Nose Corrections

The shape and size of the nose have a particularly decisive effect on the overall appearance of the face, which is why nose corrections are quite common. Nose corrections are very demanding in surgical terms because of their three-dimensionality, and call for plastic surgeons with plenty of operative experience and an ability to think in three dimensions. The correction could concern the removal of a bump, the shortening of an overlong nose, changes in the width or shape of the nose tip, or also in the size and shape of the nasal wings and/or entire bony and cartilaginous nose. Misalignments of the nose skeleton such as a crooked nose or deviated nasal septum can be congenital or also the consequence of an accident.

Besides the changes in the outer shape of the nose, functional aspects also unfailingly need to be considered. Apart from a misalignment of the septum, the breathing through the nose can also be impeded by particularly large nasal conchae.

If the operation is not merely aimed at a small correction of the nose tip, but also calls for a reshaping of the nose's bony skeleton, it will usually be performed under general anaesthesia. If the "closed technique of plastic nose surgery" provides sufficient access, all incisions in the skin and/or mucous membranes will be located inside the nose, while the "open technique of plastic nose surgery" involves the skeleton being exposed more clearly by way of an additional, small and well-concealed incision at the nose bridge. This way the bony and cartilaginous parts can be reshaped, reduced in size or restructured. After the operation, the newly created nose skeleton is held in shape at its new position by means of a nasal cast.

Both nasal cavities will usually be supplied with ointment and tamponade strips to avoid secondary dislocations caused by the unavoidable swelling in the operated area. The nasal cast can usually be removed after one week. More or less pronounced swelling and bruising around the nose area and adjacent eye regions may remain clearly visible for up to two weeks after the surgery, so that presentability will be regained two to three weeks after the operation as a rule.