The nose shapes the face and is essential for breathing. Rhinoplasty can improve both: a shape that suits the face, and a nose you can breathe through freely again.
1–3hours of surgery, usually under general anaesthesia
1–2nights as an inpatient, smaller procedures outpatient
1–2weeks with a splint protecting the nose
2–3weeks for swelling and bruising to subside
6weeks without glasses resting on the bridge of the nose
Typical figures from the clinics. Your personal plan is discussed at the preliminary consultation.
The nose
Form and function belong together.
The nose sits in the middle of the face and helps to determine its proportions. At the same time, it is the natural path for the air we breathe: it warms, moistens and cleans the air before it reaches the lungs. People who breathe poorly through the nose often sleep more restlessly, snore or switch to breathing through the mouth.
Common causes are a deviated septum, a crooked nose after an injury or weak nostril walls that collapse when breathing in. Other people are mainly bothered by the shape: a hump, a wide or long nose, a bulbous or drooping tip.
Often the two are linked. Changing the external shape also changes the inside of the nose – which is why breathing is part of every plan. A correction that would impair function does not make sense.
The treatment
What the operation can achieve.
Breathe more freely
A straightened nasal septum and a stable nasal framework can improve nasal breathing.
Balanced proportions
The hump, tip, width and length can be tailored to the face – with the aim of a natural-looking result.
Even after previous surgery
Noses that have been injured or operated on before, or that have congenital differences, can still be corrected in many cases.
Every rhinoplasty starts with two questions: what should the nose be able to do – and which shape suits this face?
Consultation
A specialist in plastic and aesthetic surgery examines the shape and breathing, listens to your wishes and explains what is possible and what is not.
Planning
The technique depends on the findings: closed, with incisions inside the nose, or open, with a small incision on the columella, the strip of skin between the nostrils. If breathing is obstructed, the septum is straightened in the same operation.
Surgery
Cartilage and bone are carefully reshaped. The procedure usually takes one to three hours and is generally performed under general anaesthesia; smaller corrections are also possible under local anaesthetic.
The first few days
A splint supports the nose, and cooling eases the swelling. Most patients go home after one to two nights.
Healing
The splint is removed after one to two weeks, the stitches after about 14 days. Sport, sun and glasses are put on hold for a while; the final result becomes apparent after a few months.
Aftercare
Follow-up appointments accompany the healing process and check shape and breathing.
Statutory insurance or self-pay
Who covers the costs.
Statutory health insurance
The functional part – in individual cases.
If nasal breathing is obstructed, for example by a deviated septum, the correction may be medically necessary. Whether German statutory health insurance covers this part is assessed case by case. It does not cover the aesthetic reshaping.
Operations covered by statutory insurance take place at the Bürgerspital Wertheim; pre- and post-operative care is also possible close to home at the other locations in Germany.
Private insurance or self-pay
Form and function in one procedure.
Private health insurance and Beihilfe (the German state healthcare allowance for civil servants) may partly cover the functional part; patients pay for the aesthetic part themselves.
The costs depend on the extent and technique: correcting the tip is a smaller procedure than a full rhinoplasty, while a functional part or previous surgery makes the procedure more complex. You receive your personal quote after the preliminary consultation; several clinics offer financing in instalments.
Specialists
Your surgeons at a glance.
Operations are performed by specialists in plastic and aesthetic surgery. Under each name you will find the locations where they perform rhinoplasty.
Dr. med. Karina BaierSpecialist in Plastic and Aesthetic SurgeryHamburg
Dr. med. Michael BrombaSpecialist in Plastic and Aesthetic SurgeryDortmund · Düsseldorf · Wertheim
Dr. med. Katharina Dette-OltmannSpecialist in Plastic and Aesthetic SurgeryHamburg
Dr. med. Uwe HerrboldtSpecialist in Plastic and Aesthetic SurgeryDortmund · Wertheim
Dr. med. Stephan KlarnerSpecialist in Plastic and Aesthetic SurgeryHamburg
Dr. med. J. Philipp NeisSpecialist in Plastic and Aesthetic SurgeryHamburg
Dr. med. Cornelius SchubertSpecialist in Plastic and Aesthetic SurgeryHamburg
Locations
Where treatment takes place.
