Rhinoplasty
Nose Job in Cologne: Rhinoplasty for $4,200
3D result modelling, a tailored approach and advanced methods for natural beauty and self-confidence
Natural result
No scars or marks
3D result modelling
Fast recovery
Get a personal plan and a 3D result forecast
The consultation is non-binding
Harmonious
proportions
Natural
shape
Perfect balance
with your face
5.0 ★★★★★
Clinic rating
14 000+
successful surgeries
10+ years
Experienced doctors | ISHRS members
Lifetime guarantee
on the result
5.0 ★★★★★
Clinic rating
14 000+
successful surgeries
Lifetime guarantee
on the result
Get a personal plan
and a 3D result forecast
The consultation is non-binding
Rhinoplasty: before and after
Before and after photos, unretouched and unedited.
Irina, 24 — rhinoplasty
Anna, 22 — rhinoplasty
Angelina, 31 — rhinoplasty
Ivan, 25 — rhinoplasty
Valentina, 23 — rhinoplasty
Evgenia, 19 — rhinoplasty
Anna, 27 — rhinoplasty
Veronika, 26 — rhinoplasty
Kristina, 23 — rhinoplasty
Anna, 24 — rhinoplasty
Veronika, 34 — rhinoplasty
Yulia, 22 — rhinoplasty
Ivan, 41 — rhinoplasty
Evgenia, 27 — rhinoplasty
What the rhinoplasty price includes — $4,200
Rhinoplasty at City Medical Centre costs $4,200 instead of $6,000. All items listed below are part of the price — from the surgeon's work to dressings and follow-up visits.
The cost applies to any type of surgery, whether open or closed rhinoplasty, tip correction or septorhinoplasty. The first consultation is free of charge; the surgeon names the exact price after seeing you.
How rhinoplasty works
At the consultation you will see a realistic forecast
We assess your facial proportions, show a 3D model of your future nose and draw up a personal surgery plan
Assessment of nasal anatomy and facial proportions
We analyse your nose and its harmony with your face
3D result forecast before surgery
We show how your nose will look after surgery
Personal surgery and recovery plan
We choose the best technique and explain recovery in detail
Answers on timing, recovery and contraindications
You get clear answers to every important question
Our operating room
The surgery is carried out by a surgical team in the clinic's in-house operating room, with an anaesthetist and nonstop patient monitoring.
Filmed in the City Medical Centre operating room, not staged.
Your path to the perfect nose: from dream to reality
A complete guide from first consultation to recovery
Consultation and nose modelling
Your nose is assessed, your wishes are discussed and the needed checks are done so the doctor can pick the optimal correction method
Pre-surgery check-up
Pre-surgery, you need complete lab testing: complete blood count, biochemistry, coagulation panel, a chest X-ray and a sinus X-ray
The surgery
The surgeon changes the shape of the nose using the chosen rhinoplasty method, under general or local anaesthesia
Step-by-step surgical process
Every rhinoplasty begins with a personal consultation, 3D nose modelling and an assessment of the septum and nasal breathing. After preparation that includes tests, a CT scan and specialist consultations, the patient is taken to surgery.
- Anaesthesia — TIVA (anaesthesia given intravenously) or general anaesthesia, depending on the complexity
- Access — open (a columella incision on the outside) or closed (all incisions placed inside the nose), at the surgeon's choice
- Bone and cartilage correction — via an ultrasonic piezo device so tissue and vessels suffer minimal trauma
- Creating the new shape — excess tissue is removed or grafted tissue added, and the bridge, tip, nostrils or septum reshaped
- Sutures — with atraumatic, self-dissolving or cosmetic suture material
- Fixation — packing and a splint on the outside secure the new shape
Inpatient stay
All procedures take place in our clinic's inpatient unit, and after surgery you spend one day there
Recovery period
Post-surgery, you complete a recovery course that includes swelling relief, monitoring of the nose and aftercare advice. Healing is complete in about 4 months on average; first results show after two weeks
Post-op check-ups
You can book a free post-op consultation with our plastic surgeon until the end of the year. The doctor assesses the result of rhinoplasty, follows your recovery and answers every question at the check-up
Consultation and nose modelling
Your nose is assessed, your wishes are discussed and the needed checks are done so the doctor can pick the optimal correction method
Pre-surgery check-up
Pre-surgery, you need complete lab testing: complete blood count, biochemistry, coagulation panel, a chest X-ray and a sinus X-ray
The surgery
The surgeon changes the shape of the nose using the chosen rhinoplasty method, under general or local anaesthesia
Step-by-step surgical process
Rhinoplasty starts with an individual consultation, a 3D or 4D model of the nose and a review of the septum and breathing. Following pre-op preparation, which includes tests, a CT scan and specialist consultations, the patient undergoes surgery.
