Your perfect nose that will accompany you for a lifetime

Letzte Untersuchung einer Patientin im OP-Kleidung kurz vor der Nasen-OP.

Facts about nose surgery.

Transparent and informed about your desired nose.

OP duration
Usually 150-180 minutes, possibly complex reconstructions of 3-5 hours
OP technique
Open technique, gentle preparation nasal septum surgery, turbinate surgery
Video-assisted intubation anesthesia and/or local anesthesia
Clinic stay
2 nights inpatient stay for revision
Socially acceptable
After 2 weeks (after removal of splint), 3-4 weeks no loading
Pulling stitches
Endonosal dissolvable sutures, on the columella after 2 weeks
Splint removal
Inner tubes after 3-7 days, outer splint after 2 weeks
Approval for light sport after 6 weeks, heavy exercise after 2 months
Final result
Thin skin 1-2 years, medium-thick skin 2-4 years, thick skin 4-5 years
2-3 times a week in the first 3 weeks, after 2 and 6 months, after 1 year

The experience of the dream nose.

We accompany patients on their first look at their new dream nose.

Your options with Dr. Berkei.

Which nose do you have?

Hump nose
A humped nose is a common nose shape that is characterized by a pronounced outward curvature of the bridge of the nose. In most cases, the visible bulge is excess cartilage or protruding bone that can be felt under the skin.

To correct a humped nose, the excess cartilage and bone is removed and the bridge of the nose is reshaped to achieve a harmonious nose shape. In the case of a cartilaginous hump nose, the cartilaginous part of the nasal septum is straightened using positioning sutures and “spreader grafts”, small cartilage splints to open the inner nasal valve. In the case of a bony hump nose, bone is removed and the bridge of the nose is reconstructed.
Profilaufnahme einer Patientin vor der Nasenkorrektur.
A saddle nose can be recognized by a strong lowering of the bridge of the nose, which mainly occurs after accidents or operations. There is usually a hole in the nasal septum that causes it to drop.

To restore a straight nasal bridge, a nasal septum operation is performed on a saddle nose in which the bridge of the nose is reshaped. To compensate for the missing material on the bridge of the nose, the patient ‘s own cartilage is used as a graft to reconstruct the bridge of the nose.
Profilaufnahme einer Patientin vor der Nasenkorrektur.
A crooked nose is a nose shape in which the nose is asymmetrical or has a lateral curvature. This irregularity can be caused by various factors, including genetic predisposition, accidents or traumatic events. A crooked nose is often associated with functional impairments such as breathing problems, which can affect quality of life.

Depending on the type of crookedness, the aesthetics and function of the nose are improved by straightening the cartilaginous part of the nasal septum or adjusting the asymmetrical bony nasal pyramid. It may be necessary to remove a hump to open the nasal roof in order to reposition the nasal axis.
Porträt einer Patientin vor der Nasenkorrektur.

A pseudo crooked nose is an asymmetry of the two halves of the face. The center between the eyes does not correspond to the center between the upper lips, the face does not appear straight. This is usually a widening of one side of the face that occurs in almost every face and the nose is crooked in the face, although it starts in the middle between the eyes and runs centrally towards the upper lip.

Porträt einer Patientin vor der Nasenkorrektur.

A decision must be made here as to whether a bony-cartilaginous axial correction should be performed or whether a straightening by augmentation of the concave side with septal or ear cartilage should be carried out.

Enlarged turbinates, known as turbinate hypertrophy, are common in patients with long-term allergies and lead to ventilation problems. Nasal conchae are bones covered with mucous membrane that enlarge the surface of the nasal cavity. They are located on the outer wall of each nostril, with the inferior turbinate usually being the largest and often causing airway obstruction. Enlarged middle conchae can lead to airway obstruction due to concha bullosa. Partial reduction of the turbinates improves nasal ventilation, and recovery is quick and painless. Allergy sufferers may need another reduction of the mucosa after 1-2 years.

Profilaufnahme einer Patientin vor der Nasenkorrektur.

Impressive results.

Precisely shaped noses that fit perfectly into the face - the art of Dr. Berkei's rhinoplasty.

A passion for rhinoplasty.

Specialized in rhinoplasty

In her more than 26-year career as a plastic and aesthetic surgeon, Dr. Julia Berkei specialized early on in performing rhinoplasty. Her many years of experience and working with a wide variety of noses have made her an internationally recognized expert in rhinoplasty.

more than
Nose operations performed

Dr. Berkei performs rhinoplasty not only with the utmost care and precision, but also with a passion for artistic shaping and aesthetics. The realization of your wishes exactly according to your ideas is close to her heart. Having successfully performed thousands of rhinoplasties, she is able to consistently achieve perfectly natural results.

more than
Success rate

Dr. Berkei’s surgical work is characterized by a particularly low revision rate of less than 1%, which is far below the industry average of 15-20% for rhinoplasty. This high success rate is possible because Dr. Berkei works exclusively according to her “Nose by Berkei” concept, which has been perfected over many years and combines three complex operations for optimal results.

Aufnahme von Dr. Berkei, die auf die Nase einer Büste zeigt.

3D simulation of your dream nose.

All your wishes at a glance.

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Your safe route to recovery and your desired result.