Each clinic shows on its own website how the treatment works there.
Germany
Dortmund
The Deutsches Nasenzentrum® at the Westfalenklinik, the group’s headquarters. With statutory insurance cover: pre- and post-operative care here, the operation in Wertheim.
Specialist clinic on Rothenbaumchaussee for aesthetic and functional rhinoplasty. With statutory insurance cover: pre- and post-operative care here, the operation in Wertheim.
The Bürgerspital and the Main-Tauber-Klinik under one roof: functional nose surgery, also covered by statutory insurance, and aesthetic corrections at the Deutsches Nasenzentrum®.
German statutory health insurance may cover the functional part – such as straightening the septum when breathing is obstructed – if it is medically necessary; this is assessed case by case. The aesthetic correction is a self-pay treatment. Private health insurance and Beihilfe partly cover the functional part.
What is a septorhinoplasty?
This is the name for septoplasty and rhinoplasty combined: the septum is straightened and the external shape corrected in the same operation. Breathing and shape are thus treated together.
Does the operation hurt?
The procedure itself is performed under anaesthesia. Afterwards, pressure, tightness and pain can be felt, but these can be treated well with medication. In the first few days, nasal breathing is restricted by the swelling.
Will there be scars?
With the closed technique, all incisions are inside the nose. With the open technique, a fine scar remains on the columella, which usually heals inconspicuously.
When can I be around people again?
Usually after one to two weeks, once the splint has been removed. Most people take about two weeks off work. Slight swelling, especially at the tip of the nose, may remain for a few weeks.
What are the risks?
As with any operation, bleeding, infection and wound-healing problems are possible. In addition, there may be asymmetry, altered skin sensation and, rarely, impaired nasal breathing; sometimes a follow-up correction is needed. The informed-consent discussion goes through each point individually.
From what age is rhinoplasty possible?
An aesthetic correction only once the face has finished growing. Functional procedures may be medically necessary earlier – the medical examination decides.
Can a nose that has already been operated on still be corrected?
In many cases, yes. After previous procedures the tissue is scarred, and sometimes cartilage is missing and has to be replaced. Such a correction is more complex and is planned with particular care.
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This was the best decision I have ever taken for myself. The whole experience has changed my life for the better. From the first consultation I felt welcomed and treated very well. I did not feel alone during the journey because the team were just a WhatsApp away and they made regular check-ups on me. Thank you for everyone at the hospital from the staff to the doctors, you are all amazing.
Weight Doctors South Africa
MMaria
Wow, was für ein erster Eindruck! Dr. Frank Gruner, dessen Professionalität von jahrelanger Erfahrung zeugt, war äußerst verständlich und menschlich (was mir sehr wichtig war). Er verstand meine Bedürfnisse, und seine Erklärungen und Anweisungen entsprachen genau meinen Vorstellungen. Die Patientenberaterin Jennifer war mit ihrem Charme ebenfalls eine große Hilfe und erklärte mir alles Notwendige und den weiteren Ablauf. Auch die Mitarbeiter am Empfang waren sehr höflich und freundlich. Ich melde mich nach der Operation mit meinen Eindrücken zurück. Vielen Dank an alle!
Westfalenklinik Fachklinik für Plastische und Ästhetische Chirurgie · Original in German
AAnonym
Ich habe eine Unterlidstraffung machen lassen und bin mit dem Ergebnis sehr zufrieden. Mein Dank geht vor allem an Frau Dr. Simidjiiska für ihre Fürsorge, Kompetenz und Empathie. Aber auch das gesamte Team der Klinik macht einen hervorragenden Job!
