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The removal of a nasal hump can be both a medical and a cosmetic operation – the classification depends on the underlying causes and the patient’s complaints. 1. medical reasons for the removal of a nasal hump A nasal hump is removed medically when it is associated with functional or health problems. Such cases include: a) Breathing problems due to anatomical malformations
– A nasal hump can be caused by a malposition of the nasal framework or a deviation of the nasal septum.
– These malpositions can obstruct the airflow and lead to breathing problems. Correction of the nasal hump is then part of a functional rhinoplasty, which treats both the external shape and the internal structure of the nose. b) Consequences of injury or trauma
– A nasal hump can be caused by an accident or a fracture of the nose. If the hump impairs the functionality of the nose (e.g. by narrowing the nasal passages), correction is considered medically necessary. – Pain or tenderness caused by the deformity may also provide medical justification. c) Repeated infections or complaints
– In rare cases, a nasal hump can be caused by changes in the bone or cartilage tissue that cause repeated inflammation, irritation or other complaints. Costs covered by health insurance If there is a medical indication, particularly if there are breathing problems or other functional limitations, the costs for the correction can be covered in full or in part by the health insurance company. The prerequisite is clear documentation by an ENT specialist or plastic surgeon, e.g. through tests to check nasal breathing. 2. cosmetic reasons for the removal of a nasal hump The removal of a nasal hump is one of the most common aesthetic nose corrections. If the procedure is performed solely to improve the external appearance of the nose, it is a cosmetic procedure. Typical motives are: a) Aesthetic dissatisfaction
– Many people find a nasal hump inharmonious or disturbing, especially in profile. A correction is desired to make the nose appear straight and proportional to the face. b) Self-confidence and quality of life
– A prominent nasal hump can affect self-confidence, especially if those affected find their external appearance unflattering.
– The desire for a more harmonious nose shape is often expressed without there being any functional problems. Cost regulation for cosmetic surgery Cosmetic surgery is generally not covered by health insurance. In this case, the costs must be borne privately.
3. combination of medical and cosmetic indications In practice, there are often cases in which removal of the nasal hump involves both medical and cosmetic aspects:
– If the hump is associated with impaired nasal breathing, the procedure may be medically necessary while at the same time harmonizing the external shape of the nose.
– Such combined operations are referred to as “functional-aesthetic rhinoplasty”. 4 The surgical procedure The removal of a nasal hump is usually performed by rhinoplasty, which can be performed either open (with a small incision on the bridge of the nose) or closed (via incisions inside the nose). The surgeon removes the hump by:
1. cartilage removal: If the hump consists mainly of cartilage.
2. Bone ablation: If the cusp is made of bone or a combination of bone and cartilage is present. In the case of functional problems, the nasal septum or the inner nasal cavity is corrected at the same time to improve breathing. 5. conclusion
– Medical procedure: This is the case if the nasal hump causes functional restrictions such as breathing problems or pain.
– Cosmetic procedure: If the operation is performed solely for aesthetic purposes to change the external appearance of the nose.
– Combined procedure: There is often an overlap between the two aspects, especially in functional-aesthetic rhinoplasty. The decision as to whether the procedure is medical or cosmetic should be made after a thorough examination by a specialist.