Nose reduction - Rhinoplasty
You do not like the form of your nose? The nasal septum is often bent or the corpus cavernosa (nose wings, see illustration) are oversized, which prevents correct nasal breathing. These kinds of malformations can only be corrected surgically.
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Nose structure
Operational procedure
The operation is carried out under general anaesthesia or in a lethargy state, via the interior of the nose or the mouth. In a nose reconstruction, a bent nose can be straightened, a cartilage excess (hooknose) can be removed or a nose bridge (saddle-back-nose) be filled up. If a bony nose has to be reduced, it occasionally needs some additional incisions on the eyebrows. Length nose reduction may need an incision on the bridge of the nose and, to reduce the sides of the nose, an incision on their base might be also necessary. For the correction of the nasal concha cartilage, the lower corpora cavernosa are reduced or partly removed. Especially difficult to correct are nose deformations, involving lips-jaw- palate space formation, as they frequently require various interventions, in spite of which a complete symmetry is quite often not achieved. Particular circumstances, which can only be detected during the intervention, can lead to a modification or dilation. So for example, it might be necessary to compensate for irregularities on the bridge of the nose, to implant endogenous or external tissue. So, please give your consent before the operation, as it would be an additional burden for you if the intervention had to be interrupted because of it and later resumed. Besides, a new anaesthetization would be necessary in that case. After the operation, the nose is filled up with tampons and kept into its new form with an external bandage (plaster cast, plastic or metal form).
Nose tip section
After the operation
As a general rule, slight or stronger blood suffused swellings tend to appear in the region of the eyelids and the cheeks. After the removal of the supporting bandages, the nose will still be swollen. The definitive shape will not appear until half or even a year later. Possible deafness of the nose and upper lip recedes. Due to a tendency to ossification and a swelling of the mucous membrane, breathing might be more difficult immediately after the operation.
Possible complications
The success of an operation and the lack of risk cannot be guaranteed by any physician. However, the general dangers of surgical interventions, such as thrombosis (formation of blood clots), embolisms (artery occlusions due to blood clots) or oversensitivity reactions are comparatively quite rare. Thanks to the progress of modern medicine, they are also clearly easier to treat. Strong internal nose bleedings might require a surgical cut of the bleeding. Bruises in general tend to heal by themselves. Those under the conjunctiva of the eyes tend to last longer. Infections are quite rare. In order to reduce the risk of secondary bleedings, patients should not take any medicine in the two weeks before the operation, especially those containing acetylsalicylic acid, e.g. aspirin. Skin marks, as well as nose bridge inflammations generally heal without any complications. The nose might very seldom turn red. Quite seldom as well the scars left in the treated area hurt. Extremely rare are cases in which the tear duct is damaged, which leads to watery eyes, or in which the cheek nerves are damaged, causing sensitivity disorders on muscles in the area of the cheeks or smelling capacity disorders. Even rarer are damages on the base of the skull with a leakage of brain fluid, or the danger of meningitis. In such cases, an immediate operation is necessary. These kinds of complications are generally due to previous accidents in which the skull was compromised. Remarkable and possibly painful scars (e. g. Keloids) can occur when outer incisions are necessary and there is a tendency to scar formation. If the nasal septum is corrected, a hole could form inside the septum, causing dryness, occasional bleedings, as well as unpleasant noises while breathing. At the present state of science, we cannot exclude with absolute certainty the transmission of infections by transplanting external tissue. During the extraction of endogenous tissue to be transplanted, scars that are generally almost invisible appear, possibly bruises as well.