Should I get a nose job

for aesthetic and plastic facial and nose surgery

Prof. Dr. Dr. On this page, Teichmann answers many patient questions about nose operations. The FaceClinic Teichmann team will be happy to advise you in more detail in a personal meeting.

1. Nasal surgery: what to eat?
There are no restrictions on food.

2. Nasal surgery: what does the health insurance company pay?
Depending on what has to be operated on, the health insurance company pays all or nothing at all. If the nasal septum is straightened because of a nasal obstruction, this is completely covered by the statutory or private health insurance. All interventions that serve cosmetic purposes will not be accepted. Payment for mixed surgeries that require eligible (medical) and cosmetic surgery steps is controversial and often leads to a lot of paperwork.
Because of the ridiculous remuneration by the statutory health insurance companies, we do not even apply for a subsidy for such interventions.

3. What can go wrong during a nose operation?
In theory there is nothing that cannot go wrong; even with a nose operation. In practice, however, most nasal operations are uncomplicated. Most of the complications are not medical but cosmetic: the patient is dissatisfied with the visual result. Most follow-up operations are performed for this reason.

4. What should be considered before a nose operation?
See notepad

5. What should you watch out for after a nose operation?
In the first few nights, if possible, do not sleep completely flat but with your upper body elevated. No physical exertion. No exciting films or sports broadcasts on TV (because of the increase in blood pressure). It is essential to avoid hypothermia to prevent colds. A cold after nose surgery is much more annoying than it already is.

6. What does a nose operation cost?
The question cannot be answered so globally. It makes as much sense as the question: What does a car cost? It always depends on what is to be operated on, how it is to be operated on, with what and for how long it is to be operated on, and by whom and where. This creates a very wide range of prices.

7. Which globules after nasal surgery?
We recommend Arnica Globuli for better swelling after nasal surgery.

8. Which pain relievers after nose surgery?
We still give ibuprofen on the day of the operation; the very next day, only half of our patients are taking any pain reliever (ibuprofen) at all. Already on the 3rd day there is almost no need to take pain medication.

9. Nasal surgery: how long in plaster of paris?
If plastering is necessary, we usually leave the plaster for 10-12 days.

10. Nasal surgery: how long in the hospital?
Many of our patients are operated on on an outpatient basis. The patients from far outside stay in our care for one night. The need for longer stays has never arisen with us in 20 years.

11. Nasal surgery: how long no sport?
It depends on which sport is chosen. As a rule of thumb, it should be noted that all sports that cause vibration in the head or nose area may only be restarted late (e.g. Powerplate, inline skating or racing biking, etc.). We recommend a 6-week grace period. Sports that massively increase blood pressure (weight training) should be avoided for 3 weeks. Endurance sports in the studio such as ergometers; Spinning or etc. can be started again after a good 2 weeks.

12. Nasal surgery: how long sick?
As a rule, a sick note of 2 weeks is appropriate.

13. Nasal surgery: how long does it take to heal?
2 weeks after the nasal operation, you are usually socially acceptable again. As a rule, the nose has already assumed 90 percent of its final shape after about 6 weeks. However, the final healing may only take place after 1 to 2 years.

14. Nasal surgery: how long have blue eyes?
If a black eye (or two) occurs, it will usually have completely disappeared after 14 days.

15. Nasal surgery: how long no alcohol?
We recommend an abstinence of approx. 1 week

16. Nasal surgery: how long bandage?
There is no actual bandage for a nose operation. This bandage is synonymous with plaster of paris. This is usually removed after 10-12 days.

17. Nasal surgery: how long plasters?
See association

18. Nasal surgery: how long to tape?
I do not recommend taping yourself, as it may cause more harm than good.

19. Nasal surgery: how long do not smoke?
We recommend abstaining from nicotine for about 3 days.

20. Nasal surgery: how long swollen?
Since most nasal surgeries are downsizing operations, swelling after the operation is not so noticeable. The first severe swelling has already decreased considerably after about 2 weeks; after 6 weeks, the nose has already assumed approx. 90 percent of its final shape. Even so, there is still some swelling. In extreme cases, it can take up to 2 years for the nose to completely swell.

21. Nose surgery without surgery?
My personal opinion is that this is a not long-lasting, but in principle very dangerous technique of injections, which I strongly advise against without any self-interest.

