Nose correction steps in the procedure

No patient will rush into a decision to have an operation on such a dominant facial feature as the nose. The same is obviously true for any responsible doctor. Often medical necessities leave no other choice. Frequently careful checks must be made as to how the operation should proceed, if at all.

We see it as our job to support you in making decisions like these. You can learn here what it is important to consider.

First consultation nose correction

Starting out from your individual diagnosis and your own anatomical situation in the nose area, we can advise and inform you in-depth while keeping in mind your aesthetic objectives.

The first step, even if your enquiry is purely one of aesthetics, is to determine whether there are any symptoms of illness and/or impairment to the function of the nose, and if so, whether treatment is required. If treatment is needed for a nose problem or condition and there is a wish for re-shaping, then a combined intervention consisting of external (aesthetic) and internal (function-enhancing) rhinoplasty makes sense. This is a form of nose surgery called septorhinoplasty in medical jargon.

In the second step, we concentrate on your aesthetic requirements or objectives. After examining the nose we evaluate the chances of success, the risks to you and which surgical measures are needed to achieve the desired nose correction. Our objective is to provide you with coherent suggestions for the surgery that can be performed with the greatest reliability, the lowest risk and which will lead to the shape of nose you desire.

Photo simulation nose correction

We will photograph your nose during the first consultation. This will enable us to prepare a simulation for the following consultation, which will give you a further more realistic idea of how your wishes will turn out.

What can photo simulation show?

A photo simulation prior to the operation is used to review your wishes as a patient and make sure we have understood your request. Then the individual surgical stages are planned aided by a simulation of the rhinoplasty. During the operation, the photo simulation allows us to check whether the desired objective is being achieved, or consider how we can better attain the objectives of surgery.

What can the photo simulation not show!

The photo is a useful means of communication between you and us in reaching our mutual objective. It helps in planning and implementing your rhinoplasty. However, the photo simulation cannot guarantee a specific result or exactly predict the outcome.

Second consultation nose correction potentially in combination with outpatient pre-op

In the second consultation, the results of the photo simulation are discussed. In our experience the first photo simulation usually corresponds largely or completely to the wishes of our patients. If not, then the photo simulation can be modified based on the results of the second consultation.

Patients who arrive from far away often combine the second consultation about their rhinoplasty with the introduction to the anesthesiologist. This saves time and eliminates a second journey before the date of surgery.

Clarification nose correction

Before any operation the anaesthetics and the surgical intervention will be clarified. This is of course also true for your nose operation.

Clarification general anaesthetic

As we use general anaesthetics for complex nose corrections, an anaesthetist will explain this part of the procedure to you. For your nose correction this will be an experienced specialist doctor from the in-house Anaesthetics Department at the Elisabeth Hospital in Kassel.

Clarification nose operation

The actual nose operation will be explained by the surgeon responsible from our group practice, who will also then operate on you.

Rhinomanometry before your nose correction

We carry out a so-called rhinomanometry before every aesthetic and/or functional nose operation. In this examination we check to what extent the airflow thorugh the nose is restricted.

This examination is carried out as part of the outpatient pre-op on the ENT and facial plastic surgery ward in the Elisabeth Hospital.