Rhinoplasty
Open and Closed Rhinoplasty in Essen
An approach tailored to you, 3D modelling of the result and advanced methods for a natural, confident look
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 price at City Medical Centre: $4,200 instead of $6,000. All that is listed below is in the price — surgeon's work, follow-up visits and dressings alike.
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 look at your facial proportions, show you a 3D model of the nose to come and draft a personal plan for surgery
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
Rhinoplasty is performed by a surgical team in the clinic's own operating room — with an anaesthetist and constant patient monitoring.
Filmed for real in City Medical Centre's operating room.
Your path to the perfect nose: from dream to reality
A complete guide from first consultation to recovery
Consultation and nose modelling
The doctor assesses your nose, discusses your wishes and runs the necessary checks to choose the best correction method
Pre-surgery check-up
Surgery requires a full lab work-up beforehand: complete blood count, biochemistry, coagulation tests, chest X-ray and sinus X-ray
The surgery
The surgeon reshapes the nose with the chosen technique, working under general or local anaesthesia
Step-by-step surgical process
The first step is a personal consultation with 3D modelling of the nose and an assessment of the septum and breathing. Next is pre-op preparation — tests, a CT scan, specialist consultations — and then the surgery itself.
- Anaesthesia — we use TIVA (intravenous anaesthesia) or classic general anaesthesia, matched to complexity
- Access — the surgeon picks the open method (external columella incision) or the closed method (all incisions inside the nose)
- Correction of bone and cartilage — with ultrasonic piezo equipment for the least trauma to tissue and vessels
- Forming the new nose — the surgeon removes excess tissue or adds a graft and reshapes the bridge, tip, nostrils or septum
- Sutures — suture material used is atraumatic, self-absorbing or cosmetic
- Fixation — packing and an external splint hold the shape in place
Inpatient stay
All procedures are performed in the clinic's inpatient unit. After surgery you stay there for one day
Recovery period
After the operation you take a recovery course: swelling relief, nose check-ups and advice on care. Full recovery averages about 4 months, while first visible changes appear 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
The doctor assesses your nose, discusses your wishes and runs the necessary checks to choose the best correction method
Pre-surgery check-up
Surgery requires a full lab work-up beforehand: complete blood count, biochemistry, coagulation tests, chest X-ray and sinus X-ray
The surgery
The surgeon reshapes the nose with the chosen technique, working under general or local anaesthesia
Step-by-step surgical process
First comes a one-to-one consultation, 3D or 4D modelling of the nose and an assessment of breathing and the septum. Pre-op preparation follows — tests, a CT scan and consultations with specialists — and then the patient has surgery.
- Anaesthesia — we use TIVA (intravenous anaesthesia) or classic general anaesthesia, matched to complexity
- Access — the surgeon picks the open method (external columella incision) or the closed method (all incisions inside the nose)
- Correction of bone and cartilage — with ultrasonic piezo equipment for the least trauma to tissue and vessels
- Forming the new nose — the surgeon removes excess tissue or adds a graft and reshapes the bridge, tip, nostrils or septum
- Sutures — suture material used is atraumatic, self-absorbing or cosmetic
- Fixation — packing and an external splint hold the shape in place
Inpatient stay
All procedures are performed in the clinic's inpatient unit. After surgery you stay there for one day
Recovery period
After the operation you take a recovery course: swelling relief, nose check-ups and advice on care. Full recovery averages about 4 months, while first visible changes appear 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
An expert plastic surgeon attentive to the beauty and health of patients
Dmitry S. Kuznetsov
Plastic surgeon
- Plastic surgery residency — Petrovsky National Research Centre of Surgery, 2024
- 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
Please consult a clinic doctor if you have any chronic conditions!
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'll pick the most effective solution for you and produce an excellent outcome.
Closed rhinoplasty
Performed through incisions inside the nose, with no visible scars.
Open rhinoplasty
A small incision on the columella lets the surgeon control the shape more precisely.
Septorhinoplasty
One combined surgery to fix the septum and reshape the nose's appearance
Revision rhinoplasty
Correction done again after an unsuccessful or partially successful surgery.
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
Preparing 21 days before rhinoplasty is key to a successful surgery. At your first visit, our plastic surgeon will hand you a list of tests.
Complete blood count plus ESR, differential and platelet count
Urinalysis
Infectious disease tests: HIV, HBsAg, anti-HCV, Treponema pallidum antibodies
Blood type and Rh factor
Biochemical analysis of blood: total protein; urea; uric acid; creatinine; glucose; total, direct and indirect bilirubin; ALT; AST; K; Na; Cl; cholesterol
Clotting panel (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
- Say no to swelling-causing food — salty, fatty, fried, spicy; stop medications that alter blood clotting (after agreeing with your doctor)
- Limit physical activity
- Pass on cosmetic treatments that damage the skin, e.g. scrubs, peels, etc.
Important!
