Nose Surgery

The nose is the center of our face

which means even the smallest of asymmetries can be recognized immediately. Therefore, an operative correction of the nose requires a very precise surgeon. On the one hand, a surgeon must come up with a corrective diagnosis that precedes the correction of the anatomical structures. On the other, the surgeon needs to improve the respiratory function of the nose.

Deformations after accidents and serious illnesses

We harmonize and correct deformations related to accidents, illnesses or congenital malformations using techniques that restore the function of the nose. Each individual case differs. This is why we develop an individual treatment plan for each patient – from straightening the nasal septum to a crooked nose, eliminating a nasal hump or raising the tip of the nose. Virtual planning software allow us to include the patient in determining the course of action from the convenience of their own home.

Surgical Planning

Thus before the operation, a detailed consultation takes place that utilizes a computer simulation of the desired results. Patients can even virtually “design” their goals at home using photographs of their nose, allowing them to communicate their wishes visually.

Surgical Technique

The human nose is divided into two parts: bone and cartilage. The scope of each intervention varies according to whether or not the bone needs to be corrected in addition to the tip or the entrance of the cartilage, for example, if the bone is crooked or perceived as too wide. Prof. Dr. Dr Koch’s clinic at m3 minimizes the surgical risks of such a procedure by using what is known as piezo surgery, or the utilization of an ultrasonic saw that protects the surrounding soft tissue. Should there be a lack of tissue, cartilage transplants are implemented using either excess cartilage from the nose itself or cartilage from the back of the ears. Nasal breathing is then improved using a so-called spreader graft or button graft.

The nose is one of the most important sensory organs.

The nose is one of the most important sensory organs. On the one hand, it carries out essential functions for health and well-being, and on the other, it contributes significantly to one’s appearance. Unfortunately, the nose does not always match our preferences of shape and size. The nose can be conspicuous, disproportionate and can disturb the harmony of the face.

Nose Job

A nose job is usually performed with a small incision on the bridge and the inside of the nose. The nose consists of two parts: bone and cartilage. Depending on where the anatomical deviations are present, sometimes the bony nasal skeleton needs to be altered, as well. Use of the most modern surgical procedures, such as ultrasonic surgery (piezo surgery) that keeps the soft tissue intact, can reduce postoperative facial swelling and bleeding to a minimum to ensure quick recovery.

3D diagnostics using digital volume tomography (DVT) prior to the operation allows us to determine which of the internal nasal structures are responsible for any obstruction of nasal breathing.

m3 knows that rhinoplasty requires both the shape and function of the nose be taken into account. Prof. Dr. dr Koch’s expertise and comprehensive training at various ENT clinics across Germany and in plastic surgery at Yale University (USA), more than qualifies him to perform precise corrections of the nasal septum (the partition wall of the nose) and the inner nasal valve. After a septum is corrected, it is stabilized for two weeks with the support of silicone shields. In addition, a nasal plaster is inserted for at least 1 week, up to 3 weeks in the case of an alteration of the bone.

Dorsal hump (nose bumps)

Dorsal humps are largely affected by the position and size of the features of the midface. Such humps can not only obstruct nasal breathing, but also lead to sleep apnea.

Prof. Dr. dr Koch, as a plastic facial surgeon, thoroughly considers all anatomical variations of the entire facial skeleton to identify the cause of a certain obstruction to be able to treat it accordingly.

In summary, you benefit…

In summary, if you leave your operation in the hands of our team, you’ll benefit from advanced DVT diagnostics, comprehensive assessment of all anatomical aspects of the face (e.g. midface hypoplasia, nasal breathing obstruction) and unique surgical techniques with the help of piezo surgery (ultrasonic saw), automated cooling (Hilotherm) and self-dissolving tamponades designed to aid in quick recovery and provide a painless postoperative course.

Rhinoplasty/Nose-Plasty
Procedure duration:	120-240 minutes
Stay/Anesthesia	outpatient/General anesthesia
Presentable after just	14 days
Patient can return to exercise in	3-4 weeks
Costs	6.000-10.000

That’s what our patients say

Jameda review

Competent and very nice doctor
Super nice staff and doctor.

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Jameda review

Experienced Specialists at m3
Prof. Dr. dr Dr. Koch and his team won me over with three professionally executed operations. The entire team is very friendly. I was 100% satisfied with the modern methods they used… I highly recommend the team!

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Jameda review

Likeable and Competent
Dr. Koch skillfully removed a dangerous squamous cell carcinoma (skin cancer) on my forehead. The examination was thorough and he took the time to explain the treatment to me in great detail. The team did a great job on the operation and post-treatment care and calmed all my fears. I would trust them anytime!

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