If you want to improve the shape or function of your nose, you might be considering rhinoplasty, or corrective nasal surgery. Rhinoplasty surgery can be performed for many reasons, to correct post traumatic nasal deformity, congenital deformity, to reshape features of the nose that are aesthetically displeasing or to address breathing difficulties. The objective of the operation is to produce an improved looking smoother nose but also one that you can breathe through!

It’s not just obstruction and deviation that leads to a bad airway, it is often collapse and poor angles internally and externally. Cartilage taken from humps and obstructions can be reinserted as struts and braces to stabilise so the nose looks better and works better too.

Dr Alastair Taylor FRACS

Tell me about...

  • What is involved in rhinoplasty?
  • What can I expect from rhinoplasty surgery?

What is involved in rhinoplasty?

Rhinoplasty, or corrective nasal surgery, is the medical term for nose surgery designed to reshape or repair the nose by improving the appearance and/or function of the nose. Rhinoplasty is frequently performed with a septoplasty (straightening the internal nose) and turbinectomy (improving the nasal airway). 

Changes to the nose are made by removing or shifting the underlying cartilage and bone framework. Cartilage grafts are used on every nose to either fill out contour or to support the tip and prevent it sagging. Most rhinoplasties are performed as an open operation, for a more accurate result. This allows Dr Taylor to stitch cartilage grafts in place, ensuring that they do not move or cause asymmetry. The skin of the nose, elevated from the framework during the operation, is then re-draped over the top to achieve the desired result.

No skin is removed during the operation. It can be seen, therefore, how the nature of the skin can influence the final result. Thin skin drapes well and reflects the changed underlying framework more accurately. Thick skin has more of a memory of the old nose and does not re-drape as well. Framework changes have to be more radical to accommodate this, but there is a limit as to what can be achieved before affecting the function of the nose, so some compromise may have to be made.

I like doing rhinoplasty, it is an operation with which patients are quite happy. Happiness comes from realistic expectations of what can be achieved. It’s not a matter of turning up with a picture of a nose and saying you want this one, it’s really about what your current nose will allow. A big nose can’t become a small one, tissue will not shrink that far. What I aim for is balance, with good shadow lines because noses are all about light and shade.

The objective of the operation is to produce an improved looking smoother nose with no obvious irregular shadows or light spots. The result is a great looking nose, which lasts a lifetime.

What can I expect from rhinoplasty surgery?

Large noses cannot 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. Options are discussed with patients and assisted by computer imaging as a discussion tool upon second consultation.

The rhinoplasty takes 2 to 3 hours under general anaesthetic and requires an overnight stay. You will require 2 weeks off work and up to 6 weeks before returning to normal activity.

Bruising, swelling and pain are to be expected. Taking regular oral pain medication can assist you to be more comfortable.

After your splints, plaster and sutures are removed, you will be able to breath again through your nose, though you won’t be able to blow it for another week, with full airway recovery taking 3 months.

Essential Information

Before Surgery

Referral

Obtain a Referral from your GP

Call the Clinic

Book an Appointment with Dr Taylor

Consultation

Meet with Dr Taylor and Patient Co-ordinator

Booking Surgery

Arrange Surgery and Presurgery Appointments

Pre-surgery Appointment

Meet with Dr Taylor's Nurses regarding your hospital admission

Admission to Hospital

Surgery performed under General Anaesthetic Overnight Stay

After Surgery

Discharge from Hospital

Splints and Plaster in place

1 Week Suture Removal

Appointment with Dr Taylor and his nurses Removal of Splints and Plaster Return to Driving

2 Weeks

Return to work, Resume Walking

4 Weeks

Light Exercise

6 Weeks

Appointment with Dr Taylor, Resume Normal Activities

6 Months

Final Post-op Appointment with Dr Taylor

Reshaping the nose is not just about light shadowing and proportion, it is an opportunity to improve the airway and therefore the function of the nose.

Dr Alastair Taylor

Want to know More?

Your rhinoplasty surgery will be performed at our private hospital, Sole’vita Surgery, a licensed medical hospital accredited under the National Safety and Quality Health Service (NSQHS) Standards. Sole’ vita Surgery is part of The CAPS Clinic, with all services conveniently based in the one location in Deakin, Canberra.

Our facilities include modern surgical theatres, sterilisation services and recovery areas. Our overnight rooms feature flexible privacy glass-panelling and a personal ensuite.

All of the Sole’ vita team are fully qualified and registered medical personnel, with no more than 5 patients staying at once, our patient-to-nursing-care ratio is the best in Australia.

We believe in providing an overnight stay after your rhinoplasty surgery, so that you can take your time to rest and recover.  This allows us to ensure your pain relief and any postoperative nausea is well controlled before being discharged.

Dr Alastair Taylor (MBBS, FRACS) is a highly qualified, leading plastic surgeon with over 20 years experience in plastic, aesthetic and reconstructive surgery, including breast, body, and facial rejuvenation surgery. Dr Taylor qualified as a Specialist Plastic Surgeon in 1998. He holds a Fellowship of the Royal Australasian College of Surgeons (FRACS). Learn more about Dr Taylor.

Dr Taylor leads a dedicated team of qualified health care professionals, including anaesthetic staff and nurses, who work in the Sole’vita Surgery private hospital. His team have built a reputation for quality and are committed to achieving results for our clients whilst providing personalised care, with your safety, privacy and comfort at the forefront of all work.

In some cases like previous trauma or breathing difficulties, a Rhinoplasty will attract both a Medicare and health fund rebate. Dr Taylor will assess this during your consultation.

Fees include Dr Taylors surgeon fee, Anaesthetist fee, Theatre and the Overnight Stay in Hospital costs, starting from $15,000.

