplasty?

Since the nasal structure is not yet consolidated following a corrective procedure, it is important that you take great care and follow instructions with regard to follow-up care if the operation is to be a success. 


Clothing

Following the surgery, you can avoid any unwanted manipulation of the nose cast by wearing comfortable clothing (V-neck). 


Body care

Since the nose cast is supposed to stay in place for a few days to fix the new shape of the nose, it’s important that it doesn’t get too wet when you shower (warm water) or wash your hair.

You also need to be careful when brushing your teeth so that you don’t disturb the upper lip and thus the shape of the nose too much.

Since the nasal tamponade remains in the nose for one night, if you sneeze you need to keep your mouth open to ensure there is no pressure on the nose.


Nose care

After removal of the nasal tamponade, you will be given a nasal ointment to treat the mucous membranes in the nose. This should be applied locally 3-4 times each day.

In the first few days after the operation you should refrain from blowing your nose.


Swelling

To help prevent swelling, you can apply arnica D12 one day before the operation and arnica ointment after the operation locally if the lids swell. It’s also helpful to take bromelain tablets for one week in order to minimise possible swelling quickly.


Physical activities

During the first three weeks after your nose correction you should refrain from physical exertion (sport) in order to avoid bleeding and swelling.


Wearing glasses

You can start wearing glasses again from the second/third week post-surgery. I will show you how you can wear your glasses without making any imprints.


Sunbathing/sauna

You can enjoy sunbathing or visit a sauna approximately six weeks after the procedure.


Follow-up care

Nose care and monitoring the shape of the nose are part of your follow-up care. This involves aspirating the nose, changing the cast and later applying the tape dressing. It’s important to monitor the healing process and to take corrective action where necessary. Similarly, follow-up appointments will be discussed for the purposes of follow-up care.