- Anaesthesia — TIVA (anaesthesia given intravenously) or general anaesthesia, depending on the complexity
- Access — open (a columella incision on the outside) or closed (all incisions placed inside the nose), at the surgeon's choice
- Bone and cartilage correction — via an ultrasonic piezo device so tissue and vessels suffer minimal trauma
- Creating the new shape — excess tissue is removed or grafted tissue added, and the bridge, tip, nostrils or septum reshaped
- Sutures — with atraumatic, self-dissolving or cosmetic suture material
- Fixation — packing and a splint on the outside secure the new shape
Inpatient stay
All procedures take place in our clinic's inpatient unit, and after surgery you spend one day there
Recovery period
Post-surgery, you complete a recovery course that includes swelling relief, monitoring of the nose and aftercare advice. Healing is complete in about 4 months on average; first results show after two weeks
Post-op check-ups
You can book a free post-op consultation with our plastic surgeon until the end of the year. The doctor assesses the result of rhinoplasty, follows your recovery and answers every question at the check-up
A surgeon you can trust
A skilled plastic surgeon who cares about the beauty and health of patients
Dmitry S. Kuznetsov
Plastic surgeon
- Petrovsky National Research Centre of Surgery, 2024 — residency in plastic surgery
- Residency in surgery — University of Medicine, 2021
- Participant of the 13th International ICTPS Congress, 2024
- Rated 5.0 by patients, 18 reviews
Patient video reviews after rhinoplasty
Patients describe their rhinoplasty at City Medical Centre in their own words: surgery and recovery.
Patient review 6 months after surgery
A patient on how her recovery went
Medical indications for rhinoplasty
With chronic conditions, please get advice from a clinic doctor!
Indications
Nasal polyps
A bulbous nasal tip
Asymmetric nasal cartilage or nostrils
Deviated septum
Significant breathing problems
A wide nasal bridge
A prominent dorsal hump
Saddle nose
Nasal injury
Contraindications to rhinoplasty
Infectious diseases
Mental health disorders
Cancer
Age under 18
Decompensated chronic diseases
Blood clotting disorders
Skin damage in the treatment area
Inflammation of the ears, throat, nose or eyes
Types of rhinoplasty: open, closed, septorhinoplasty
We will find the most effective solution for you and deliver an excellent result.
Closed rhinoplasty
Uses incisions inside the nose and leaves no visible scarring.
Open rhinoplasty
Involves a small columella incision that gives the surgeon improved control over shape.
Septorhinoplasty
Combined correction of the septum together with a change to the nose's look
Revision rhinoplasty
A second correction after surgery that failed or only partly succeeded.
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Preparing for nose surgery
Start preparing for rhinoplasty 21 days in advance for a successful surgery. At the first visit you receive a list of tests from our plastic surgeon.
