Rhinoplasty is any surgery to reshape the nose. It is one of the most common plastic surgical procedures.
The aim of Rhinoplasty is to reduce or increase the size of the nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between the nose and upper lip.
Achieving a natural look that is sustainable is the key to an excellent rhinoplasty.
Once you have described your preferred shape or rather the aspects of your nose that bother you, I evaluate the anatomy of perceived problem and go through the operative steps that are needed to achieve your desired outcome.
I use advanced 3D computer generated imaging (not photoshop) to try and simulate the predicted post-op result. During your consultation we will go through your 3D image and using my simulation software plan your operation and likely post-operative result. I find using the simulation is a far more reliable and reproducible tool than other patients’ before and after photographs or using photoshop.
More importantly, during the consultation process I get a sense of your surgical goals through the changes you wish to make to your 3D model. Today, attention should be placed on understanding your surgical goals and planning the procedure together.
Rhinoplasty can be performed as closed or open technique. The major difference being that open involves a little incision on the outside of the nose. As a general rule, if you need any work done on your nasal tip I use the open technique.
Rhinoplasty surgery is a highly individualised operation and should always be customised to you, the patient. Predicting which approach and rhinoplasty technique is very complicated and it is best done in person with me or a plastic surgeon you are comfortable with.
During the initial consultation I use 3D simulation software to help plan the operation and with the animated models attempt to predict the likely post-operative result. I admit 3D simulation may not be 100% accurate and results may slightly vary from simulated images, but it is the most precise tool we have to predict outcome. Far more reliable than other patients’ before/after photographs or using photoshop. More importantly 3D technology is a great communication tool between me and you.
Rhinoplasty surgery is performed under general anaesthetic as a day case or with an overnight stay. Patients usually take 1-2 weeks off work during which time a splint is worn down the length of the nose to support the new shape. If there is any work done to the septum, internal splints are also placed. In the immediate post-operative period I do use nasal sprays to help with the inflammation and also to prevent drying up of the mucosal lining.
What are the potential risks and complications?
Modern surgical procedures are generally safe, but there is still a potential risk of complications.
Complications and risks associated with nose surgery include:
- Excessive bleeding from site of incision
- Infection that may require antibiotics or in some cases, additional surgery
- Formation of a blood clot under the site of the incision and drainage may be required.
- Bruising, pain and swelling around the incision and around the eyes
- Itchy, unsightly and annoying scars known as hypertrophic and keloids scars, which form over the incision.
- Longer healing time, especially if you are a diabetic or smoke
- Wound edges may separate
- Nausea and vomiting may occur for a short time following the general anaesthesic
- Once the swelling and bruising subsides, you may experience an altered sensation to your nose
- Ongoing pain from the nasal bone
- Temporary numbness in the upper front teeth
- Dark circles may appear on the skin under the eyes and may last for about six months or longer
- You may have an impaired sense of smell
- Slight swelling of the tip of the nose may last for a few months, especially if you have had an open approach
- If an implant is inserted, it may extrude through the skin or into the nose
- The nose may flatten as a result of a weak, underlying supporting structures
- Narrowing of the major airways, which may cause breathing difficulties when breathing through the nose
- Revision surgery may be required if the appearance or function of the nose is unsatisfactory
Rhinoplasty surgery is covered by most private health insurance. Review your policy carefully to determine what is covered.
Costs associated with a rhinoplasty varies between: $14000-$16000 depending on a number of factors:
- Anaesthetist’s fees
- Private hospital or day surgical facility fees
- Your level of private insurance cover
- Need for other facial plastic surgical procedures, such aseyelid rejuvenation, facelift, neck lift or brow lift.
- Surgical assistant’s fee
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