Procedure after rhinoplasty

Week 1
2-3 checks, bed rest
Week 2
2-3 checks, couch, splint removal
Week 3
1 check, home office, socially acceptable
Week 4
1 check, operational
Week 5-7
Check if required
Approx. week 3-8
Final check with Dr. Berkei
Dr. Berkei bei der Untersuchung eines Patientin nach Nasen-OP.
Reaktion eines glückliche Patienten nach der Nasen-OP mit Dr. Berkei.

Stories of the journey to the dream nose.

With a nose job to a new attitude to life: Our patients share their story from the first wish for a different nose to the realization of their dream and thus encourage others to take the plunge. A small selection of the experiences of Dr. Berkei’s patients from more than 8,000 rhinoplasties performed.

Aesthetic rhinoplasty.

Your journey to more self-confidence.

Elegante junge
Porträt eines zufriedenen Patienten mit halbem Gesicht im Schatten.

Frequent problem areas

Hump nose
Broad nose
Boxer nose
Piggy nose
Saddle nose
Crooked nose
Tuber wet
Particularly large nose
Particularly small nose

Functional rhinoplasty.

Breathe freely for a pleasant feeling of well-being.

Röntgenaufnahme der Nase.
Nahaufnahme einer Nase kurz nach erfolgreicher Nasen-OP.
This is a medical indication (nasal ventilation disorder, crooked nasal septum, stenotic nasal valve).

Symptoms of a ventilation disorder

Mouth breathing
Dry mouth
Stuffy nose
Sleep disorders
Frequent paranasal sinus infections
Reduced odor perception

A DVT (digital volume tomography, also known as cone beam computed tomography CBTC) can be used for imaging diagnostics of the internal anatomy of the nose. Compared to imaging with computer tomography, a significantly higher image resolution is achieved with reduced radiation. The assessment of the nasal septum, the turbinates (conchae) and the complex structures of the paranasal sinuses is a prerequisite for planning functional septorhinoplasty.‍

In less complicated cases, the inner nasal passages can be treated without changing the outer nose in order to correct a functional ventilation disorder.

In nasal septum straightening, the wall dividing the right and left nostrils is bent, crooked, arched or twisted, which can lead to blockage of one or both airways (commonly known as a crooked septum or crooked nasal septum). Septoplasty uses a variety of surgical techniques to straighten the septal wall and clear the airway.

The turbinates on the lateral wall of the nasal cavities can swell, making breathing difficult. Reducing the size of the erectile tissue in the affected areas, also known as conchal cavernosity, can clear the airways and make breathing easier.

Aufnahme einer zufriedenen Patientin, die mit ihrer neuen Nase tief Luft holt.

Complex revision rhinoplasty.

Finally your desired nose permanently.

Breathing freely again: Kristine's rhinoplasty

Profilaufnahme einer Patientin vor der Nasen-OP.
Profilaufnahme einer Patientin nach erfolgreicher Nasen-OP.
This is a medical indication (nasal ventilation disorder, crooked nasal septum, stenotic nasal valve).

Another nose job for lifelong satisfaction

Vier Bilder einer Patientin aus der 3D-Simulation der Nase im Vorher-Nachher Vergleich

The most common problems

Nose tip too big
Dropped nose tip
Unequal nostrils
Dents on the bridge of the nose
Poor nasal breathing
Septal deviation
Open Roof
Piggy nose
Operated look

Especially with very thin nasal skin, cartilage or bone may be visible after a nose operation. Using tissue grafts to thicken the skin, Dr. Berkei restores the desired shape.

Inadequately performed nasal septum surgery often results in a deviated septum, a crooked position of the nose due to a curved nasal septum. A ventilation disorder can also be caused by a deviated septum. By removing thickenings of the nasal septum that lead to narrowing of the nasal passage, Dr. Berkei corrects the curvature of the nasal septum and straightens the nose.

If an unwanted hump develops after a nose operation or if the nose is unstable, a transplant with autologous cartilage can provide more stability. During revision rhinoplasty with Dr. Berkei, the nasal septum is reconstructed so that the bridge of the nose once again corresponds to the patient’s wishes and remains permanently stable.

With a drooping nasal tip, the cartilage is often too weak to keep the nasal tip stable. Small, individually cut cartilage grafts (tip shields, columella shields or tip grafts) can be used to reinforce the tip of the nose and restore the desired shape.

A nasal septum that is too long often results in a very wide nasal tip after a nose job. This can be remedied by shortening the nasal septum.

The incision made on the columella during rhinoplasty to correct the nose can result in visible scarring. Dr. Berkei and her colleagues can remove these scars by carefully loosening them.

Dr. Berkei und eine Patientin im einfühlsamen Gespräch zur Nasen-OP.
Dr. Berkei und eine Patientin kurz vor der Nasen-OP.

The influence of skin thickness.

Thin skin
Porträt einer glücklichen Patientin nach erfolgreicher Nasen-OP.
Thick skin
Porträt einer Patientin

Recognize the skin thickness

Our International Service.

An exclusive experience with personalized all-round carefree service.

Große luxuriös eingerichtete Empfangsbereich eines Hotels.


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Answers to your questions.

Das Logo von Berkei Plastic Surgery, der Praxis für Plastische und Ästhetische Chirurgie von Dr. Julia Berkei.
Make your dreams come true.

We accompany you on the way to your desired nose shape. Secure your personal consultation now with a comprehensive analysis of your nose and individual options.

Profilaufnahme einer glücklichen Patientin mit schöner geraden Nase.