Nose surgery: Information & nose surgery specialists

A nose operation may be necessary for either cosmetic or medical reasons. The procedure is performed either by a specialist in ear, nose and throat medicine or, in the case of external rhinoplasty, by a specialist in plastic and aesthetic surgery.

You can find further information and selected rhinoplasty specialists and centers here.

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Article overview

Nasal surgery - Further information

If people are not satisfied with the shape of their nose and have it corrected, this is referred to as a cosmetic nose operation. Accidents can also make cosmetic rhinoplasty necessary.

However, there are also medical indications for rhinoplasty. In this case, the functions of the nose are restricted and should be restored through the procedure. The nose serves

  • as an olfactory organ,
  • filters and warms the air we breathe and
  • as a resonance chamber when speaking.

What procedures are available for rhinoplasty?

The procedure used for a nose operation depends largely on the medical indication.

Procedures that deal with the outer nose - this includes cosmetic nose corrections - are usually tackled with a rhinoplasty. Rhinoplasty is used, for example, for

  • the removal of a hump on the nasal bone,
  • changes to the tip of the nose or the nostrils.

There are two subcategories of rhinoplasty:

  • Nasal reduction rhinoplasty: Bone or cartilage tissue is removed, for example when removing a hump
  • Nasal augmentation surgery: tissue is renewed or replaced.

Another surgical procedure is septoplasty. This method is used to make corrections to the nasal septum. Such a correction of the nasal septum may be medically necessary if the curvature causes problems with breathing and therefore also with sleeping.

Schiefe Nasenscheidewand
A crooked nasal septum can cause medical complaints © Alessandro Grandini | AdobeStock

Problems with the nasal septum can either be congenital or the direct result of an accident. Very few people have a perfectly straight nasal septum. In most cases, however, this curvature does not cause any problems.

Only when it leads to the aforementioned nasal breathing problems does surgery need to be performed to correct it. If left untreated, a curved nasal septum can lead to

  • Sinusitis,
  • pharyngitis,
  • middle ear infections or
  • nosebleeds

or nosebleeds. Although procedures to straighten the nasal septum were performed at the beginning of the 20th century, they were not very tissue-friendly. Today, doctors only remove cartilage very sparingly. They also include the bony structures in the correction.

During the operation, the crooked parts are removed and then straightened and reinserted. A tamponade can also be used to stop bleeding.

Are there any risks associated with rhinoplasty?

Nose surgery can lead to bleeding. Many patients find the removal of tamponades, which can be inserted after a septoplasty, particularly unpleasant. Nowadays, doctors are very gentle when removing these tampons. Experienced doctors tend not to experience any pain.

More severe bleeding can occur if the enlarged turbinates (erectile tissue) are also operated on during a nasal septum operation. This is usually the case in order to achieve good long-term results.

Otherwise, the typical surgical risks apply to nasal surgery: Infections and wound healing disorders.

Late consequences of a nose operation can be that the nasal septum becomes crooked again after a septoplasty (recurrence). In the case of cosmetic surgery, undesirable changes may occur some time after the procedure.

Choosing the right doctor is therefore crucial in order to achieve optimal results.

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