- Each test must be on a separate form
- The facility's stamp and doctor's signature are required
- For your hospital stay, buy class 2 compression stockings in advance
- Your last meal and drink on the day of surgery must be taken at least 6 hours before the set time
- Patients with chronic conditions or those regularly seen by a specialist need a specialist's approval for elective surgery under general anaesthesia
Recovery after rhinoplasty: stages and advice
Nose surgery recovery is as significant as the surgery itself, since proper recovery sets how aesthetic and harmonious the final result is. At City Medical Centre recovery is closely watched and divided into three phases: early, middle and late
Early phase
- For the initial 24 hours post-rhinoplasty, the patient stays in the inpatient unit under observation
- Days 1–3: breathing through the mouth; splints remain in the nostrils
- Swelling sets in; a stuffy nose and bruising can occur
- Day 7: splints come out. The aluminium splint stays up to 14 days; stitches come out on day 14 with the splint
- No bending over, touching your nose or wearing glasses
Middle phase
- Swelling slowly goes down, though the tip and bridge may remain swollen
- A month without workouts, bathhouse, sauna, pool, hot baths or sun
- Sleep only on your back, half-sitting
- Avoid glasses and makeup around the nose
Late phase
- After nose surgery, mild congestion can last 1–1.5 months
- The nose takes its final shape in 1–1.5 years
- Keep seeing your surgeon during this time
Early phase
- For the initial 24 hours post-rhinoplasty, the patient stays in the inpatient unit under observation
- Days 1–3: breathing through the mouth; splints remain in the nostrils
- Swelling sets in; a stuffy nose and bruising can occur
- Day 7: splints come out. The aluminium splint stays up to 14 days; stitches come out on day 14 with the splint
- No bending over, touching your nose or wearing glasses
Middle phase
- Swelling slowly goes down, though the tip and bridge may remain swollen
- A month without workouts, bathhouse, sauna, pool, hot baths or sun
- Sleep only on your back, half-sitting
- Avoid glasses and makeup around the nose
Late phase
- After nose surgery, mild congestion can last 1–1.5 months
- The nose takes its final shape in 1–1.5 yearsKeep seeing your surgeon 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
For a faster recovery and the ideal result after rhinoplasty, we suggest
- 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
Nose surgery may be one of the most popular, well-established aesthetic procedures, but like all surgery it comes with certain risks. To keep the chance of complications after rhinoplasty low, our clinic ensures thorough pre-op preparation and post-op monitoring.
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
Can be caused by excessive tissue removal 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. Rhinoplasty safety hinges on the doctor's skill and experience.
- Full diagnostics before surgery. Includes tests, CT, ECG, exams by the surgeon and anaesthetist.
- Follow the recovery regime. Do not take off the dressing yourself or touch your nose; avoid sport, sun, alcohol and smoking.
- Antibiotic prophylaxis. Prescribed when indicated to prevent infection.
- Follow-up visits. Regular visits to the surgeon catch the smallest deviations and fix them early.
- Psychological readiness. Patients must realise the final result is seen only after 1–1.5 years.
Important: contact your doctor right away if you notice difficulty breathing, severe pain, high fever or shape changes after rhinoplasty.
Rhinoplasty at City Medical Centre is done with up-to-date technology and safe materials under constant medical supervision, keeping complication risk to a minimum.
How to avoid complications after rhinoplasty?
- Choose an experienced surgeon. Rhinoplasty safety hinges on the doctor's skill and experience.
- Full diagnostics before surgery. Includes tests, CT, ECG, exams by the surgeon and anaesthetist.
- Follow the recovery regime. Do not take off the dressing yourself or touch your nose; avoid sport, sun, alcohol and smoking.
- Antibiotic prophylaxis. Prescribed when indicated to prevent infection.
- Follow-up visits. Regular visits to the surgeon catch the smallest deviations and fix them early.
- Psychological readiness. Patients must realise the final result is seen only after 1–1.5 years.
Important: contact your doctor right away if you notice difficulty breathing, severe pain, high fever or shape changes after rhinoplasty.
Rhinoplasty at City Medical Centre is done with up-to-date technology and safe materials under constant medical supervision, keeping complication risk to a minimum.
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Rhinoplasty — prices
We offer the first consultation free. The exact cost is confirmed by the surgeon after an examination.
Service
Discounted price
Rhinoplasty:
frequently asked questions
When is the best time for rhinoplasty?
The optimal age is 18 to 45. By then the nose is fully formed and tissues still heal well. With medical indications, surgery can be done at an older age if your general health allows
How do I prepare for rhinoplasty?
Preparation consists of plastic surgeon consultations, lab tests (CBC, biochemistry, coagulation, infection tests), ECG, chest X-ray, and a nasal X-ray or CT. One week before surgery, stop anticoagulants, alcohol and smoking. On the day before, eat light meals; fast for 6 hours before surgery
Rhinoplasty vs septoplasty: what's the difference?
Rhinoplasty — an operation to alter the nose's appearance (an aesthetic goal) and improve its function when breathing is impaired.
Septoplasty — surgery to correct the nasal septum and restore normal breathing, keeping the nose's external contour intact.
