Nose correction surgery – rhinoplasty
Our nose decisively determines our appearance. A correction will produce a distinctive change. The decision in favor of a rhinoplasty, a real nose correction, might have several reasons, for example, a nose too large for the ace, a nose too broad, or a crooked nose. A bump or a bulbous tip are often also the reason for a rhinoplasty. There also might be medical reasons that make a nose correction necessary: a deviated nasal septum might result in breathing difficulties. A rhinoplasty is done inside the nasal cavity, the scars of nose surgery will be consequently inside the nose as well. The skin adapts itself to the shape of the nose.
In a first interview in Berlin we seek to find out about your preferences and ideas, and we will advise you about the changes which are reasonable in your case and suit you. We will inform you about the various possible operations and search for answers to your individual questions. In addition, we will make digital pictures before surgery and work in the corrections intended. This way we are able to provide an optimum of transparency and show you before nose surgery how you might look afterward.
We carry out all nose operations with the patient under general anesthesia. You will fall into a relaxed sleep, and when you wake up—without feeling any pain— it will all be over. During the operation at our clinic in Berlin we remodel the cartilaginous and bony skeleton of the nose and adapt it to the objectives we discussed before the operation. While surgery is in progress, we repeatedly carry out tests telling us whether we have reached our goals or whether the nose is not yet perfect.
Usually you will stay the night after surgery at the ward with us, which is safer and more comfortable for you. We will take care of you and your needs. In most cases, you will wear a nasal cast for one week after nose surgery. It will protect you and helps bringing the wound margins close to each other. After surgery, the skin will adjust to the new shape of the nose. This is a process that requires many months. One of the characteristics of nose surgery is that the final result can be seen only after six to twelve months after surgical intervention. As a patient, you will have to have patience.
General information about nose surgery
The nose is the central sensory organ responsible for the perception of odors. According to latest results, it should be able to distinguish many million different fragrances. It also has an important function in breathing as well as moisturizing, warming and purifying inspired air. But the nose also essentially contributes to the recognition of our face.
Nose operations might become necessary because of medical reasons. Breathing problems due to a deviated nasal septum may be mentioned as one example. We speak of functional impairment of the nose. However, on account of the nose’s literally prominent position in the face it often happens that correction of the external shape of the nose may be desirable. This is supposed to improve the face of the bearer in general. In such case we speak of an esthetical operation.
Plastic-surgical nose operations belong to the most common cosmetic operations worldwide, whereby the demand is still increasing: nearly every fourth cosmetic operation is a nose correction nowadays, referred to as medical rhinoplasty. About 80 percent of all patients are females, as a coarse or too large nose is particularly disturbing in a refined face. Men also consult surgeons because of problems with their noses. However, as compared with women, physical injuries are more often the reason for surgery, for example, after sports or traffic accidents.
Nose surgery in tender years?
The average age of the patients has decreased in recent decades, as is the case with other esthetical operations. The reason for this lies in the new treatment methods with lesser risks, better results and a changed awareness. A rhinoplasty is not a taboo any longer. However, we have good reasons to recommend it only if the patient has reached a certain age, as physical growth must be completed first, i.e. approximately at an age of 18 years. Premature nose operations might result in growth-related impairments or make subsequent surgical interventions necessary. It is therefore important to help juveniles to get over the exceedingly self-critical phase of puberty first. Problems such as a nose considered to be ungainly might lose importance or are not perceived as such anymore after the entire physical adaptation process has been completed. If the psychological strain persist in adulthood, an esthetical intervention might present a solution. Ultimately, the plastic surgeon will be able find this out in the course of an intensive conversation held with the patient.
What cases will make nose surgery medically necessary?
Whether and when nose surgery will be required depends on whether potentially functional impairments exist. Medical reasons for surgical interventions are, for example, breathing problems (also during sleep), which cannot be remediated otherwise. Chronic inflammations of the paranasal sinuses (sinusitis), heavy snoring (rhonchopathy) or regularly occurring headaches might be signs of a functional impairment. Then there might be an indication for nose surgery.
Besides, changes resulting from accidents and affecting nasal breathing account for one part of the operations . Here, apart from the restoration of the internal function, an external reconstruction may also be indicated. Such necessary interventions are carried out also in younger patients, although their noses are still in stage of development.
When will an esthetical surgical intervention come into question?
Certainly, purely cosmetic and/or esthetical reasons come into question for nose surgery. Such reasons relate to the external form. Classical examples are the removal of disturbing humps, shortening of a nose too long or straightening a deviated nose. If the nose appears to be too flat, an enhancement of the nose bridge will be possible. A broad nose can be corrected in that it becomes more slender. The object pursued is to create a harmonious overall impression of the facial features. Adding a turned-up snub nose-to a distinctive or striking face would miss the point.
As already mentioned, esthetical nose interventions are only recommendable after growth has been completed. But even then nose corrections may become necessary in order to reach an optimal result. A subsequent correction should proceed at the earliest one year after the main intervention. This is required because swellings must come down completely and internal scar formation and healing must be finished.
In a purely esthetically motivated desire for surgery the motives will be cleared up beforehand. The physician will recognize potential mental disorders in a counseling interview, so that in individual cases a therapeutic attendance might present the better alternative.
Cost assumption by the health insurance companies
The costs for nose surgery might strongly vary, depending on the given treatment reasons and objectives. Apart from anesthesia, the surgical method applied and the time invested, the costs also depend on the duration of the patient’s hospital stay as well as aftercare. Nose surgery performed on a private-financial basis will cost on average between 3,00 and 6,000 euros, whereby many clinics will offer a financial settlement scheme.
Whether the statutory insurance companies will take over the costs for the intervention will depend on the reasons for the operation. Treatments which are necessary on medical grounds will be paid for in most cases, as they alleviate functional impairments and prevent secondary diseases. Both statutory and private health insurers normally refuse to pay for measures based on purely esthetical grounds. Sometimes there is a possibility of combing medically indicated interventions with esthetical preferences of correction. For example, external optimizations can be done while a nasal septum is being internally straightened. The individual case will decide how much the health insurances will take over.
Please inquire at our clinic on Witttenbergplatz for more information as to what could be the best solution for you.