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Rhinoplasty

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While the shape of your nose is usually the result of heredity, the appearance may have been altered in an injury or during prior surgery.

Also known as rhinoplasty, surgery of the nose improves the appearance and proportion of your nose, enhancing facial harmony and self confidence. Surgery of the nose may also correct impaired breathing caused by structural abnormalities in the nose.

What can sugery of the nose accomplish?

Rhinoplasty can change:

  • Nose size, in relation to the other facial structures
  • Nose width, at the bridge
  • Nose profile, with visible humps or depressions on the bridge
  • Nasal tip, that is large or bulbous, drooping, or too upturned
  • Nostrils that are large, wide or upturned
  • Nasal asymmetry and deviation

Please watch the above video to learn more about the procedure

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Is it right for me?
Nose surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image. Surgery of the nose is a good option for you if:
  • Your facial growth is complete and you are 13 years of age or older
  • You are physically healthy
  • You have specific, but realistic goals in mind for the improvement of your appearance
3D Simulation
We use the advanced imaging system, VECTRA 3D. Using this system, a three dimensional photograph of your face is taken prior to surgery. Then, using VECTRA's software simulation tools, 3D representations of the postoperative result are created. This allows the patient the opportunity to preview various surgical options, and decide on the procedure that best suits her personal goals.
The process only takes a few minutes, and you will be able to see how you will look after your rhinoplasty. During your initial consultation, you will review the results and can even request alternative simulations to be sure you are comfortable with the recommended surgical plan
Using preoperative 3D simulation, the hesitation many patients experience before deciding to undergo plastic surgery and the concern about the outcome of their procedure, can be relieved. Now, you can accurately visualize the results of your procedure before making your final decision.
Anesthesia
Surgery of the nose may be performed as an outpatient or an in-patient procedure under intravenous sedation or general anesthesia. If performed on an outpatient basis, be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.
Operation
Please watch the above video to learn more about the procedure.
My recovery
Following your physician's instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.
An external splint will support the nose as it begins to heal for approximately one week.

The results will be long-lasting: It may take several months for swelling to fully dissipate and up to a year - and sometimes longer - for the outcome of the surgery to fully refine. The result of nose surgery will be permanent.

Publications
  • Mühlbauer W, C. Holm. Rhinoplastik. In Plastische Chirurgie Berger - Kopf und Hals, Kapitel 11: 271 - 313 (2004). Herausgeber Alfred Berger, Robert Hierner; Springer Verl. Berlin, Heidelberg, New York 
  • Mühlbauer W., Holm C. Computer Imaging and Surgical Reality in Aesthetic Rhinoplasty. Plast Reconstr. Surg. 2005 Jun; 115(7): 2098-104 (2005). 
  • Mühlbauer W., Holm C., Schmidt A., Fairley J. Total nasal reconstruction in an infant with arhinia. Handchir., Mikrochir., Bd II Plast.Chirurgie 30: K 15 (1998). 
  • Holm C, Mühlbauer W, Mayer M, Myat T, Gögeler-Schröder S, Schöneich M, Anderl H. Extracranial Correction of Frontoethmoidal Meningoencephaloceles. Feasibility and Outcome in 52 Consecutive Cases. Plast Reconstr Surg Vol 121:6 June 2008 p. 386e - 395e (2008). 
Postoperative instructions Rhinoplasty