Nose correction | rhinoplasty in Bonn

The consultation with Dr med Daniel Sattler:

The consultation for a nose correction in Bonn (rhinoplasty) includes a very individual analysis of the nose through static aids such as photos and through dynamic impressions (analysis of the mimic of the patient). With the help of simulation (morphing), patients can get a realistic impression of the planned nose shape. It is important to take the patient’s wishes into consideration in advance and to decide together which features are regarded as troubling. Patients should think about what they want and their aims: What does the perfect nose for me look like? What do I think about the change in the shape of my nose?

Preparation for a nose correction | rhinoplasty:

The preparation is just as important as the operation, treatment and post-operative care. When preparing for the operation, all aspects of patient safety and of the operating surgeon must be considered. Alongside the obligatory pre-examination, in which the mucous membranes and respiratory functions of the nose are checked, the personal risks that can occur during a nose correction need to be discussed. The patient should inform the doctor about pre-existing illnesses, possible allergies, medicine that is currently being taken and medicine intolerances.

For patients with sensitive mucous membranes, we recommend using a soothing nose ointment or nose drops for two to three weeks before the procedure. Blood-thinning medications such as Aspirin or Thomapyrin should not be taken for up to 3 weeks before the operation. Ideally, alcohol should be avoided for up to two days before the operation.

What happens during a nose correction in Bonn (rhinoplasty)?

A nose correction can be performed for a variety of different reasons. Not only aesthetic reasons but also functional disorders can be a reason for having a nose operation. Operations can be performed on different areas of the nose. These include all inner and outer parts of the nose. The procedure and technique used in an operation depends on whether a crooked nose or a hooked nose is being corrected, or whether a patient would like a correction to the tip of the nose or a narrowing of the nose. There are two different types of treatment: a nose correction without operation or an operative nose correction.

In a nose correction without operation, an injection with hyaluronic acid can achieve localised filling of specific nasal areas. A bump in the nose can be concealed and asymmetries can be evened out. Additionally, an injection can cause a targeted paralysis of different muscles, to create a visual lengthening of the nose. In an operative nose correction, bones, cartilage and tissue are removed with delicate instruments and worked on until the desired shape is created. Stitches are necessary in this case. An operative nose correction can be carried out using the closed or open technique. The closed technique refers to a procedure which takes place through the nostrils. This means that no incision needs to take place through the outer skin. In the open technique, the nose is opened under the tip of the nose with a surgical incision through the skin. The advantage of the open technique is that it is easier to reach and to see the inner structures.

Post-operative care after a nose correction | rhinoplasty

It is usual to stay in hospital for a short time after a nose operation, to avoid possible post-operative complications. After the procedure and the general anaesthetic involved, the patient should stay in bed for approx. 24 hours. Tamponades are placed in the nostrils to directly stop any light bleeding that may occur. A nose tape is sometimes used to stabilise the nose. This will be removed approx. one week after the operation. Cool packs can also help to alleviate the swelling of the nose. To ensure a healthy and rapid healing process, the patient should remember to follow several rules of behaviour: Patients should sleep on their back and with a raised head until the swelling has subsided. Do not blow your nose but if your nose is running, just dab carefully with a handkerchief. If you need to sneeze, you can minimise the pressure in your nose by opening your mouth slightly.

In the first weeks after the operation, strenuous physical activities and hot showers are forbidden. You should also avoid strong exposure to the sun and wearing glasses. You should only take medicines such as pain-relieving medication in consultation with the doctor.