Project Description

Rhinoplasty is the medical term for nose surgery. Rhinoplasty, or corrective nasal surgery is one of the most commonly performed cosmetic surgery operations. A rhinoplasty can correct post-traumatic nasal deformity, congenital nasal deformity or features of the nose that are aesthetically displeasing such as large bulbous tips or a dorsal hump. It can also help with breathing difficulties.

When considering a rhinoplasty it is helpful to be specific about the particular aspects of your nose you find most troublesome.  What don’t you like about your nose?  Too broad?, too large?, the shape – pointy, blobby, does it look bent?   As the nose is one of the main features of the face it is very important you consider how the overall appearance of the face will be affected by changing the appearance of the nose.

 

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Reshaping the nose is not just about about light shadowing
and proportion, it must also be about function!

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How It Works

Noses are all about light and shade.  The objective of the operation is to produce a better looking smoother nose with no obvious irregular shadows or light spots.  I use cartilage grafts on every nose to either fill out contour or to support the tip and prevent it sagging.  Resection of large amounts of nasal structure can be detrimental to the airway leading to airway collapse and blockage as well as the skin envelope of the nose which can’t catch up and redrape successfully over the smaller framework.  This produces a ball like tip known as a parrot beak nose.  Large noses can’t be made into small noses but frequently they can be made to look smaller with subtle reductions to some areas and additions to others, producing a more balanced nose with harmonious light shadows.  I discuss these issues with patients and then perform computer imaging as a discussion tool at a second consultation.

I do most Rhinoplasties as an open operation for a more accurate result.  It also allows me to stitch cartilage grafts in place, ensuring they don’t move later and cause asymmetry. Rhinoplasty is frequently performed with a septoplasty (straightening the internal nose) and turbinectomy (improving the nasal airway).

The result is a good nose that is natural looking which continues to look good for many years to come.

Considerations

Many surgeons perform this type of surgery in a private hospital but there are some who will operate in their own private rooms.  Hospitals should be state and federally licensed to operate, they should also have accreditation with an external body such as ISO or ACHS.  Private rooms often do not have this form of license or accreditation and therefore may not be able to provide adequate support in the case of emergency.  So the questions you should be asking are:

  • Where is the surgery performed?
  • Does the hospital hold a State Licence and is it Accredited, or will your surgery take place in the your surgeon’s rooms?  (Consulting rooms often do not have appropriate equipment or adequate drugs to handle medical emergencies).
  • Will the surgery be performed under sedation or general anaesthetic?
  • Is there a qualified anaesthetist present or is the Surgeon managing your anaesthetic as well as your surgery?
  • Are there adequate staff present to handle an emergency (either medical or environmental)?
  • Will qualified nurses be taking care of you post operatively or will you be left unsupervised as you recover from your anaesthetic?

Answeringthese questions should reassure you both the surgeon and the facility can manage any unexpected situations and significantly reduce the risk of your surgery.

The world is moving towards to ‘shorter stay’ surgery but is this really what we want as patients?  Certainly some surgeries are minor, require simple anaesthetic and minimal recovery, these surgeries are well suited to a ‘day stay’ procedure.  However the issue faced by day surguries is the ‘what if’.

  • What if the patient does not recover well from surgery?
  • What if the patient is nauseous after surgery?
  • What if the patient cannot cope with the pain of the surgery?
  • What if something happens in theatre which may delay the recovery of the patient?

Surgery should only be performed as day case if the hospital has the ability to keep the patient overnight or transfer them to a private licensed hospital.  The patient should be made aware of any costs incurred if this is required.

Some surgeons prefer to perform this surgery as a day case, at CAPS we believe in providing an overnight stay.  We want our patients to take their time to rest and recover.  It also provides us an opportunity to ensure their pain relief and post op nausea (if present) is well controlled before being discharged to the care of their family or friends. 

Dr Taylor performs Rhinoplasty procedures at Sole’vita Surgery.

Rhinoplasty Surgery takes up to 2-3 hours in theatre. Dr Taylor recommends an overnight stay in hospital, two weeks off work and six weeks of light duties ie no physical activity or contact sport (definately no BALLS!).   You will be discharged with a plaster on your nose and possibly splints in your nose.  We strongly encourage patients are discharged into the care of family or friends for at least 24 hours following surgery.

Following surgery bruising and swelling are to be expected. The presurgery program offered at CAPS will significantly reduce this but you will still need to hide away for a while.  You will be asked to return to the clinic on day 5 post op to have the splints, plaster and sutures removed.  After this you will be able to breath again through your nose although you won’t be able to blow it for another week and full airway recovery may take 3 months.

A discreet medical certificate is provided to ensure patient recovery is not compromised.

In the excitement of the surgery patients often overlook the importance of preparing for it.  What  patients do in the lead up to surgery and knowing how to plan appropriately for your recovery can make the difference between an anxious process or a more relaxed one.

Because we were frequently approached by patients who wanted to know what they could do in preparation for the surgery we put together a “pre-surgery program”.  Now seven years later we know the value of this program and offer it to our patients as part of the service we provide.

If your surgeons doesn’t offer this then you can do it yourself.  We use a multivitamin to ‘detox’ the body which aids recovery getting patients back on their feet faster.  We also use a herbal medication to reduce the bruising and swelling associated with the surgery, again we have found this to be highly effective.

Knowing what to expect is vital to the planning of your recovery.  Understanding what you can and cannot do will ensure you are not put in a position where you put yourself or the success of your surgery at risk.  All this will depend on your personal situation.  How much time do you need off work? Do you need to drive?  Do you live alone?  Do you have a family that relies on you? Do you have small children? Do you have to lift children or heavy objects in your day to day life? Do you play sport? What is going on in your life for the first six weeks after surgery?

Again answering these questions will ensure you have planned appropriately for your surgery and your recovery.

With the operation behind you, you may be feeling sore and anxious about how you will cope over the next few weeks. The best thing you can do is REST. The body cannot heal and function at the same time – that is why you need to SLEEP.

Taking regular pain medication will ensure you remain comfortable – follow the instructions given to you at discharge – DON’T BE HERO – there are no prizes for not taking it.

Results may be compromised by complications, always contact us if you;

  • are unable to cease or slow bleeding of the wound after applying pressure to the area.
  • feel any heat or increasing pain developing in your wound.
  • notice excessive swelling and bruising accompanying pain and tenderness.

Rapid intervention will reduce the chance of a complication becoming a real issue.  Ensuring you have planned appropriately for your recovery will make an enormous difference.

Most importantly – Relax and ENJOY IT.  When else are you going to get the opportunity to catch up on the latest DVD series or read that book getting dusty in the corner?

 

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Before & After Photos

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If you have questions about how Rhinoplasty surgery may benefit you, please contact us using the form below or call us on 6282 1177.

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Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner (eg. your GP).