As a rule corrective procedures involving the nasal framework can be performed once the growth phase has ended, i.e. after the age of 17.
A broad range of corrective procedures is possible in the field of rhinoplasty. Every nose is unique and therefore must be considered in light of its distinctive characteristics. Standardised operations usually produce only modest results, hence it is important to perform a precise analysis of the patient’s expectations and anatomical characteristics during the consultation with the patient. For this purpose Dr Hundt employs computer simulation which allows patients to see the planned results pre-operatively. The printouts are handed out to patients to be taken home.
Apart from the long humped noses frequently encountered which can be corrected by removing bone and cartilage from the bridge of the nose, many noses are too wide or project at an unattractive angle to the upper lip. Many others are crooked or asymmetrical. If nasal breathing is obstructed as well – as is often the case – additional corrective procedures must be performed in deeper parts of the nose.
In all but exceptional cases the operation is performed under general anaesthesia. Depending on the patient’s constitution the operation may be performed on an in-patient basis (with a stay of 1 to 2 days) or out-patient basis. The incision is made inside the nose so that no scarring is visible from the outside. After removal of bony parts, a tape/track dressing must be worn for 14 days. Afterwards, the nose is tapped by the patient independently for another 4 weeks over the night. Patients are socially presentable and able to return to work after about two weeks.
In many cases the aesthetic factors mentioned above may also obstruct nasal breathing. Some operations, such as nasal septum, turbinate reduction and paranasal sinus operations can be performed during the same surgical session.
Smaller humps or smaller “saddle nose” deformities can be treated with dermal fillers that simply fill in uneven areas of the nose. This treatment is performed with a filler, which produces results that last approximately 12 to 16 months.