In a device and method for processing and presenting x-ray images, an x-ray image of a subject is acquired with an x-ray acquisition cone simultaneously with the acquisition of an optical exposure of the examination subject with an optical acquisition cone that is congruent with the x-ray acquisition cone. The subject in the optical exposure is subjected to segmentation and/or edge extraction, and the extracted optical exposure and the x-ray image are additively combined so that the subject edges from the optical exposure are inserted into the x-ray image.