Rhinoplasty (nose job) by Dr Mark Doyle, Specialist Plastic Surgeon
If you have never really been happy with the shape or size of your nose, you’re not alone. Many men and women avoid having photographs taken because they are unhappy with the shape of their nose. Despite reassurances from well-meaning friends and family who tell us we have nothing to worry about, the nose is a prominent feature. This means that if you’re unhappy with its appearance, no one can convince you otherwise.
At Gold Coast Plastic Surgery, we have the privilege of personally witnessing the difference rhinoplasty (a cosmetic nose job) can make to a person’s appearance.
What is Rhinoplasty?
A rhinoplasty, or a nose job, can be performed for both cosmetic and medical reasons to reshape or repair the nose. Rhinoplasty can straighten a nose, change the shape of all parts of the nose and improve breathing difficulties. This procedure can attract Medicare and Health Insurance rebates in some patients, particularly if the procedure is done to correct problems from an injury or to correct breathing issues.
Undergoing a rhinoplasty for cosmetic reasons involves improving the appearance and proportion of the nose, as well as improving a person’s self-confidence. One of the most common reasons for getting a nose job is to straighten the bridge of the nose (dorsal hump). This involves operating on the bones that give your nose its shape and structure. If you have a hump, your surgeon will shave it down. Your surgeon can also straighten and narrow the nasal bones by breaking them and repositioning them, using a technique called in-fracture.
Another form of rhinoplasty is Septorhinoplasty which is designed to correct the appearance of the nose as well as improve the way you breathe through your nose. This involves operating on the bones and cartilage that give your nose its shape and structure as well as straightening your septum. The septum refers to the cartilage and bone inside your nose that separates your nostrils.Your surgeon can refine the tip of your nose by removing some of the cartilage, as well as correct the nasal bones, as discussed above.
If you suffer from a blocked nose caused by a deviated septum, a Septoplasty may be the correction needed. This won’t change the appearance of your nose.
What to expect from a nose job
Rhinoplasty can straighten a nose, change its shape and improve breathing difficulties. This procedure can attract Medicare and health insurance rebates if certain criteria are met. If the procedure is performed to correct the impact of an injury to treat breathing difficulties, there’s a good chance that some of the costs will be covered.
Undergoing rhinoplasty will leave you with long-term results that look natural and suit your face.
Rhinoplasty Before and Afters
The rhinoplasty procedure
During your consultation, Dr Doyle uses digital imagery to give you a personal preview of the difference your new nose could make to your appearance.
Rhinoplasty is performed under general anaesthesia and normally takes 1 to 2 hours to complete.
Dr Doyle can perform closed or open rhinoplasty depending on your requirements. To perform a closed procedure, the incisions are made inside the nose. This technique is most commonly used to correct nasal cartilage and the septum. To perform open rhinoplasty, the incision is made across the small area of skin that separates the nostrils. Once the skin is lifted away from the nasal bone, it gives Dr Doyle better access to the underlying structures. Open rhinoplasty is used in more complex rhinoplasty cases.
Once the desired changes have been made, the skin is re-draped and the incisions are closed. This is a day procedure and you will have a splint on your nose that will need to be removed by our nurses at 5-7 days post-operation. You will also need someone to drive you home once you’ve been discharged.
What Types of Incisions can be used?
Two rhinoplasty incision techniques can be used, depending on your circumstances and desired outcome.
1. The first is an open rhinoplasty technique. This involves making small incisions across the tissue between the nostrils (columella). This technique is preferred when correcting a twisted or crooked nose, as well as reshaping the tip of the nose.
2. The second is a closed rhinoplasty technique. This involves making small incisions within the nostrils, without the use of external incision sites. This technique is preferred when reducing the size of a dorsal hump on the bridge of the nose, as well as when reducing the width of the nostrils.
How long will the Rhinoplasty surgery take?
Rhinoplasty is performed under general anaesthesia and normally takes 1 to 2 hours to complete. It requires a day stay in hospital.
What will my Post-op recovery be like?
You will have a splint on your nose that will need to be removed by our nurses at 5-7 days post-operation. During this time, it’s recommended you rest, ice your nose and undergo regular nasal cleaning. Normal activity can be resumed in 2 to 3 weeks. Dr Doyle will provide you with specific aftercare instructions after surgery that should be carefully followed.
What will happen during my rhinoplasty recovery?
After rhinoplasty, patients can expect swelling, bruising and discomfort for a few weeks. Patients can expect to spend 10 days to two weeks at home before returning to work. After four to six weeks you will begin to see the results approach their final appearance. It can take up to six weeks for the nasal bones to fully settle and recover. Throughout the next year, your nose will go through gradual changes before your final results will be visible. Swelling from a Rhinoplasty can last up to a year. Patience is required during rhinoplasty recovery and any activities that could harm your nose should be avoided for at least two months.
Since rhinoplasty incisions are either hidden or very small, scarring is no cause for concern.
