Rhinoplasty

Why would I consider rhinoplasty?

Rhinoplasty is an operation on the nose to change the appearance. This procedure can have purely cosmetic intentions, or it can relate to previous trauma or reconstruction.

If there has been no previous trauma or deformity of the nose related to birth then the procedure is considered cosmetic. If there has been previous trauma, or the concern about the nose is related to a birth problem, then the surgery is considered reconstructive and will attract appropriate rebate fees.

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Who benefits?

You would consider this procedure if you wished your nose to more closely resemble your feelings about it, or if you have some previous trauma or deformity to your nose that you wish remedied.

A surgeon who is in tune with your needs should not tell you what is wrong with your nose, rather they should ask you what you do not like about it. Questions should be open ended so that the surgeon may understand exactly what your concerns are regarding the appearance of your nose.

There are generally two schools of thought on actual examination of the nose and surgical assessment:

For most Plastic Surgeons, myself included, the approach lies somewhere in between - where measurements are used as a general guide but ultimately it is the appearance of the nose in harmony with the rest of your face that is most important.

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How is it done?

There are two types of rhinoplasty:

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Method

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What can I expect?

If you are undergoing rhinoplasty, you are typically admitted on the day of surgery fasted from the night before.

Rhinoplasty is typically carried out as either day case surgery or short stay surgery depending on the extent of surgery.
I usually perform the surgery under general anaesthetic, although it can be undertaken with local anaesthetic and twilight anaesthetic. In either case a consultant anaesthetist would be required.

The exact length of time of the operation depends on the complexity of the operation. A rhinoplasty can vary from between one and four hours operating time depending on this. If a patient also has problems related to nasal function with a blocked nasal passage, then septoplasty may also be undertaken at the same time. Septoplasty is an operation in conjunction with rhinoplasty to correct a deviation of the nasal septum to clear a nasal passage.

An overall general appreciation of the new shape of the nose can be obtained, however this does not become clear until swelling has reduced. The vast majority of swelling has resolved after three weeks, however there is some persistent swelling for even six to twelve months following the operation. This is the type of swelling that is not generally noticeable to other people.

If functional nasal surgery in the form of septoplasty has been undertaken, then usually the patient should feel an improved airway once swelling has reduced.

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How long does it take to recover?

Recovery time is in the order of a week or two pending on the extent of surgery.

Immediately following the operation a patient sleeps on two to three pillows to assist with decreasing swelling. Swelling does occur and is maximal approximately one to two weeks after the operation. Most of this will resolve after two to three weeks post operation, however there will be a degree of swelling that will be present for several months.

Following the operation the patient is advised to avoid blowing their nose. Prior to discharge, we ensure that the patient is totally comfortable and happy with their pain relief, appearance and general physical state.

Usually manipulation of the nasal bones themselves is required and a splint is necessary to keep the bones in the new position. This splint remains on the nose for approximately seven to ten days and is then removed in the office. Although the splint is removed at seven to ten days post operation, the nose remains fragile for approximately a further three week period. Activities such as contact sports should be avoided during this period.

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What complications can occur?

Although every endeavour is made to avoid complications, sometimes they do occur. Complications can be related to the anaesthetic or the surgery.

Surgical complications can include: bleeding and bruising, swelling and infection.

In addition, temporay altered sensation can occur in the skin of the nose. For someone with a deviated nose, some residual asymmetry is possible. Minor secondary procedures may be required.

Although this list indicates some examples of complications, surgery should not be undertaken until this has been discussed fully with the surgeon.

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What other procedures are often performed at the same time?

Rhinoplasty is typically performed on its own. However, it is not uncommon for it to be combined with others cosmetic surgery procedures.

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What does it cost and will private insurance help?

Exact costing is highly variable depending on your history and circumstances, the hospital used and specifics of the procedure.

Some private health insurance companies in Australia will assist with bed and theatre fees even on purely cosmetic procedures.

If a procedure can be given an item number then rebates may apply.

A cost guide can be requested from my office on +61 8 9485 1333, some of the individual cost factors can be estimated with more information. Alternatively, we can be emailed at info@cosmetic-surgery.com.au

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Where can I get more information?

If you have specific questions, or wish more information on specific procedures, please don"t hesitate to contact my office for a complimentary appointment with my nurse / patient liaison officer.

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Clinical Photographs

Rhinoplasty - Closed Method

Pre-operative Rhinoplasty, Closed Method Post-operative Rhinoplasty, Closed Method

Pre-operative and Post-operative