  • If eligible, a Medicare Rebate of approximately $1,250 may apply.
  • If eligible, a health fund rebate of approximately $1800 – $2800 may apply.

To receive a formal quote you are required to have a consultation with Dr Taylor. The quote for the cost of your surgery is valid for 3 months. Some fees may not be included in this quote, including medications, pathology, physiotherapy and costs arising from any complications. Further information will be provided to you during your consultation.

Dr Taylor’s fee includes:

  • All pre and post operative care for up to 6 months
  • Access to our 24 hours support line
  • Pre-surgery appointment with Dr Taylor’s nurse
  • Pre-surgery kit (information, vitamins, herbal products, surgical bag)
  • Post Surgical Kit (information, products to aid recovery)
  • Scar Management Program

ANY SURGICAL OR INVASIVE PROCEDURE CARRIES RISKS. BEFORE PROCEEDING, YOU SHOULD SEEK A SECOND OPINION FROM AN APPROPRIATELY QUALIFIED HEALTH PRACTITIONER (EG. YOUR GP).

Dr Taylor will discuss the general and specific risks during your consultation, where you can ask questions and discuss any concerns you may have. Is it important that you have enough information to weigh up the benefits, risks and limitations of your surgery. You will also be provided with more information to take home and read, and discuss with your family or loved ones.

Risks specifically associated with rhinoplasty surgery may include:

  • Pain that may be severe and ongoing
  • Numbness in the nose, or altered sensation after the bruising and swelling subside. The upper front teeth may feel numb temporarily.
  • Unsatisfactory appearance of the nose, and the client may require revisional surgery
  • Sense of smell may be impaired, and in rare cases lost or distorted
  • Visible swelling of the nose that may persist for weeks or months
  • Skin under the eyes may be darkened for a period of over six months
  • Loss or weakness of the structural support, resulting in a flattened nose and need for further surgery.
  • If an implant if used, it may extrude into the nose or through the skin
  • Airway narrowing, causing difficulty in breathing through the nose or airway obstruction
  • Reddening of the nasal skin caused by increased prominence of the tiny blood vessels in the skin

Some general risks and complications of surgery may include:

  • Risks associated with general anaesthesia, including nausea. Anti-nausea medication will be administered during the operation, and as required during your recovery. Your anaesthetist will discuss specific risks related to anaesthesia with you further.
  • Pain, bruising and swelling around the incisions and operated site(s). Pain relief will be administered and steps taken to reduce bruising and swelling, including how you can manage this yourself.
  • Heavy bleeding from an operated site. In the unlikely event that blood loss during surgery has been large, a transfusion may be needed. Steps are taken during your procedure to limit bleeding. You may also be asked to reduce or stop certain medications leading up to your surgery.
  • Infection that may require treatment with antibiotics or further surgery in some cases. Antibiotics are administered during the operation to prevent this as much as possible, and wound care instructions provided before your discharge.
  • Allergic reaction to sutures, dressings, antiseptic solutions, or medications. Please notify Dr Taylor and the nursing staff of any known allergies that you may have.
  • The formation of a large blood clot, or haematoma, an accumulation of blood around the surgical site that may require drainage. It is rare that a clot can move to the lungs and become life threatening.
  • Keloids and hypertrophic scars that are raised, red and thickened scars that may form over the healed incisions. These may be itchy, annoying and unsightly but are not a threat to health.
  • Slow healing (often related to smoking or diabetes), separation of wound edges or areas of skin that do not heal and may require a skin graft.
  • Numbness around operated sites. While numbness typically subsides slowly over several months, some numbness may be permanent.

To help you prepare for your rhinoplasty surgery and enhance your recovery, we offer you a pre-surgery program to start 4 to 6 weeks prior to your surgery. This includes taking a multivitamin to aid recovery and get you back on your feet faster.  We also recommend an effective herbal medication to reduce the bruising and swelling associated with your surgery. You will also need to stop certain medications leading up to your surgery and we recommend ceasing smoking six weeks prior.

Planning for your surgery and your recovery in advance is vital. 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.  Dr Taylor insists you refrain from any major or minor physical duties and take two weeks off work. You will be provided with a discreet medical certificate to accommodate any time required off work.

On discharge from Sole’vita Surgery we recommend:

  • You have someone drive you home.
  • You have someone with you for the first day at home.
  • Do not drive a car for five days postoperatively.
  • Ensure you can rest for two weeks, getting as much sleep as possible.
  • Do not undertake activities including physical exercise, contact sport or sexual activities for six weeks post surgery. The face tends to swell fairly easily on straining and excessive exertion is not recommended.
  • Do not leave Canberra prior to staples or sutures being removed.
  • Do not fly internationally during the six week postoperative period.

After your operation, you will have dressings in place, including splints, plaster and sutures.

You will stay overnight in our Sole’vita Surgery private hospital. Dr Taylor will check on your recovery the next day, and our nursing staff will assist with your discharge, including wound care and management of your dressings, prescriptions for medications, and follow up appointments. You will be discharged with a plaster on your nose and possibly splints in your nose.

Bruising and swelling from the surgery is to be expected, and there will be discomfort. Taking regular oral pain medication can assist you to be more comfortable, and steps are taken to reduce bruising and swelling.

You are encouraged to take 2 weeks off work and plan not to be back to normal routine and activity for at least 6 weeks.

Five days after your surgery, you will come to Sole’vita Surgery to have your splints, plaster and sutures removed and your wound checked by one of our nurses.  After this, you will be able to breath again through your nose, though you won’t be able to blow it for another week, with full airway recovery taking 3 months.

You will have follow up appointments with Dr Taylor at both the 6 week and 6 month stage of your journey.

Book Your Personal Consultation with Dr Taylor

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