Complete blood count, including ESR, differential and platelets
Urinalysis
Infection markers: HIV, HBsAg, anti-HCV, antibodies to Treponema pallidum
Blood type and Rh factor
Blood biochemistry including total protein; urea; uric acid; creatinine; glucose; bilirubin (total, direct, indirect); ALT; AST; K; Na; Cl; cholesterol
Coagulogram: Quick prothrombin, INR, aPTT, D-dimer, antithrombin III
Electrocardiogram (ECG) with report
Doppler ultrasound / duplex scan of the leg veins
Chest X-ray or fluorography with report
CT scan of the paranasal sinuses
After the full lab work-up — a physician's report confirming no contraindications to surgery
3–5 days before surgery you need to
- Stop smoking and drinking alcohol
- Avoid foods that cause swelling — salty, fatty, fried and spicy dishes; stop drugs that affect blood clotting (agree this with your doctor)
- Limit physical activity
- Refrain from cosmetic procedures that damage skin: scrubs, peels, etc.
Important!
- Each test must be on a separate form
- The facility's stamp and doctor's signature are required
- In advance of the hospital stay, purchase class 2 compression stockings
- The day you have surgery, take your last food and drink at least 6 hours before the planned time
- With chronic conditions or ongoing specialist care, you need clearance from a specialist for elective surgery under general anaesthesia
Recovery after rhinoplasty: stages and advice
After nose surgery, recovery is just as vital as the procedure. Proper recovery decides how aesthetic and harmonious your final result will look. City Medical Centre keeps a close eye on recovery, which runs in three phases: early, middle and late
Early phase
- In the first 24 hours after rhinoplasty, the patient is monitored in the inpatient unit
- Days 1–3: you use your mouth to breathe, with splints in the nostrils
- There is swelling; nasal stuffiness and bruises may appear
- Day 7: removal of splints. The aluminium splint lasts up to 14 days; the stitches come out with the splint on day 14
- No bending over, touching your nose or wearing glasses
Middle phase
- Swelling gradually subsides, but the tip and bridge may stay swollen
- During one month: no sport, bathhouse, sauna, pool, hot baths or sun
- Sleep only on your back, half-sitting
- Avoid glasses and makeup around the nose
Late phase
- Mild congestion may be felt for 1–1.5 months after nose surgery
- The nose takes its final shape in 1–1.5 years
- Keep seeing your surgeon during this time
Early phase
- In the first 24 hours after rhinoplasty, the patient is monitored in the inpatient unit
- Days 1–3: you use your mouth to breathe, with splints in the nostrils
- There is swelling; nasal stuffiness and bruises may appear
- Day 7: removal of splints. The aluminium splint lasts up to 14 days; the stitches come out with the splint on day 14
- No bending over, touching your nose or wearing glasses
Middle phase
- Swelling gradually subsides, but the tip and bridge may stay swollen
- During one month: no sport, bathhouse, sauna, pool, hot baths or sun
- Sleep only on your back, half-sitting
- Avoid glasses and makeup around the nose
Late phase
- Mild congestion may be felt for 1–1.5 months after nose surgery
- The final nasal shape takes 1–1.5 years to formContinue your surgeon visits during this time
What not to do after rhinoplasty
Remove dressings or splints yourself
Take hot baths or use a tanning bed
Exercise or do heavy physical work
Smoke or drink alcohol for at least a month
Press on your nose, wear glasses or sleep face down
To recover faster and achieve an ideal result after rhinoplasty, we recommend
- Keep a regular rest and sleep routine
- Humidify the air indoors
- Take a course of microcurrent or ultrasound therapy.
- Follow the prescribed diet, avoid salty and spicy food
Complications and risk management
Even though rhinoplasty is one of the most sought-after and established aesthetic procedures, it involves certain risks like every surgery. That is why our clinic provides thorough preparation before surgery and monitoring afterwards to minimise complications.
Possible complications after surgery
Swelling and bruising
A normal body reaction, but excessive cases need monitoring
Bleeding
May be seen in the first days, particularly when restrictions are ignored
Infection
An extremely rare complication caused by poor hygiene
Nose shape irregularities
Asymmetry, septum shift, uneven cartilage fixation
Impaired breathing
May arise from excessive removal of tissue or individual anatomy
Thick scarring
More common with open rhinoplasty and a tendency to keloids
Psychological disappointment
More common in patients with unrealistic expectations
How to avoid complications after rhinoplasty?