The two surgeries are often combined, notably when a deviated septum coexists with aesthetic concerns. This delivers a harmonious look and restores full breathing. At City Medical Centre . we provide rhinoseptoplasty — a combined procedure that resolves both tasks at once
What are the risks of rhinoplasty?
Swelling, bruising, infection, bleeding, temporary breathing difficulties and slight asymmetry are possible, as with any surgery. To minimise risks, City Medical Centre relies on modern techniques, anaesthesia and equipment, along with post-op monitoring and recovery therapy
When will I see the result?
You'll see first improvements after the swelling eases (2–3 weeks), while the final rhinoplasty result is evaluated in 1–1.5 years, when tissues have fully stabilised
Can I breathe through my nose after surgery?
In the days right after surgery, splints or swelling may partly block the nasal passages. You usually breathe fully again within 1–2 weeks, depending on your body and how extensive the surgery was
Will there be visible scars?
With the closed technique, incisions are made inside, so external scars are absent. The open technique leaves a barely visible scar on the columella (the bridge between the nostrils), fading almost entirely as time passes. Microsurgical techniques and quality sutures help our doctors keep scars minimal
How much will rhinoplasty change my appearance?
With rhinoplasty, facial features gain harmony and aesthetics improve, while individuality stays intact. 3D modelling allows you to view the predicted result ahead of time and settle the changes with your surgeon
Rhinoplasty cost at City Medical Centre?
The price of rhinoplasty at City Medical Centre is $4,200 instead of $6,000 with the current discount. First consultation: free.
What does the rhinoplasty price depend on?
The cost depends on the extent of surgery and is set at the consultation: the doctor names the exact price after examining your nose and facial proportions.
What does the rhinoplasty price include?
Surgery performed under general anaesthesia, one day as an inpatient, doctor supervision and a free check-up after surgery. The clinic grants a lifetime guarantee on the result.
How much is a consultation?
There is no charge for the first consultation at City Medical Centre. The doctor examines the nose, assesses facial proportions and names the surgery's exact cost.
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 refined and in-demand plastic surgeries, focused on reshaping the nose in harmony with the individual proportions of the nose and the whole face. Modern rhinoplasty goes beyond altering how the nose looks: it is complex surgical work to reach an aesthetic ideal while keeping health intact.
What is rhinoplasty, or nose reshaping surgery?
At bottom, rhinoplasty is a comprehensive solution, correcting both congenital and acquired nasal deformities — for example, after a nasal injury. Patients often seek help for a dorsal hump or an overly wide nose. It can also correct the nasal tip (tip rhinoplasty) or the nostrils (alar rhinoplasty). The surgery plan is designed for each patient individually, taking into account all the features of their nose.
How is the surgery performed?
Rhinoplasty is performed under general anaesthesia and takes 1.5 to 3 hours depending on complexity. There are two main approaches: open rhinoplasty and closed rhinoplasty. Open rhinoplasty involves a small incision on the columella (the tissue between the nostrils), giving the surgeon a full view of all nasal structures. Closed rhinoplasty is done through incisions inside the nose and leaves no visible scars.
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
After surgery the nose requires care. An aluminium splint goes on the outside and special silicone splints are placed inside. Nasal function is restricted during the first days but returns quickly. The final rhinoplasty result can be evaluated in 1–1.5 years, when swelling has fully subsided.
Why trust the professionals?
Choosing rhinoplasty is a big step. Good rhinoplasty means your new nose blends perfectly with your features and works flawlessly. The consultation includes a detailed assessment of every parameter by the surgeon: nose size, tip projection, the septum and nasal lining. We apply 3D modelling so that you can view your future nasal proportions before the rhinoplasty is performed.
Photos of rhinoplasty online don't tell the whole story. Book a consultation to discuss what modern rhinoplasty can and cannot achieve for you. Correcting external nasal deformities and reshaping the nose is our specialty.
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Rhinoplasty in Essen: techniques, stages and cost
Who is a candidate? The optimal age is 18 to 45, when the nose is fully formed and tissues heal well; with medical indications, older patients can also be considered if health allows. Indications include asymmetric cartilage or nostrils and significant breathing problems. Anyone researching rhinoplasty in Essen should know the contraindications too: decompensated chronic disease, skin damage or inflammation in the area.
Recovery has early, middle and late phases. During days 1–3 you breathe through your mouth, and swelling and bruising may appear. Internal splints come out on day 7; the aluminium splint and stitches are removed by day 14. For a month, avoid exercise, saunas, pools and sun, and sleep on your back half-sitting. Patients from Essen get care advice at every stage.
Start with a free, non-binding consultation: you get an assessment of nasal anatomy, a 3D forecast and answers on recovery. If you decide to proceed, rhinoplasty costs $4,200, including the operation, inpatient stay, follow-up visits and dressings, with a lifetime guarantee on the result. Patients from Essen can send a request online or message a coordinator.
Get a consultation
Apply before the end of the year and get a consultation on us!
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