Rhinoplasty – Nose Surgery Newcastle & Sydney NSW
Rhinoplasty, or a ‘nose job’ is a group of nose surgery operations designed to improve nasal aesthetics, while preserving or improving nasal breathing. It may be performed to reshape, recontour and define the nose with the purpose to remove a hump, refine the nasal tip, narrow nostril width, or to correct injury, birth defects, or problems that affect breathing.
The importance of balance and proportions are more critical in rhinoplasty surgery than any other area of aesthetics surgery, as no single feature affects the way you look quite as much as your nose. Rhinoplasty can have amazing results for not only your appearance but also your entire life.
|Length of surgery:||3-4 hours|
|Recovery:||Most patients are back to work in approximately 10 – 14 days when swelling and bruising resolves. We advise our patients to avoid strenuous activity for 1 month.|
|Results:||Final results are seen within 12 months, and the duration of those results vary from one person to another.|
Nose jobs, also known as rhinoplasty, are probably a lot more popular than you realise. In fact, it’s one of the most popular cosmetic procedures in Sydney and it can transform the look of your face in a matter of hours.
Far too many people spend a lifetime hating the sight of their own face because of a minor issue with their nose. Why live with needless insecurity? Modern plastic surgery is easier and safer than ever before.
What is Rhinoplasty?
A nose job is a highly customisable procedure. Dr Turner will create a unique treatment plan with your needs and wishes in mind. When it comes to planning, I’d recommend not going in with an exact nose in mind. While it can be great to show your doctor some celebrity noses that you like, it’s much more important to have a result that is 100% suited to your exact face shape.
Whether it’s nasal asymmetry, humps, or depressions in your nose, rhinoplasty can fix it. You can increase or decrease the size of your nose or even resolve breathing issues with a nose job.
While it is a very common procedure, rhinoplasty is actually considered to be one of the most difficult types of plastic surgery. It’s a very intricate job and one small mistake can seriously alter your appearance. That is why it is absolutely essential to get a highly experienced plastic surgeon who is an expert in rhinoplasty.
During your consultation, you’ll get a crystal clear picture of what to expect from a nose job. The doctor will explain each aspect of the procedure and recovery. Best of all, thanks to 3D imaging technology, you can get a close-up view of what your potential new nose would look like on your face.
Thinking about getting a Nose Job?
“A beautiful nose is a natural one that complements and fits harmoniously with your natural facial features and does not dominate the face” – Dr Scott Turner
Rhinoplasty or a ‘nose job’ as it is commonly known, is designed to improve nasal aesthetics, while preserving or improving nasal breathing. The importance of balance and proportions are more critical in rhinoplasty surgery than any other area of aesthetics surgery, as no single feature affects the way you look quite as much as your nose.
• Removal of a prominent hump and narrow the bony width at the bridge
• Refine the nasal tip
• Narrowing of the nasal base
• Reduce nostril width
• Correct asymmetry or deviations
• Relieve breathing problems
Using the 3D Vectra imaging system, patients will be able to see what changes are realistic and achievable. These simulations can often help patients describe the results they want and the changes they would like to avoid.
The operation can take between 3-4 hours and the patient is often fine to go home the same day. A small splint is required for a week to support and protect the bones while they set in their new position. Most bruising subsides 3-4 weeks post-surgery and most patients report a little pain and discomfort but this is easily controlled with pain medication. Although some results will be seen when the cast is removed, it takes about 12 months before the final result can be fully appreciated.
What can a Rhinoplasty do for me?
Rhinoplasty surgery is one of Dr Turner’s most challenging and rewarding procedures that he performs. Some of the many benefits of rhinoplasty surgery include:
• Balance the size of the nose with other facial features
• Modify the width of the nose at the bridge (bony)
• Improve the nasal profile (side view)
• Reduce dorsal humps or bony irregularities
• Contour a nasal tip that is too large, boxy, drooping or upturned
• Change the angle between the nose and the lips
• Correct asymmetry or deviations
• Deviated septum
• Narrow and reshape the nostrils
• Improve breathing problems
Am I suitable for Nose Surgery?
The best candidates for rhinoplasty are people looking for improvement, not perfection, in the way they look.
If you are considering rhinoplasty surgery, it is important that you are:
• Are at least 16 years old
• Have finished facial growth
• Are generally healthy
• Do not smoke
• Are seeking rhinoplasty for personal reasons, not pressure from others
• Have realistic goals for the procedure
About Rhinoplasty Surgery
Rhinoplasty surgery is performed under general anaesthesia in a fully accredited private hospital with the assistance of a qualified anaesthetist. Expect the operation to take three to four hours and you are often fine to go home the same day.
After we carefully make the incisions to gain access to the nasal skeleton, the nasal hump is first removed by shaving down the cartilage and bone to give a straight dorsum on profile. It is usually necessary to fracture the nasal bones in a careful fashion to allow them to meet in the midline and create the new narrowed nasal dorsum. This also narrows the bony base of the nose at the bridge to enhance the frontal profile of the nose.