- Choose an experienced surgeon. Safe rhinoplasty relies above all on the doctor's skill and experience.
- Full diagnostics before surgery. Includes testing, CT, ECG and examination by surgeon and anaesthetist.
- Follow the recovery regime. Do not take the dressing off or touch your nose yourself; steer clear of sport, sun, alcohol and cigarettes.
- Antibiotic prophylaxis. Prescribed when indicated to prevent infection.
- Follow-up visits. Seeing your surgeon on a regular basis spots small deviations and corrects them early.
- Mental readiness. Patients should know that the final result becomes visible in 1–1.5 years.
Important: if rhinoplasty is followed by difficulty breathing, severe pain, high fever or shape changes, contact your doctor immediately.
Rhinoplasty at City Medical Centre is done with modern technologies and safe materials, under constant medical supervision that minimises complication risk.
How to avoid complications after rhinoplasty?
- Choose an experienced surgeon. Safe rhinoplasty relies above all on the doctor's skill and experience.
- Full diagnostics before surgery. Includes testing, CT, ECG and examination by surgeon and anaesthetist.
- Follow the recovery regime. Do not take the dressing off or touch your nose yourself; steer clear of sport, sun, alcohol and cigarettes.
- Antibiotic prophylaxis. Prescribed when indicated to prevent infection.
- Follow-up visits. Seeing your surgeon on a regular basis spots small deviations and corrects them early.
- Mental readiness. Patients should know that the final result becomes visible in 1–1.5 years.
Important: if rhinoplasty is followed by difficulty breathing, severe pain, high fever or shape changes, contact your doctor immediately.
Rhinoplasty at City Medical Centre is done with modern technologies and safe materials, under constant medical supervision that minimises complication risk.
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Rhinoplasty — prices
First consultation free of charge. The surgeon examines you and confirms the exact cost at the consultation.
Service
Discounted price
Rhinoplasty:
frequently asked questions
When is the best time for rhinoplasty?
The optimal age is from 18 to 45, when the nose is fully developed and tissues heal well. With medical indications, an older patient can have surgery if general health permits
How do I prepare for rhinoplasty?
Before surgery you have consultations with the plastic surgeon, lab tests (CBC, biochemistry, coagulation, infection tests), an ECG, chest X-ray and a nose X-ray or CT. A week beforehand, quit anticoagulants, alcohol and smoking. Keep meals light the day before, and fast 6 hours before surgery
Rhinoplasty vs septoplasty: what's the difference?
Rhinoplasty — surgery that changes how the nose looks (for aesthetic reasons) and improves its function if breathing is affected.
Septoplasty — surgical correction of the septum for normal breathing, with the external contour of the nose left as it is.
Both surgeries are often combined, particularly when a patient has a deviated septum as well as aesthetic concerns. The result is a harmonious look and fully restored breathing. At City Medical Centre . we carry out rhinoseptoplasty: a combined surgery covering both tasks simultaneously
What are the risks of rhinoplasty?
As with every surgery, there may be swelling, bruising, infection, bleeding, temporary trouble breathing and minor asymmetry. City Medical Centre uses up-to-date techniques, anaesthesia and equipment to reduce risks, together with post-op monitoring and recovery therapy
When will I see the result?
Early improvements become visible when swelling subsides (2–3 weeks); the final result of rhinoplasty is judged in 1–1.5 years, after tissues fully stabilise
Can I breathe through my nose after surgery?
Partial blockage of the nasal passages by splints or swelling is possible in the first days after surgery. Breathing normally returns in full within 1–2 weeks, depending on the extent of surgery and your body
Will there be visible scars?
With closed rhinoplasty the incisions are inside, so there are no external scars. With open rhinoplasty a barely visible scar remains on the columella (the bridge between the nostrils), which fades almost completely over time. Our doctors use microsurgical techniques and quality sutures to keep scars minimal
How much will rhinoplasty change my appearance?