22. Nasal surgery: without a break?
Approx. 5-10 percent of the nose operations we perform can be performed without a break. The shape of the nose before the operation plays just as important a role as the desired result.

23. Nose surgery without anesthesia?
It is quite possible to operate painlessly without major problems in the nasal tip area without anesthesia and only with local anesthesia. I strongly recommend general anesthesia for all further, major interventions.

24. Nasal surgery: without tamponade?
With us, all nose operations are carried out without a tamponade. Only the nostril is filled with gauze directly at the entrance; this is removed again the next morning after the operation. If the nasal septum has to be operated on, we insert silicone splints, which allow us to do without tamponades

25. Secondary bleeding after nasal surgery?
Statistically, rebleeding after nose surgery is one of the most common medical complications. However, it is very rare in terms of overall frequency.

26. Headache after nose surgery?
In our patient population, this is an extremely rare observation.

27. Complications after nasal surgery?
See the separate chapter in our website text.

28. Infection after nasal surgery?
Infections usually arise from the spread of germs from bacteria that are already living on the spot. With antibiotic prophylaxis and appropriate skin and mucous membrane disinfection before the operation, the infection rate can be kept very low. For example, we had the following infection statistics in the last 6 years: 2015: 0, 2014: 0, 2013: 0, 2012: 2, 2011: 0; 2010: 0.

29. Cortisone after nasal surgery?
We reject the intravenous administration of cortisone after a nose operation. This should be helpful for the decongestion. In my opinion, however, the risk outweighs the benefit here.

30. Fever after nose surgery?
I've never seen it before; however, increased temperature is more often possible. This is a natural response to surgery for some people.

31. Bumps after nose surgery?
A so-called pseudo hump can form if the tip of the nose sags after the operation. On the other hand, a hump can show up after a nose operation if not enough of the original hump has been removed and this becomes visible as the swelling continues to decrease.

32. Flying after nose surgery?
If the nasal septum is not operated on, no special aeronautical considerations need to be taken 3 days after the operation.

33. Callus formation after nasal surgery?
Callus formation is absolutely necessary after bone cuts so that the bone heals again. Of course there is also callus formation, which is slightly thicker than the surrounding bone. However, due to the thickness of the skin over the bone cut, it is not visible. In the course of time (1-2 years) this callus forms and after this time it can usually no longer be felt.

34. Nose surgery after a broken nose?
A dislocated nasal fracture (bones are crooked) should be operated on before the swelling occurs in the nasal area. But it can also be straightened up to 6 days after the break. After that, it becomes difficult to achieve a cosmetically satisfactory result.

35. Risks of nose surgery?
See separate chapter in the website text

36. Nasal surgery for a cold?
In general, we do not perform any nasal operations on patients with a cold / runny nose.

37. Nasal surgery for sinusitis?
Basically, no nasal surgery should be performed if sinusitis is present. However, if this sinusitis is caused by a ventilation disorder (rhinogen), nose surgery is often required. So it always depends on the cause of the sinus infection.

38. Nasal surgery for rosacea?
Basically, it can be said that rosacea neither improves nor worsens if the nose operation is performed correctly.

39. Nose surgery on thick skin?
If a cosmetic nose operation is to be performed, the desired cosmetic result is often more difficult to achieve, the thicker the skin. If the surgeon overdoes this, it can sometimes lead to catastrophic results (see Michael Jackson).

40. Nose surgery with a crooked nasal septum?
Depending on the anatomical section in which the nasal septum is crooked, it must be corrected during a cosmetic nose operation.

41. Nasal surgery: up to what age?
Basically there is no age limit. However, it should be noted that the bones become more and more brittle in old age and are more difficult to work with. Therefore, bone modeling with a chisel should be avoided in old age.

42. Nasal surgery: not enough air?
There are a number of surgical procedures that can improve nasal breathing. However, almost none of these require a change in the shape of the outer nose.

43. Nasal surgery: what to do about swelling?
We recommend homeopathic or herbal medicines e.g. Arnica Globuli or e.g. Wobenzym. Under no circumstances should you massage!

44. Nasal surgery: when to breathe again?
If the padding of the nostril is removed in front of the day after the operation in our patients, nasal breathing works again. However, it is still slightly restricted, similar to a cold.

45. When to blow your nose after a nose operation?
Our patients are prohibited from blowing their nose for 6 weeks.