Some precautions you will need to take after surgery include (your nurse will advise you of these):
- No nose-blowing
- No vigorous activities or exercise
- Take baths instead of showers while wearing bandages
- Don’t wear clothes that pull over your head
- Don’t rest glasses on your nose for at least a month
- Use sunscreen on your nose when you venture outside
Who is the Ideal Candidate for a Nose Job?
A nose job is suitable for both men and women of all ages, as long as the nose is fully developed. This means that surgery is appropriate from the age of 18 for males, and 16 for females.
Rhinoplasty is most successful when you’re in good general health, with firm nasal cartilage and healthy, elastic skin. While there is no recommended upper age limit on who can get a rhinoplasty, the results are generally better when performed earlier in adulthood.
Is Rhinoplasty right for you?
Surgery should never be undertaken lightly. While getting a nose job for medical reasons is—usually—an easy decision, doing it for cosmetic reasons is something which should be given careful thought.
Even though revision surgery is possible, this is the sort of procedure you want to be 100% confident is the right thing for you. You should never have cosmetic surgery to please someone else—this is arguably the worst reason to have surgery.
If you feel—for whatever reason—that rhinoplasty is going to improve the shape of your nose and you’re happy with the change, then we recommend you book a consultation with Dr Doyle at Gold Coast Plastic Surgery today.
How much does a nose job cost in the Gold Coast? – Prices and Fees for Rhinoplasty
Every nose is different and every rhinoplasty is customised. During your consultation, your specific goals and concerns will need to be discussed. Once Dr Doyle has decided on a tailored surgical approach, anaesthetist, surgeon and hospital fees will also be factored into the final cost.
You may be eligible for a Medicare rebate and coverage by Private Health Fund if your surgery meets the strict criteria.
For more information about Rhinoplasty payment plan or Rhinoplasty pricing visit the Pricing page.
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Will revision surgery be necessary?
Revision rhinoplasty is only necessary if you’re really unhappy with your results or your nose us damaged after surgery. A consultation is there to ensure Dr Doyle understands exactly what you want to achieve. He will also use this time to make recommendations based on your face shape and ensure you have realistic expectations about what can be achieved.
What about non-surgical rhinoplasty?
Non-surgical rhinoplasty is an option but the possibilities are limited. The results also won’t be as dramatic or last as long as rhinoplasty surgery. Non-surgical rhinoplasty treatments can only correct minor irregularities and won’t make a difference for those with breathing irregularities.
What are the Potential Risks Involved with Rhinoplasty?
During your pre-surgery consultation, your surgeon will thoroughly address the risks associated with rhinoplasty before arranging for you to go ahead with the surgery.
All of the usual risks associated with surgery are also a possibility with rhinoplasty. Bleeding and infection are two of the most common complications. Asymmetry and loss of sensation are some of the other less common complications. With the help of Dr Doyle and his team experienced team and by following his specific aftercare instructions, complications can be avoided.
General complications of Surgery include:
- infection of the surgical site (wound)
- blood clots
Specific complications of Rhinoplasty include:
- adhesions, where scar tissue forms deep inside your nose
- bruising and swelling
- bleeding caused by infection
- developing an abscess
- injury to nerves
- nasal obstruction
- reduced sense of smell
- cosmetic problems (usually corrected with revision surgery)
While these are uncommon, any surgical procedure comes with risk. You should always seek a second opinion before undergoing surgery.
Planning for a Nose Job
The decision to undergo Rhinoplasty surgery (nose job) isn’t an easy one to make. The surgery itself requires complexity in surgical technique and a clear vision of the desired result. There are many points to consider with the level pre-operative planning, the surgery itself, and the period of recovery that is required.
In the planning stage, you’ll need to develop realistic expectations of your nose job surgical outcome. Any surgeon is unlikely to perform rhinoplasty surgery on you if you’re seeking drastic changes that won’t suit your face. Instead of finding images online, examine your nose and determine the parts that bother you the most. Then, you’ll have a starting point of discussion to have in your pre-surgery consultation. You and your surgeon will then be able to determine the most appropriate and surgically realistic nose profile for your look. There’s a lot to know before you decide to go ahead with the surgery. Here, you’ll find a detailed guideline of things to consider, before making a major decision.
What should I do to prepare for my nose job?
Dr Doyle will take you through everything you need to know about preparing for your nose job during your consultation. If you are a smoker, it’s highly recommended that you quit for at least two weeks before and after your surgery. Smoking affects blood vessels and flow, which means it could slow down your healing. There are also specific medications and supplements that can cause excess bruising and bleeding that need to be avoided. Other preparations include arranging for someone to fetch and assist you after surgery. Preparing a comfortable recovery area and filling your prescriptions ahead of time is also advisable.
If you would like to learn more about a Rhinoplasty please contact the Clinic
To find out more about Rhinoplasty, or to book a consultation, please contact Gold Coast Plastic Surgery today.