Westfalenklinik Fachklinik für Plastische und Ästhetische Chirurgie · Original in German
AAnonym
Ich bin rundum begeistert von meiner Erfahrung in dieser Haartransplantationsklinik. Von der ersten Kontaktaufnahme bis zur Nachsorge war alles hervorragend organisiert und professionell. Das gesamte Team war unglaublich freundlich, hilfsbereit und zuvorkommend. Man hat sich jederzeit gut aufgehoben und ernst genommen gefühlt. Besonders positiv fand ich, dass sich alle Mitarbeiter ausreichend Zeit genommen haben, um meine Fragen zu beantworten und jeden Schritt verständlich zu erklären. Auch der Service war erstklassig. Die Organisation, die Betreuung vor und nach dem Eingriff sowie die Kommunikation waren wirklich hervorragend. Das gesamte Team hat einen sehr kompetenten und gleichzeitig menschlichen Eindruck gemacht. Die Klinik selbst ist modern, sauber und sehr gut ausgestattet. Während der Behandlung wurde äußerst sorgfältig und professionell gearbeitet, und ich hatte zu jedem Zeitpunkt das Gefühl, in guten Händen zu sein. Ein großes Dankeschön an das gesamte Team für die tolle Betreuung und den freundlichen Umgang! Ich kann die Klinik absolut weiterempfehlen und bin mit meiner bisherigen Erfahrung sehr zufrieden. Wer Wert auf Professionalität, Qualität und einen hervorragenden Service legt, ist hier meiner Meinung nach bestens aufgehoben.
Westfalenklinik Fachklinik für Plastische und Ästhetische Chirurgie · Original in German
AWAndre W.
Bisher war es nur ein Beratungsgespräch aber es war sehr gut.
Weight Doctors Group · Original in German
DCDavid C.
Ich fand, dass der Arzt gut und verständlich erklärt hat. Ich habe diese Woche noch einen Termin in einer anderen Klinik, da ich mich gründlich informieren möchte; auch der Preis wird dabei eine Rolle spielen – darüber bin ich ganz offen.
QUOLE Medisch Centrum · Original in German
MMomo
Hervorragende Behandlung. Von der ersten Beratung bis zur Nachsorge hat mir Dr. Koch stets ein sehr gutes Gefühl vermittelt. Ich litt jahrelang unter einer echten Gynäkomastie, nach der OP kann sich das Ergebnis sehen lassen, mein Selbstbewusstsein ist endlich zurückgekehrt. Ich kann die Alster Klinik jedem empfehlen, der schon lange mit dem Gedanken spielt sich operieren zu lassen.
Alster-Klinik Hamburg · Original in German
AAnonym
Dr. Schubert gab mir das Gefühl, in genau der richtigen Praxis zu sein für mein Anliegen. Ich habe mich beim Beratungsgespräch sehr wohl gefühlt und verstanden gefühlt.
Alster-Klinik Hamburg · Original in German
LSLieselotte S.
Über die ehrliche Einschätzung
Alster-Klinik Hamburg · Original in German
HGHannelore G.
Ich habe mich sehr wohl geführt, das Gespräch war sehr gut, die Ärztin hat mir sehr ausführlich alles erklärt und bin mit einem sehr guten Gefühl nach Hause gegangen.
Westfalenklinik Fachklinik für Plastische und Ästhetische Chirurgie · Original in German
CKCarmen K.
Ich bin eine sehr ängstliche Person. Bei Herrn Dr. Neis habe ich mich sofort wohlgefühlt. Behandlungsgespräche, Umgang, Freundlichkeit – es passt alles. Ich kann ihn ohne Bedenken und Einschränkung nur weiter empfehlen. Dankeschön Herr Dr. Neis für die tolle Arbeit.
CGCE Group · Original in German
MLMichaela L.
Dr. Klarner ist sehr nett, hat mich sehr gut beraten und aufgeklärt. Ich hab mich gut aufgehoben gefühlt, vielen Dank!