Rhinoplasty makes the face more harmonious and improves its aesthetics, without losing what makes you individual. Using 3D modelling, you see the expected result in advance and agree on changes with the surgeon
Rhinoplasty cost at City Medical Centre?
Rhinoplasty price at City Medical Centre: $4,200 instead of $6,000 with the current discount. The first consultation costs nothing.
What does the rhinoplasty price depend on?
The extent of surgery determines the cost, which is set at the consultation: after examining your nose and facial proportions, the doctor names the exact price.
What does the rhinoplasty price include?
General anaesthesia surgery, a one-day inpatient stay, doctor monitoring and a free check-up afterwards. The clinic offers a lifetime guarantee on the result.
How much is a consultation?
Your first consultation at City Medical Centre is free. The doctor examines your nose, evaluates facial proportions and states the exact cost of surgery.
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Rhinoplasty: the art of harmony and function
Rhinoplasty (nose job) —
one of the most delicate and widely performed plastic surgeries, intended to reshape the nose in keeping with the individual proportions of the nose and whole face. Modern rhinoplasty is complex surgical work, not just a surgery to alter the nose's look, and it seeks an aesthetic ideal without damaging health.
What is rhinoplasty, or nose reshaping surgery?
Rhinoplasty is, at heart, a comprehensive solution. It fixes both congenital and acquired deformities of the nose — for instance, following a nasal injury. Patients frequently worry about a dorsal hump or a nose that is too wide. The nasal tip (tip rhinoplasty) or the nostrils (alar rhinoplasty) can also be corrected. The surgery plan is built individually for each patient, taking every feature of the nose into account.
How is the surgery performed?
Performed under general anaesthesia, rhinoplasty takes 1.5 to 3 hours based on complexity. Two main approaches exist: open rhinoplasty and closed rhinoplasty. The open approach uses a small incision on the columella (the tissue between the nostrils), giving the surgeon a complete view of every nasal structure. The closed approach works through incisions inside the nose, with no visible scars left.
The technique depends on your goals and is chosen by the surgeon. Correcting an upturned nose or complexly reshaping the nasal bones and bridge, for example, often requires open access.
Recovery and results
Aftercare for the nose is needed after surgery. An aluminium splint is placed on top and special silicone splints inside the nose. During the first days nasal function is restricted, then recovers quickly. The final rhinoplasty result can be judged in 1–1.5 years, once swelling completely subsides.
Why trust the professionals?
Deciding on rhinoplasty is a big step. A well-performed rhinoplasty gives a new nose that blends perfectly with your features and works flawlessly. At the consultation, the surgeon examines each parameter in detail — nose size, tip projection, the septum and nasal lining. We use 3D modelling to show your future nasal proportions before the surgery is performed.
Browsing rhinoplasty photos online is not enough. Schedule a consultation to talk about what modern rhinoplasty can and cannot do in your case. We specialise in correcting external nasal deformities and reshaping the nose.
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Rhinoplasty in Cologne: what you need to know
Rhinoplasty covers several procedures. Tip rhinoplasty targets the nasal tip, alar rhinoplasty the nostrils, septorhinoplasty the septum together with the outer shape, and revision surgery corrects an earlier unsuccessful result. Revision is more complex and is done no earlier than a year after the primary operation. The plan for each person from Cologne is built around their anatomy and wishes.
The surgical plan is made at the first meeting: the surgeon examines the septum and breathing, builds a 3D or 4D model and agrees on the changes with you. Preparation with tests, a CT scan and specialist consultations follows. After the operation, a recovery course is prescribed. If you are planning rhinoplasty in Cologne, allow for one month without sport, alcohol or smoking.
Rhinoplasty is priced at $4,200 whatever the technique. That sum brings together surgery under general anaesthesia, one day of inpatient care, doctor monitoring and post-op visits with dressings. The plastic surgeon confirms the exact cost during a free first consultation, after examining your nose. To arrange yours, patients from Cologne send a request or write to a coordinator in a messenger.
Get a consultation
Apply before the end of the year and get a consultation on us!
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