Next, the cartilages under the skin that shape the tip of the nose are adjusted in size and shape to refine your nose to match your new profile. In some cases, an additional incision across the base of the nose at the nostrils is used to narrow the base of the nose. This incision is usually imperceptible once it has fully healed.
When surgery is complete, small dissolvable stitches are placed inside the nostrils and tapes and a splint are applied. A small splint is required for seven days to support and protect the bones while they set in their new position. Frequently, internal silicone rubber nasal splints are used to ensure the lining of the nose sets correctly. This means you will most likely have to breathe through your mouth until they are removed.
Different Types of Rhinoplasty
1. Reduction Rhinoplasty
A mistake people often make is assuming that simply reducing the size of the nose will produce a positive outcome. It is important to appreciate that when the chin projection is insufficient, the profile seems to be dominated even by a small or average nose, but the solution in that case may be to augment the chin and possibly do a smaller reduction or no reduction to the nose.
2. Tip Rhinoplasty
In some patients, only modification of the nasal tip and nostrils is desired. With many complain that their nasal tip is too bulbous or boxy in appearance, too projecting, too wide, over-rotated (turned up) or under-rotated (plunging nasal tip). In some cases, the muscles of the upper lip can also affect the appearance of the nasal tip with smiling.
Modification of the nasal tip can be achieved using suture techniques, cartilage grafting, and cartilage resection; often requiring multiple techniques used in combination to achieve the desired result. The exact method used is determined by a number of factors, such as the condition of the cartilage, the severity of the deformity, the thickness of the skin, and the relationship between the appearance of the nose and the face.
3. Augmentation Rhinoplasty (Ethnic Rhinoplasty)
Augmentation Rhinoplasty involves increasing the projection of the bridge and the tip of the nose, is more commonly requested by patients from ethnic groups that have a softer cartilage support to the nose and a less defined nasal bridge. This is frequently combined with alar reduction (reduce the width of nostrils) to give a more refined nasal projection.
Materials used to support the tip and augment the bridge can be artificial, or taken from the patient’s own tissues (autologous bone or cartilage). The use of artificial implants for augmentation, while widely popular as it is a simpler procedure, also carries with them higher risks of infection and failure requiring revision. So in our practice we prefer to use autologous cartilage as it has shows excellent long-term stability.
4. Revision Rhinoplasty
In a number of instances, the outcome of rhinoplasty is unsatisfactory as a result of technical errors, healing problems, or injuries after the first operation. While often the area of concern may seem minor, the undertaking of revision rhinoplasty cannot be underrated. Even a small correction requires a formal open rhinoplasty technique that is more complex to perform than the original surgery with a longer period of time to settle down postoperatively.
Revision rhinoplasty requires experience and dedication from your surgeon, as well as an understanding of the type of changes that the first operation would have created. Revision rhinoplasty often involves the use of grafts, commonly cartilage from inside the nose but also from other areas (rib, ear).
Closed Rhinoplasty Surgery
All incisions required to reshape the tip and bridge of the nose are placed inside the nostrils. As a result, there are generally no external scars.
Open Rhinoplasty Surgery
In addition to the incisions inside the nostrils, there is a small incision placed on the columella – the small bridge of skin between the nostrils.
Many surgeons prefer this approach because it provides the best access to the underlying cartilage and bony elements of the nose to enable greater control for the delicate reshaping which is required in rhinoplasty surgery.
The nasal septum can have a profound influence on both the appearance of the nose as well as the function of the nasal airways. A deviation or curvature of the nasal septum can create the appearance of a crooked nose and also change the appearance of the nasal tip. Septoplasty is often done in conjunction with a rhinoplasty.
A septoplasty may also be performed when extra cartilage is required during rhinoplasty to help strengthen the cartilage structure of the nose to maintain its shape and prevent collapse.
After your Rhinoplasty Surgery
The splint placed over the nose at surgery completion is generally worn for a week or so. You may also have internal nasal splints that need to be removed after five to seven days, which can make breathing through the nose difficult during this period.
You must not blow your nose for at least two weeks. You may clean the internal part of your nostrils to remove any crusting or blood clots using a little Vaseline or saline on a cotton bud. Avoid hitting or rubbing your nose and be very gentle washing your face.
External sutures (across the columella) are removed at five days post-op. Bruising is variable but always more evident in men than women. Most of the bruising subside in about 3-4 weeks and any remaining bruises can be covered with make-up after a week.
Patients report minor post-operative pain, which is treated with oral medication. You will be given a prescription for pain management and antibiotics. Have someone fill the prescription, drive you home and take care of you as you recover during the first few days after your surgery.
Some results will be seen when the cast is removed. However, it takes about a year before the final result can be fully appreciated. It is very normal for the tip of the nose to feel numb after surgery and recovers as the nerve supply to the skin regenerate.
Contact lenses can be worn immediately, however, if you wear glasses they must not put pressure on your nose for the first 4-6 weeks.
Risks Associated with Rhinoplasty
As with any surgery, it is important that you are fully informed of the potential risks associated with rhinoplasty surgery. While all care is taken to minimize these complications, they may and do occur despite the best medical care.
