Rhinoplasty (Nose Job) Hamburg, Germany

The nose is the center of your face. Therefore, you might feel uncomfortable if your nose does not fit harmoniously into your face. A rhinoplasty can adjust the size and contour of your nose to give your face a balanced, more harmonious shape.

Congenital or secondary after an accident, the nasal shape and nasal function may have an influence on your self-esteem. A correction of the nose can improve your aesthetic needs and can also improve the air flow through your nose making breathing easier.

If you have minimal nasal contour irregularities, it is sometimes sufficient to use hyaluronic acid injections to correct the nose without the need for any surgical interventions.

It is possible to combine a rhinoplasty with other procedures to achieve an optimal aesthetic result. For example, a liposuction of the chin and neck, an autologous fat transfer to the lips or a correction of the chin might be the right way to achieve a balanced face.

Rhinoplasty Surgery Overview

  1. Before Your Operation
  2. Operating Techniques
  3. Results
  4. After Your Operation
  5. Frequently Asked Questions About Rhinoplasties:
    a) Do I need general anesthesia for a rhinoplasty?
    b) Does it make sense to combine a rhinoplasty with other procedures?
    c) Can my nose be corrected without surgery?

1) Before Your Operation

Dr. Thorsten Sattler will consult and examine you personally before your surgical procedure. Due to the fact that each person is unique, he will create a personal treatment plan for you based on the latest methods and knowledge in Plastic Surgery. He will take photos and will explain the operation to you with the help of drawings and photos. Limitations, possible risks and alternative treatment options will also be discussed.

Dr. Sattler will define realistic aims together with you and will create an individual treatment plan. The main objective of a rhinoplasty is to create a nicely shaped nose that fits harmoniously into your face. Pre-existing respiratory problems related to the nose can also be eliminated as part of the aesthetic nasal correction. To get the best possible aesthetic result, the rhinoplasty can be combined with other procedures, such as liposuction, autologous fat transfer or a chin correction.

If there are only small irregularities to the contour of your nose it is sometimes sufficient to inject hyaluronic acid into these areas. An operation might not be necessary. However, changes to the bony structure of the nose or the elimination of breathing problems are not possible with injections alone.

An autologous fat transfer to the face in addition to a rhinoplasty adds volume to deficient areas and will rejuvenate your face. Lips can also be plumped up by an autologous fat transfer and a double chin can be removed by liposuction. A harmonious appearance with youthful look is the aim of these procedures and can be achieved by combining various operating techniques.

2) Operating Techniques

Only safe and modern surgical methods are used by Dr. Sattler. Rhinoplasty procedures are almost always performed under general anesthesia usually followed by one overnight stay in the hospital. A small correction of the nose with hyaluronic acid injections is carried out under local anesthesia on an outpatient basis. Many different techniques to perform a nasal correction are known. Dr. Sattler will choose the best and safest method for you, depending on your anatomy and your aims and desires. It is important to avoid the “operated look” and to emphasize your natural beauty.

The “open rhinoplasty” procedure includes a very small cut. This way, the nasal skeleton can be seen clearly and soft tissues, bones and cartilages can be optimally shaped under full visual control.

Dr. Sattler uses magnifying glasses and special instruments in order to operate very precisely, to protect nerves and to minimize blood loss. Noses can be shortened, lengthened and narrowed. The tip of the nose can be lowered or raised, the shape of the nose can be modified, the form of the tip of the nose and nostrils can be adjusted and the overall symmetry can be improved. Sometimes a piece of tissue is placed on top of the nose to make this area more harmonious and to conceal any imperfections. Changes to the air flow within the nose can be made in order to improve the circulation of air. To protect the results, small silicone splints are placed in the nose at the end of the operation and are removed a few days later. A painful tamponade, which was often used in the past, is hardly ever necessary. The nose is taped and an aluminum splint fitted to the operated nose. The nostrils are wetted with an antibiotic ointment. After some time, the small scar is hardly visible.

Because there is a very large number of different surgical techniques, Dr. Thorsten Sattler will discuss with you in detail, which technique should be used to achieve your aims and desires.

In combination with a rhinoplasty procedure, it often makes sense to perform an autologous fat transfer to regions with a volume deficit, for example to the temples, lips or chin. Fat can be liposucked from the neck and chin line and can be used for the autologous fat transfer afterwards. The extra volume provides additional youthfulness and a harmonious facial shape. Also wrinkles and scars can be injected with autologous fat and your skin can be revitalized by a stem cell transfer.

Dr. Sattler works very carefully in order to obtain a harmonious and youthful facial shape with the best aesthetic result possible and with minimal scarring.

3) Results

By German law, we are not allowed to show you before/after pictures online. However, during your personal consultation with Dr. Thorsten Sattler this will be possible.

4) After Your Operation

Your face might be a bit swollen and sometimes there are some bruises. Therefore, Dr. Sattler recommends to cool the operated areas, to elevate the head and to take some NSAIDs and enzymes if necessary. After a few days, the small silicone splints can be removed followed by the stitches and the aluminum splint after about one week. Sometimes your nose will be taped for another week. Sunbathing, solarium, sauna and sports should be avoided until all wounds are healed nicely. Contact sports and martial arts should be avoided for at least three months.

5) Frequently Asked Questions About Rhinoplasties:

a) Do I need general anesthesia for a rhinoplasty?

For a proper rhinoplasty Dr. Sattler recommends a general anesthesia usually followed by an overnight stay at the hospital. Small corrections with hyaluronic acid can be performed under local anesthesia in his clinic in an outpatient setting.

b) Does it make sense to combine a rhinoplasty with other procedures?

In order to give you a youthful face, volume deficient areas like the temples, chin and lips can be built up by using autologous fat transfer. A better contour of your face can be achieved by liposucking your chin and neck. Furthermore, stem cells can be injected, which can improve scars, your skin quality and complexion.

c) Can my nose be corrected without surgery?

Small corrections of the contour of your nose can be made with hyaluronic acid injections without any surgery. Wrinkles around the nose, the so-called “bunny lines”, and wrinkles around your eyes and on your forehead can be treated with BTX very well.

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