The harmony of the facial proportions depends critically on the form and length of the nose. Possibilities of nose reshaping surgery include removal of a visible bump, shortening or lengthening the nose, changing the shape of the tip of nose or of the nostrils. Nose problems causing breathing difficulties can also be corrected. Some teenagers suffer from a nose that they perceive as too large or too crooked. We do not recommend surgery before the growth of the facial skeleton is completed, which occurs around the age of 16. It is important to make sure that the request for surgery comes from the adolescent and not from the parents.
Many patients suffer from a bump on the bridge of the nose or a wide, thick tip of the nose. Patients are usually able to describe and show what they perceive as bothersome. Patients also wish to look `unoperated`: they do not wish the tip of the nose to be too small or too sharp. The nose changes with advancing age: it becomes longer. At higher ages, the nose reduction is seen as a rejuvenation measure.
The nose reshaping is an intervention that usually takes 1-2 hours at most, but requires a high level of experience, surgical skill and aesthetic sense. It is considered the top intervention of plastic surgery. It is of great importance not only to change the external shape of the nose, but to treat the skeleton based on functional considerations. Patients often have a deviation of the nasal septum or swelling of the mucosa of the nasal turbinates causing breathing issues.
The operation should be carefully planned from aesthetic and functional standpoints.
The operation is performed under general anaesthesia. The incisions are hidden inside the nostrils and in the area of the mucosa. This access allows the removal or alteration of cartilage and bone as needed. It allows the shaping of the scaffolding of the nose.
Small incisions on the outside skin can be necessary for the reduction of the wings of the nose or alteration of the tip of the nose. The procedure takes roughly 1-2 hours, in difficult cases more. A splint of synthetic material is placed for 1 week for protection and support of the new shape. Swelling, especially of the root of the nose, develops for the first 10 days. Blood collections can develop in the area of the eyes; they usually resolve after about 2 weeks.
We have set up a dedicated homepage for the rhinoplasty because this is a very complex field and Dr Berkei is a specialist in this field. On this site you have the opportunity to read patient stories, design your dream nose at the computer form home and find other information, from the initial consultation to the postoperative care: www.nasenkorrektur-frankfurt.de