It is important that you carefully read and understand the potential risks and they will be discussed in further detail when you have your consultation with Dr Turner.
Risks Associated with Surgery
• Bleeding or haematoma
• Postoperative infection
• Poor Scarring including keloid scars
• Unsatisfactory results
RISKS ASSOCIATED WITH RHINOPLASTY SURGERY
• Postoperative nose bleeds
• Cartilage grafts (donor sites – additional scars)
• Nasal septal perforation
• Nasal airway alterations
• Chronic pain
In a small but significant number of cases (about 10%) both the patient and surgeon feel the shape of the nose after six months is not quite that which was intended. A second procedure (revision rhinoplasty) may be called for. It is important to remember that the revision surgery cannot be carried out immediately, the nose has to be allowed to settle before further surgery is safe or desirable.
Recovering After a Nose Job
Everyone has a slightly different rhinoplasty experience so you’ll want to listen to your doctor’s recommendations for your exact procedure.
Generally speaking, though, you can expect to wake up with a small splint on your nose. This will be in place for up to two weeks to ensure that your nose heals perfectly. Within the splint, you’ll also have a couple of tiny splints in your nostrils that you’ll have to keep in place for a week. Basically, this is all to say that you’ll want to plan on being home for about two weeks during the healing process.
People often ask me if nose jobs hurt. Fortunately, the answer is no. Nose jobs are pretty painless. The doctor will give you a pain relief pill for the first couple of days and then over-the-counter medicine will be more than enough to deal with any discomfort.
Another surprising thing about nose jobs is that it takes a while to see the results. The swelling slowly goes down over time and your new nose gradually takes its shape over the course of several months.
Your Rhinoplasty Consultation with Dr Turner
Firstly, you are fully informed of the normal surgery process, plus possible complications. After a thorough history and discussion about your desires, Dr Turner will examine you to assess if you are a good surgical candidate. The initial consultation is the ideal time for all your questions about your surgery to be answered as you have to be sure this surgery is for you.
Dr Turner begins all rhinoplasty consultations by asking what aspects of the nose they would like to improve or alter. It is important that you have a clear idea of what aspects of your nose you are concerned with and what you’re hoping to achieve with the procedure. Feel free to bring photographs of noses you admire.
In order to achieve harmony, Dr Turner performs a detailed assessment including frontal and lateral nasal views, tip position and shape and nasal width. An internal nasal examination assesses airway functionality. If your initial consultation reveals nasal blockage, breathing concerns or sinus problems, you may need to be evaluated with a CT scan of your nasal bones and sinuses.
We use the latest 3D imaging technology to help you see what changes are realistic and achievable. These simulations can often help patients describe the results they want and the changes they would like to avoid. You need to be aware, though, that a computer simulation is not a guarantee of the result, as each person’s tissues have their own healing pattern that may influence the outcome to some extent.
Once your initial rhinoplasty consultation is completed, you’ll receive a quote from our friendly practice manager including your costs for your surgery, anaesthetic and hospital stay. Deposit details will also be provided so that you can confirm your surgery date once you’re ready to proceed. Once confirmed, you’ll receive a consent form and hospital admission paperwork to complete and will be guided and supported in the lead-up to your procedure date.
Rhinoplasty FAQs – Nose Surgery Questions
When can I start exercising again after having a nose job?
You will need to wait two weeks or more after surgery before you can resume moderate exercise, to avoid increasing nasal swelling. Resume with gentle exercise only at first, to assist full rhinoplasty recovery as soon as possible as your swelling decreases over time.
How long will bruising and swelling last after rhinoplasty?
The appearance of bruising during nose job recovery depends on the method of surgery used, for example whether the nasal bones were fractured. The average period will be up to 10 days of facial bruising after rhinoplasty.
Major swelling subsides over three weeks, but minor swelling may last 12 months. Sometimes at 6 weeks we can inject a small amount of steroids to help resolve the swelling more quickly.
Can I have a nose job at any age?
Dr Turner does not recommend rhinoplasty for patients under the age of 16. It is important that your natural facial features have fully developed prior to undergoing a rhinoplasty procedure.
Surgery to refine the appearance of the nose is best done after a young person has finished growing. This usually means around the age of 17. At the other end of the spectrum, nasal surgery can be done at any age as long as you are in good health.
What scars will I have after a nose job?
Usually incisions for nose surgery are made inside the nose and are not visible. Incisions to the outer nose usually fade to become virtually invisible.
How will I look and feel initially?
The first few days after surgery are generally the most painful, particularly when you are moving around or coughing. You will be prescribed pain medication during this period. It is also normal to feel tired and a little slow for a day or two after an anaesthetic. You will have a splint on your nose to maintain its shape during the healing process. Swelling and bruising around the eyes will be noticeable within the first 24 hours after surgery. Ice packs over the eyes will help reduce the swelling. Care should be taken not to wet the splint.
To book in for a Rhinoplasty consultation, contact our practice on 1300 437 758Gallery