Rhinoplasty: For harmonious facial features

My specialty for over 30 years has been aesthetic and plastic surgery of the nose.

Some of my patients have never undergone a nose correction before; many consult me for a revision rhinoplasty because the result achieved elsewhere does not meet their expectations. This is because the experience of the surgeon is extremely important, especially in revision rhinoplasty.

I am a specialist in maxillofacial plastic surgery and have been performing nose surgery for over 30 years. For about 20 years, aesthetic nose surgery has been my main field of work.

Even as a medical student, I was fascinated by the possibilities of facial plastic surgery. I have been able to gain profound experience in the field of aesthetic rhinoplasty for more than two decades. After obtaining the US ECFMG and solid basic training at a university hospital in facial tumor and trauma surgery, I further specialized in Brazil as a facial plastic surgeon.

• Studies of medicine at home and abroad
• Further education and training in Frankfurt/M, Cologne and Brazil
• 1986 US-American state examination (ECFMG)
• Member of EAFPS (European Academy for Facial Plastic Surgery)
• 1996- 2021 Head physician at Faceclinic Teichmann in Düsseldorf as specialist for plastic nose surgery.
• Since 2023 member of the team Clinic Dr. Kelly®

With us, the operating surgeon stands for quality with his or her good name. We are a boutique clinic and not a canteen.

We place the highest value on an individual and detailed nose surgery consultation. See real before and after pictures or meet former patients of ours.

Due to our great experience, we can give our patients the certainty that they will receive the optimal treatment method in each case. This also includes the fact that noses operated on by us do not look operated, but completely natural and fitting to the face type.

You will notice that our clinic has a well-coordinated team working from the consultation to the post-treatment. Put your trust in professional hands. We look forward to helping you with your personal concerns. Simply contact us or visit us.

Important to us is a relaxed and private atmosphere with an uncomplicated but professional team. We combine this with the highest technical standards of our facility.

Let us advise you in detail about a nose beautification, nose reduction or nose narrowing. We will take time for you and I will be happy to advise you on the possibilities.

Hump nose surgery is one of the most common surgical procedures in the field of rhinoplasty. Here, the height of the bridge of the nose is reduced and adjusted according to the facial profile. Female patients have a different aesthetic ideal of beauty than male patients. When correcting a hump nose, we take into account the frontal view as well as the side view, so that our patients get a perfect result. During an on-site consultation, we can show you the options for correcting your hump nose and explain all the necessary steps in detail.

A tension nose always involves an overgrown nasal septum, which pulls the tip of the nose forward, making the nostrils smaller. This makes breathing through the nose more difficult and even causes tension of the upper lip in some patients. Therefore, when correcting a tension nose, the nasal septum is reduced and perfectly adjusted to the proportions of the nose, so that the nostrils are slightly enlarged and the nostrils are relieved.

During an on-site consultation, we can show you the options for correcting your tension nose and explain all the necessary steps in detail.

A long nose often has too narrow an angle between the bridge of the nose and the upper lip, and this is referred to as a nasolabial angle. When correcting a long nose, the tip of the nose is therefore corrected upwards (rotation) and the bridge of the nose is shortened. For this purpose, the surgical options are analyzed in detail beforehand, because the correction of a long nose, in which too much nose rotation has been performed, can only be reversed later with considerable effort.

During an on-site consultation, we can show you the options for correcting your long nose and explain all the necessary steps in detail.

A saddle nose occurs when a piece of nasal cartilage is missing, causing the bridge of the nose to droop. Therefore, a saddle nose often leads to a depressed appearance and in some cases to a deterioration of nasal breathing. In many cases, a saddle nose is caused by an accident or a sports injury. Specific diseases that damage the nasal cartilage can also contribute to a saddle nose. When correcting a saddle nose in the course of a nose operation, cartilage material or bone is therefore taken from another part of the body and inserted in the missing place.

During an on-site consultation, we can show you the options for correcting your saddle nose and explain all the necessary steps in detail.

So-called Slanted noses, which are the result of an accident or an asymmetrical growth process, often significantly impede nasal breathing. The nose tilts to the left or right due to the faulty nasal growth.

In many cases, the nasal septum is also affected, which is why the nasal septum is always corrected as well during a nose correction or crooked nose surgery.

During an on-site consultation, we can show you the options for correcting your crooked nose and explain all the necessary steps in detail.

After the procedure, we usually remove the stitches already on the 5th day after the rhinoplasty. Bruising and swelling may vary depending on the patient, but within two weeks at the latest you will be ready to return to work and participate in social life again. A great advantage is certainly the home office, which allows you to work during the immediate healing phase.

Since rhinoplasty is usually performed under general anesthesia, you will have no pain at all during and immediately after the surgery. Our professional team will make sure that you can rely on it.

In the case of a rhinoplasty performed according to the rules, only weak wound pain is felt hours after the operation. Severe pain is very rarely present. Slight pain that lasts longer usually only occurs with a major rhinoplasty and stops after a few days.

Some of our patients take conventional painkillers in the usual dosage for a few days. Most of our patients manage without taking painkillers at all. The team will be happy to advise you in detail about these problems.

The skeleton is not changed in every nose correction, because procedures are also performed only on the tip of the nose. A nose cast is then only required for a few days, if at all. If a plaster is required after standard surgery, it is usually left on for 8-12 days. After this time, one is socially fit again. Because of decongestion, a new cast should be fitted about 5 days after surgery.

After a nose correction, in most cases it is necessary to wear a splint to stabilize the nose so that the desired result is maintained. The duration of wearing depends on the type of rhinoplasty.

