Dr. Tobias Bastian Waiting List The difference
The nose is not only a profile. It is the central airflow structure of the face: it filters, humidifies and directs every breath. Anyone who operates on it without understanding this function risks breathing problems for an aesthetic result. This happens in plastic surgery more often than most patients realise.
As an ENT specialist with advanced training in plastic surgery, I have worked for years at exactly this intersection: at the septum, turbinates, cartilage and bone. This anatomical depth changes how I guide a scalpel. I plan form against function, never over it.
„Form follows breath. Breath carries the face."
My Core Expertise
As an ENT specialist I understand the nose in its entirety: breathing function, mucosa, cartilage structure, proportions.
Request consultation →Indications
01 · Profile · Tip · Symmetry
A hump, a broad tip, a slight asymmetry: when the profile distracts from the face, aesthetic rhinoplasty is the most precise intervention. My goal is a nose that does not stand at the centre, but belongs to the person.
Learn more02 · Septum · Turbinates · Airway
A deviated septum, enlarged turbinates, a collapsing nasal valve: functional problems restrict sleep, sport and quality of life. As an ENT specialist, I correct these structures with the same precision as aesthetic parts, often without any visible change from the outside.
Learn more03 · Revision · Reconstruction
When a previous operation has not produced the desired result, functionally or aesthetically, a second operation requires different conditions: scar analysis, cartilage reconstruction, careful management of expectations. One of the focal points of my surgical practice.
Learn more01 · Profile · Tip · Symmetry
Form that belongs to the face
Correction of the dorsum, tip, alae or profile line follows no template. Every nose requires its own plan. I work with precise changes to cartilage and bony framework to clarify the profile without standardising personality. The result is a face that does not look operated on.
Treatment areas
Duration
2–3 h
Anaesthesia
General
Inpatient stay
1 night
Billing
GOÄ
02 · Septum · Turbinates · Airway
Breathing that no longer struggles
Functional interventions on the nose are the core field of otolaryngology. Septoplasty, turbinate reduction, valve stabilisation: each step targets free, even nasal breathing. With medical indication, partial cost coverage by statutory or private health insurance is possible.
Treatment areas
Duration
1–2 h
Anaesthesia
General
Inpatient stay
1 night
Billing
Insurance, pro rata
03 · Revision · Reconstruction
Correction after a previous procedure
Revision rhinoplasty is technically far more demanding than a primary procedure. Scar tissue, missing cartilage and altered anatomy require a different surgical strategy. Autologous cartilage from the ear or rib is often used for reconstruction. The consultation begins with a realistic estimate of what is surgically achievable.
Treatment areas
Duration
3–4 h
Anaesthesia
General
Inpatient stay
1–2 nights
Billing
GOÄ
Modern Techniques
Each of these techniques pursues the same goal: maximum precision with minimal intervention. The choice always follows your anatomy.
Your anatomy decides – not fashion.
Open Rhinoplasty
Small incision on the columella. Full view of the nasal framework. Indicated for complex corrections, asymmetries and revision procedures. Scar typically inconspicuous.
Closed Rhinoplasty
All incisions inside the nose. No visible scar. Suited to targeted dorsum corrections or selective tip work. Faster healing.
Dorsal preservation technique
Following the philosophy of Dr. Yves Saban (Nice, France). This technique allows the nose to be operated on significantly more gently and precisely. The natural anatomy of the nose is preserved and modelled rather than removed: a prominent nasal hump can be corrected without leaving palpable edges after surgery. Piezo ultrasound allows a wide nose to be narrowed gently. Via the endonasal approach, the nasal tip can be refined without a visible scar.
No packing in the nose after surgery.
Today, rhinoplasty is performed without traditional gauze packing. To prevent scar tissue from forming in the nasal mucosa, ultra-thin silicone splints are used instead. These can be removed after 2–3 days at the wound check, without anaesthesia. "Stuffing" the nose with packing and its painful removal is not required.
Bone precise. Soft tissue protected.
Piezo ultrasound enables precise work on the nasal bones without injury to surrounding soft tissue. A wide nose can be narrowed gently – with less swelling and more precise bone work than with classical techniques.
Structured tip refinement through cartilage analysis.
The nasal tip is the most anatomically complex area in rhinoplasty. The polygon concept describes the geometric analysis of the alar cartilages to precisely influence projection, rotation and definition of the nasal tip – with lasting stability.
Which technique is right for you is not decided by fashion,
but by your anatomy.
The path to surgery
Thorough history, clinical examination, functional diagnostics. We discuss wishes, options and, honestly, the limits.
Digital image analysis, briefing on technique, risks and realistic outcomes. At least two weeks between consultation and surgery for reflection.
General anaesthesia, 1.5 to 3 hours. Surgery follows your individual plan, open or closed, primary or with septoplasty. Inpatient stay 1 night.
Cast removal after 7 to 10 days. Close follow-up appointments over 12 months, until the result is fully healed.
Costs & Billing
The cost of a rhinoplasty depends on the complexity of the procedure, the chosen technique and the inpatient stay. As a private practice, I bill according to the German Fee Schedule for Physicians (GOÄ). A binding cost estimate is provided after the initial consultation — only then do I know your anatomy and correction goal precisely enough.
The cost for an aesthetic rhinoplasty starts from approx. €5,900.
Financing options: Some patients finance aesthetic procedures through specialist providers. Further information is available in the consultation.
All prices are indicative. A binding quote is provided exclusively in the personal consultation. No guarantees — individual results may vary.
Request consultation →Frequently asked
Functional interventions are partially covered by health insurance when medically indicated. Aesthetic portions are billed privately under GOÄ. A binding quote is provided in your personal consultation. No guarantees of cure, individual results may vary.
Opening November 2026 · Essen-Werden
Rhinoplasty is a decision I do not rush. Join the waiting list and secure a consultation appointment for the opening of the practice in Essen-Werden — for patients from the Ruhr region, Düsseldorf, Dortmund and across NRW.
