Aesthetic plastic nose correction
at the St. Josef hospital in Essen-Kupferdreh, Germany

Functional aesthetic nose correction, or rhinoplasty, is an important area of plastic surgery. When it comes to the overall impression made by the face, the nose is (in every sense of the word) of outstanding importance.A successful nose correction gives harmony to the face and creates a satisfying balance of the facial features. Nowadays this is very important to a lot of people in both professional and personal life. Experienced aesthetic plastic surgeons can succeed in making the patient’s wishes a reality with a careful nose operation. The alteration of the nose must be planned in conjunction with the face overall. After the operation the facial features should still match the type, but they will now make a more balanced and aesthetically appealing impression.

Aesthetic reasons

There are numerous aesthetic reasons for a nose correction: a crooked nose, an excessively prominent or collapsed bridge, or a nose that is too big or too small in relation to the rest of the face. Medical reasons

Nose operations are frequently necessary on medical grounds – e.g. when breathing is difficult because of a crooked nasal septum, or as a result of accidents or illnesses by which the nose has been affected. Such deficits can be effectively corrected by using the body’s own tissue.

A nose operation can alter the nose practically in any way imaginable:

• reduction
• enlargement
• straightening
• changing the form of the tip
• changing the size of the nostrils.

Nose operations should only be carried out by experienced and highly qualified specialists. The aesthetic plastic surgeon should be in possession of certified nose correction competence. Serious professionals can also be recognised by the fact that they offer detailed and individual consultancy prior to the nose operation. The nose correction must match the face overall, and the changes should be planned in close consultation with the patient and on the basis of an analysis of the face as a whole. Moreover, the nose is not only required to be aesthetically pleasing – the operation must not be allowed to affect the patient’s nasal breathing in any way. It follows that the surgeon not only needs to take aesthetic considerations into account, he must also be well versed in the nose’s functional aspects.At the Clinic for Plastic and Aesthetic Surgery in Essen, Germany, every nose operation is preceded by an analysis of the face overall on a 1 to 1 scale. In the light of this facial analysis, true-to-scale planning of the nose can then be carried out in consultation with the patient. The nose should look good, should fit in with the face as a whole as well as possible, should not make a difference to the type – and of course it doesn’t want to look as if it has been operated on. In this form of planning, measured values are first determined and then transferred to the inner structure of the nose in the course of the operation. This approach gives the very highest likelihood that the plans will actually become a reality. Young people should on no account have a nose operation at a too early age. For these patients, detailed consulting is of particular importance. A nose correction should only be carried out after the growth spurt of puberty has come to an end – as a rule, not before sixteen years of age. The risks of a nose correction are very slight, and when you are in the hands of a real specialist, things very rarely go wrong. All the same there are risks involved, and these should be discussed in detail with your physician before the operation.

Dr Bromba in Essen, Germany, has many years of experience behind him as a specialist in aesthetic plastic nose operations. He operates at the St. Josef-Krankenhaus [St. Josef Hospital] in Essen-Kupferdreh, where something like 600 nose operations are carried out every year. Dr Bromba operates on the majority of the patients himself. When the nose operation is conducted in a proper hospital, this has the great advantage for patients that in the course of the operation they can rely on the safety standards and infrastructure of a public clinic. The St. Josefs-Krankenhaus [St. Josef Hospital] in Essen is the only clinic for plastic and aesthetic surgery in Germany where combined operations on the nose and the paranasal sinuses are carried out.

For a nose operation you will need to spend a short time as an inpatient at the clinic. Nose operations are for the most part carried out under a general anaesthetic, and usually last 2 to 3 hours. Generally speaking you can resume your normal daily routine just a few days after the operation; sedentary activities become possible again after around one week. Sport and stressful activities, on the other hand, should be avoided for 2 to 3 months following a nose operation. If you have any further questions on the procedure and the risks of a nose correction, we will be happy to discuss them with you in an individual consultation.