What is a Functional Rhinoplasty?
The nose plays a crucial role not only in defining facial aesthetics but also in facilitating essential breathing functions. Unlike cosmetic rhinoplasty, which focuses on enhancing the appearance of the nose, functional rhinoplasty aims to correct structural abnormalities within the nose to improve breathing and overall nasal function. These issues may include a deviated septum, enlarged turbinates, or collapsed nasal valves. The primary goal of functional rhinoplasty is to restore proper airflow through the nasal passages, alleviating symptoms such as nasal obstruction, snoring, or sleep apnoea. While the procedure focuses on functional improvements, it often results in aesthetic enhancements, contributing to a more balanced and harmonious facial appearance.
What is a Cosmetic Rhinoplasty?
Cosmetic rhinoplasty is primarily performed to alter the shape, size, or overall appearance of the nose, without necessarily addressing functional concerns. Patients seek cosmetic rhinoplasty for a variety of reasons, including reshaping a nasal hump, refining the tip, or reducing the width of the nose. While the focus of cosmetic rhinoplasty is on facial aesthetics, an experienced rhinoplasty surgeon will combine both cosmetic and functional goals, ensuring that changes to the nose’s appearance do not interfere with its function.
Dr Turner’s Philosophy on Rhinoplasty
Dr Turner’s approach to rhinoplasty is grounded in a philosophy of balance—where the function and form of the nose are treated as interconnected elements. He believes that every patient deserves a nose that not only looks and fits harmoniously with their natural facial features but also allows them to breathe freely and comfortably. With years of experience and advanced training, Dr Turner tailors each surgical plan to the individual patient, considering their unique anatomy and personal goals to deliver results that enhance both aesthetics and function.
How is a Functional Rhinoplasty Performed?
Functional rhinoplasty is always performed under general anaesthesia in a fully accredited hospital, with the assistance of a qualified anaesthetist. Depending on the complexity of the procedure, it may take anywhere from 2 to 4 hours, and patients can typically be discharged home the same day.
The steps involved in functional rhinoplasty include:
Incision: The procedure begins with carefully placed incisions. Dr Turner may use either an open (external) or closed (endonasal) approach. In an open rhinoplasty, a small incision is made across the columella—the tissue between the nostrils—allowing full access to the nasal structures. In a closed rhinoplasty, all incisions are made within the nostrils, resulting in no visible external scars.
Elevation of Nasal Skin: The skin and soft tissues of the nose are gently lifted off the underlying bone and cartilage framework. This elevation provides the necessary visibility and access to the internal structures that require modification.
Component Separation: The nasal structures are separated into individual components to allow precise adjustment of each element. This step is crucial for addressing specific functional issues without compromising other nasal areas.
Harvesting Cartilage Grafts: Cartilage grafts are required to reinforce nasal structures. The choice of donor cartilage harvested by Dr Turner, depends on the availability and quantity of cartilage required. The ideal source is the septal cartilage, however if this is unavailable or not sufficient, then rib (costal) cartilage will be harvested.
Structured Rhinoplasty: The nose is reconstructed following structured rhinoplasty principles, which include:
- Correcting the Septum: A septoplasty is performed to straighten a deviated septum, which is a common cause of nasal obstruction.
- Nasal Osteotomies: Precise bone cuts are made using ultrasonic piezotome instruments, this allows for accurate reshaping of the nasal bones with minimal trauma to surrounding tissues, reducing postoperative swelling and bruising.
- Correct Nasal Valve: Spreader grafts are inserted to widen the internal nasal valve area, preventing collapse during inhalation and enhancing nasal airflow.
- Tip Position and Stability: Septal extension grafts (columella grafts) are used to support the new nasal tip position. These grafts provide structural stability, ensuring the tip maintains its desired shape over time.
- Tip Refinement: Modification to the nasal tip cartilages is performed by a variety of techniques such as excising excess cartilage, tip sutures and strengthening cartilage grafts. This allows Dr Turner to shape the nasal tip, reduce bulbosity and improve symmetry.
Closure of Nasal Skin: The nasal skin and soft tissues are redraped over the new framework. Incisions are meticulously closed with fine sutures to promote optimal healing.
Adjusting the Nasal Base: If necessary, adjustments are made to refine the nostril shape and width. Techniques such as alar or nostril sill reduction help achieve balanced proportions.
Your Consultation with Dr Turner
Your functional rhinoplasty journey begins with a personalized consultation with Dr. Turner at his Sydney clinics in Manly or Bondi Junction. During this consultation, Dr. Turner will have an open and honest discussion with you to ensure you are fully informed about your procedure, postoperative recovery process and any potential risks.
Dr. Turner conducts a minimum of two personal consultations (no patient representative) prior to surgery, providing you ample time to ask questions and address any concerns.
The consultation process is an essential step in planning a successful rhinoplasty. During your consultation, Dr Turner will conduct a comprehensive evaluation of your nasal structure to identify any structural issues that may be affecting your breathing. He will review your medical history and may perform a nasal endoscopy or review CT scans to assess internal nasal anatomy. Dr. Turner will discuss the possible benefits of functional rhinoplasty, explaining the procedure, techniques, and expected results.
Risks & Complications of Rhinoplasty Surgery
Like any surgical procedure, a functional rhinoplasty carries certain risks and potential complications. It is important for patients to be fully aware of these before deciding to undergo surgery. Dr Turner will discuss them in detail during your consultation, ensuring you have realistic expectations and a clear understanding of the potential risks.
While rhinoplasty is generally safe, it carries potential risks and complications, including:
- Bleeding or infection
- Adverse reaction to anaesthesia
- Scarring or poor wound healing
- Nasal asymmetry or dissatisfaction with aesthetic results
- Persistent nasal obstruction or breathing difficulties
- Changes in skin sensation (numbness or pain)
Recovery After Rhinoplasty Surgery
Recovery from functional rhinoplasty varies from patient to patient, but most can expect to return to normal activities within a few weeks. Immediately after the surgery, there will be some swelling, bruising, and mild discomfort around the nose and eyes. Dr. Turner will provide pain management options to ensure comfort during the initial recovery period. To support healing, it is crucial to follow all post-operative care instructions, which may include using nasal sprays, avoiding strenuous activities, and sleeping with the head elevated.
Swelling typically subsides within a few weeks, but it may take a few months for the final results to fully manifest. Regular follow-up appointments are essential, as they allow Dr. Turner to monitor your healing progress and address any concerns. Dr. Turner and his team are dedicated to guiding patients through every step of their recovery, ensuring that they achieve the best possible outcome in both function and appearance.
For a more detailed overview of the recovery process and tips to optimize your healing, please refer to our comprehensive guide on recovery after rhinoplasty surgery.
