Rhinoplasty

Rhinoplasty or nose reshaping is a popular surgical procedure that can enhance the aesthetics of your nose whilst also improving nasal function. This allows Dr Turner to reshape, recontour and define the nose with the purpose to remove a nasal hump, refine the nasal tip, narrow nostril width, or to correct injury, birth defects or other problems that affect breathing. 

Dr Scott Turner is a Specialist Plastic Surgeon in Sydney who specializes in both cosmetic and functional rhinoplasty surgery.

What is a Rhinoplasty

It is an intricate surgical procedure that reshapes the nasal bones and the cartilage of your nose to improve both its look and function. While rhinoplasty surgery is one of the most commonly performed aesthetic procedures, it also is considered to be one of the most technically demanding types of plastic surgery. This is why it is essential to select an experienced Plastic Surgeon who has expertise in rhinoplasty surgery. 

During your consultation, Dr Turner will discuss and create a unique plan to address your aesthetic and function concerns, as well as explain in detail the surgical procedure, recovery phase and risks associated with Rhinoplasty. Thanks to 3D imaging technology, you can get a close-up view of what your potential new nose would look like on your face to allow patients to visualize 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.

Are you suitable for a Rhinoplasty

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 and finished facial growth
  • Are medically and psychologically healthy
  • Do not smoke or vape
  • Do not drink excessive amounts of alcohol
  • Are seeking rhinoplasty for personal reasons, not pressure from others
  • Have realistic goals for the procedure and its recovery process

Benefits of a Rhinoplasty

There are many benefits of nose reshaping such as:

  • Improved symmetry of your nose
  • Improved nasal function – relieve breathing problems
  • Removal of prominent nasal hump
  • Reduced bony width at nasal bridge
  • Narrow alar flaring and nasal base width

Rhinoplasty Surgery

Rhinoplasty surgery is performed in a fully accredited private hospital with the assistance of a qualified anaesthetist. Most nose procedures require general anaesthesia and take 2 to 3 hours to perform and patients are fine to go home the same day.

Dr Turner carefully makes the incisions to gain access to your 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 cartilage under the skin that shapes the tip of the nose is 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.

When surgery is complete, sutures are placed inside the nostrils and across the columella, then  tapes and a splint is applied. The nasal splint is required for seven days to support and protect the bones while they are set in their new position. Frequently, internal silicone silicone splints are used to ensure the lining of the nose sets correctly. 

Open Or Closed Rhinoplasty

Nasal surgery can be done either open (via external incision across the mid part of the columella) or closed (no external incision). Depending on your needs and your case, Dr Turner will suggest the appropriate method for your nose surgery:

• Open rhinoplasty – The incision that starts inside your nostril and continues over the columella – the outer divide between the nostrils. This is a great approach since it lets the surgeon see the tissue they work on and, in some cases, yields better aesthetic results than closed rhinoplasty.

• Closed rhinoplasty – This relies on two incisions inside your nostrils, so there is no external scar on your columella. However, this approach is limited and not suited to most patients since the surgeon has limited access and must rely on palpation to feel some of the results during the surgery.

Different types of Rhinoplasty

Hump Reduction Rhinoplasty

Hump Reduction Rhinoplasty aims to reduce the way a larger nose can dominate the facial profile and is the most common type of rhinoplasty requested by both men and women.

Rhinoplasty Hump Reduction

 

Tip Rhinoplasty

In some patients, only modification of the nasal tip and nostrils is desired. Many complain that their nasal tip is too bulbous or boxy in appearance, over 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 while smiling.

Tip refinement sutures

Learn more about Tip Rhinoplasty

Asian Rhinoplasty 

Asian noses often have a low underprojecting dorsum or bridge with a nasal tip that is wide, flat and lacks definition.  The techniques to improve the aesthetics of Asian patients requires a different approach to caucasian rhinoplasty, often needing augmentation of the bridge, support and definition of tip cartilages and alar base reduction.

Learn more about Asian Rhinoplasty

Ethnic Rhinoplasty

The primary goal of ethnic rhinoplasty is to modify the appearance of the nose while preserving the patient’s cultural identity and maintain the ethnic characteristics of the nose. Patients of various ethnic backgrounds seek Dr Turner expertise to address concerns about their noses’ size, shape, or proportions while maintaining their unique characteristics.

Learn more about Ethnic Rhinoplasty

Alarplasty

Nostril Reduction Surgery or Alarplasty may also be performed to achieve improved nasal symmetry and facial proportions due to nostrils that are too large and/or too wide.

Alar Base - Nostril Reduction

Learn more about Nasal Base Reduction or Alarplasty Rhinoplasty

Septoplasty

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 frequently performed in conjunction with a rhinoplasty.

Septoplasty / Crooked Septum

Learn more about Septoplasty Surgery

Recovery after Rhinoplasty Surgery

At the completion of your nose surgery, Dr Turner will place a small external nasal splint on your nose which will be removed after 7 days when sutures are removed at your follow up appointment. Most patients can go home the same day and you can carefully wash your face around the external splint, just avoid getting the splint wet as it may fall off early. Once the splint is removed you can wash your nose gently.

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 Vaseline on a cotton bud. Avoid hitting or rubbing your nose and be very gentle washing your face. Bleeding on and off is normal during the first week.

Patients will have some post-operative pain, which is well 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.

While some results will be seen when the cast is removed, 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 recover as the nerve supply to the skin regenerates.

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. You can usually return to work and social life 10-14 days after surgery. You can resume light exercise by 2 weeks but refrain from more strenuous activity for 6 weeks.

Learn more about Recovery after Rhinoplasty Surgery

Risks of 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.

General risks of surgery

  • Wound infection
  • Bleeding or haematoma
  • Abnormal scarring
  • Allergies or reactions to medications, sutures or topical treatments
  • Delayed healing
  • Chronic pain & numbness

Specific Risks of Rhinoplasty Surgery

  • Prolonged visible swelling that may last for weeks & sometimes months
  • Loss of structural support and collapse of the nasal airways during breathing
  • Perforation of the nasal septum
  • Nasal breathing alterations
  • Reduced sense of smell
  • Reddening of the nasal skin
  • Bending or movement of a cartilage graft away from its ideal position
  • Deviation of the nose or septum
  • Revision surgery, some patients may need a further procedure to further improve the outcome.

The success of any surgical procedure relies on the collaborative efforts of both the surgeon and the patient. We kindly urge you to actively participate in this partnership by diligently following Dr Turner’s instructions.