This depends on three main factors: the extent of the rhinoplasty, the basic anatomical requirements and the professionalism of the treating medical team. In some operations the swelling disappears completely after 6 weeks, in others it takes up to a year. In this context, we must point out that the final result of a nose correction can be seen only after the swelling has completely disappeared. This means that it takes some time until the “new” nose can be finally assessed.

As a rule, one can return to everyday life already after the splint has been removed.

Chances are good that you will get away without bruises after your rhinoplasty. Statistically, one out of 5 patients gets bruises or a black eye. I know how important it is for you to recover quickly after your rhinoplasty.

Bruising is more common only with a major rhinoplasty. One to two weeks after your nose correction, the bruises disappear and you can show yourself in public with your new nose after taking off the splint.

No, because we do not use classic tamponades. If classic tamponades remain in the nose for several days after rhinoplasty, they often “fuse” with the mucosa. In this case, pulling is painful. However, we use only anterior tamponades and, moreover, they are removed after 24 hours, so there is no caking. We strictly ensure that this period is not exceeded. The pulling is then not painful.

Once the swelling has gone down, most of my patients are pleasantly surprised and can already see the result of the rhinoplasty.
Although your profile will improve immediately after the procedure, the final result will be visible over the next 6-12 months.

In an open rhinoplasty, the skin of the tip is lifted to expose the entire internal framework. The direct view allows fine work to be done on the tip and, if necessary, the placement of cartilage grafts. Many patients are afraid of an external scar, but the scarring is inconspicuous and is not noticeable even on close inspection. It is sutured with the finest sutures under the microscope.

The primary goal of a nose correction is that the result of the operation appears natural. If the nose has been operated on professionally, the nose does not look like an operation. To achieve such a result it requires even more than a duly experienced surgeon.

But not only the external appearance is important after a nose correction. How you breathe with your nose is also crucial. You will experience a completely natural feeling. Only when these factors come together will I be satisfied with your nose correction.

As in most cases, rhinoplasty is performed by intervening inside the nose. So the outer skin is not cut. Visible scars or skin discoloration will usually not occur during rhinoplasty when properly performed.

The results of a nose job are permanent. Therefore, the nose surgery must be carefully planned.

The decision whether outpatient or inpatient depends mainly on where and how you live. For most patients from our area, we can perform the procedure on an outpatient basis without any problems. Sometimes it may make sense to stay with us for one night after a rhinoplasty.

At Dr. Kelly®, we offer you the option of spending the night after surgery in a private patient room. A nursing team is there for you around the clock.

Contact lenses can be worn immediately, but glasses must be taped to the forehead or supported on the splint for two weeks.

If possible, heavy glasses should not be worn for 3-5 weeks after a normal rhinoplasty (heavy: e.g. due to frames or lenses made of glass) . The weight of the glasses can lead to pressure on the tissue after your rhinoplasty and thus to delayed normalization. That is why we recommend you to use contact lenses after your rhinoplasty. We will be happy to advise you in detail about the possibilities and methods of positively influencing the healing process following a nose correction in the course of aftercare.

In principle, yes. The sunlight itself is not harmful. But: The heat radiation of the sun has a negative effect on the healing speed after a nose correction when exposed to it for a longer period of time. The same applies to solariums or other effects on the skin caused by strong heat (e.g. sauna or steam baths). We advise you to avoid places with high temperatures after your nose correction. If possible, avoid traveling to southern countries during the first weeks after the procedure.

You should also refrain from major exertion or sporting activities in the days following your nose correction. Give yourself and your body some time to calmly cope with the after-effects of the nose correction.

As a rule, yes, because a nose correction usually requires a more extensive operation in the facial area. General anesthesia has proven its worth. They allow completely painless procedures during nose correction.

Exceptions are small corrections, which can be done under local anesthesia. Here, the procedure varies from clinic to clinic. Only honest and competent advice enables you as a patient to make a professionally based decision. So before your nose correction, let the specialist advise you in detail and then make your decision in peace.

No, this risk very rarely exists with a conventional nose correction. Exception: strongly pronounced nose reductions. Here, however, the surgeon can counteract by modifying the corresponding anatomical structures during the nose correction. This involves operating on the areas inside the nose that stand in the way of normal breathing. In this way, difficulties in the area of nasal breathing can be reliably avoided, even in the case of major rhinoplasty.

We attach great importance to treating you in such a way that your nose correction, even in the case of a more extensive reduction, does not have any negative consequences for your breathing.

Yes. If the nasal breathing is poor before the operation, an improving operation is usually performed at the same time. This does not affect the aesthetic result, nor do you have more pain after the nose correction. So the opportunity to improve breathing during a nose correction surgery is very favorable and can lead to amazingly positive results.

So it’s not just beauty that comes into play. Optimized nasal breathing leads to a better general sense of well-being, greater performance and deeper sleep. We would be happy to advise you in detail on all aspects of optimizing breathing as part of a nose correction.

As a rule, 2 weeks are sufficient. After a nose correction, there is swelling in the facial area, which can make normal work difficult, but this subsides after a few days. If you have to wear a plaster splint after your nose correction, you can expect that this can be removed 8-12 days later, so that you are fully able to work again.

Please talk to your employer ahead of time and ask for vacation time. A good clarification of the dates for the nose correction and your vacation is recommended from the first proposed appointment you receive from us.

On a subjective scale of 0-100, 90% of the appearance of the computer simulation can certainly be achieved by a good surgeon. However, for this purpose, the computer simulation must already be professionally prepared before the nose correction. Every rhinoplasty has anatomical and medical limits that must be respected in the simulation. If this is not the case, a nose correction can easily become a disappointment.

We work with modern simulator programs that take into account individual requirements and the surgical possibilities in equal measure. Added to this are our expertise and many years of experience. We combine technical support and human know-how. Both lead to a meaningful simulation in the run-up to your nose correction.