RHINOPLASTY IN HAMBURG

Rhinoplasty is one of the most commonly performed cosmetic surgeries. The desire for an aesthetic change is just one factor that leads patients to search for a competent rhinoplasty surgeon. A nose job is much more than changing small or large external blemishes.

The goal of a rhinoplasty is always to improve or at least maintain the function of the nose. Often the patients themselves do not know how restricted their nasal breathing is because they have gotten used to it over the years.

In addition to the external rhinoplasty, a competent nose surgeon will always keep an eye on the function of the nose (nasal breathing, smelling, warming and moistening).

Dr. Wilke will be happy to advise you in the practice in Hamburg about the options for rhinoplasty.

Whether rhinoplasty is performed closed or open has less to do with fundamentally different surgical techniques, but rather simply the access to the nose. The main difference is a small, approximately 3 mm incision on the nasal bridge, which is carried out using the so-called open approach. The remaining incisions inside the nose hardly differ between the closed and open access to the nose. A good nose surgeon will always choose the most gentle but also the safest approach through which the individual nose correction can best be carried out.

In Hamburg I prefer the open approach when it comes to pronounced asymmetries and misalignments, especially of the tip of the nose. A part of my work consists of correcting the nose of patients who have had previous surgery elsewhere. Here, too, I usually perform the nose job via an open approach. For smaller external corrections and functional rhinoplasty, the closed approach is usually sufficient.

Surgical techniques used in rhinoplasty are much more important than access to the nose. Many old techniques, which are unfortunately still very common, often lead to a weakening of the tissue with possible impairment of nasal breathing and unwanted changes to the nose after nose surgery (saddle nose, inverted V deformity). And even years after the operation. 

In my practice in Hamburg I only use structure-preserving and tissue-preserving techniques. A nose can often be corrected without opening the bridge of the nose - the natural bridge of the nose is then simply lowered. The so-called push down or let down is achieved by mobilizing the bony part of the nose in one piece. The bridge of the nose can then be brought towards the face until the desired bridge of the nose profile is achieved. The mobilization of the nasal bone can be carried out very precisely with ultrasound using piezo technology.

If the normal anatomy is no longer present due to an accident or previous operation, I rebuild it, for example by reshaping the body's own cartilage so that the nose can be transformed into the desired shape. Stability and therefore a good long-term result are guaranteed.

I have focused my surgical activity on the treatment of the nose from the very beginning of my career and I am not only an expert in cosmetic rhinoplasty, but also in function-improving operations of the nose and paranasal sinuses.

I also have the ability to reconstruct noses that have been severely damaged by accidents or tumors. I enthusiastically participate in regular training courses and I am familiar with all the techniques of modern nasal surgery.

I will always put together the best individual surgical plan for you from a variety of techniques: Nose corrections with closed or open approach; structure-preserving and nose bridge-preserving techniques (push down and let down as part of so-called preservation rhinoplasty).