Procedures

Sydney Plastic Surgery

Face Surgery


Rhinoplasty


Also known as a nose job, rhinoplasty is one of the most popular plastic surgeries in the world. The procedure can be done to reduce, widen, narrow, straighten, or reshape your nose.

Not only can rhinoplasty improve the look of your nose, it can also improve your breathing by correcting the bones and the cartilage. Whether you want to fix an injury, improve your breathing, or just get a new look, a nose job can transform your life.

Nose and Chin Combo - Animation - ppt

 

Benefits of Rhinoplasty Surgery

Rhinoplasty surgery is one of Dr Turner’s most challenging and rewarding procedures. Some of the many benefits of rhinoplasty surgery include:

  • Balance the size of the nose with other facial features
  • Modify the width of the nose at the bridge (bony)
  • Improve the nasal profile (side view)
  • Reduce dorsal humps or bony irregularities
  • Contour a nasal tip that is too large, boxy, drooping, or upturned
  • Change the angle between the nose and the lips
  • Correct asymmetry or deviations
  • Fix a deviated septum
  • Narrow and reshape the nostrils
  • Improve breathing problems

Ideal Candidate for Rhinoplasty

The best candidates for a rhinoplasty are non-smokers who are close to their ideal weight and in good general health.

Due to high risk and unpredictable results, Dr Turner does not perform any type of surgery on smokers or patients with a body mass index (BMI) greater than 30. If you want to have a procedure done, it is essential to lose weight in advance and commit to not using any nicotine (including gum, patches, and vaping) for at least six weeks before and 12 weeks after your operation.

What to Expect from a Rhinoplasty

The goal of rhinoplasty is to create a natural looking nose that functions well and is in harmony with the rest of the face. Dr Turner will work with you to create optimal results.

It is important to understand that certain factors create limitations to your rhinoplasty. Tissue healing, skin thickness, previous injury, and facial contours all play a role in your results. Each person’s facial features are unique and everyone’s results will be slightly different.

When you visit our Sydney clinic, Dr Turner will discuss the potential results with you and use state-of-the-art computer imaging technology to show you exactly what to expect. If you have been dealing with chronic sinus problems, Dr Turner will do a CT scan of your sinuses to create a treatment plan to manage your symptoms and provide relief.

Prior to your procedure, you will arrive at a private Sydney hospital and be given general anaesthesia. During your operation, the doctor will make the necessary incisions then remove excess bone and cartilage. If it’s necessary to straighten your nose or make it narrower, nasal bones will be cut. After rectifying the framework of your nose, the skin will be positioned over your nose. After the procedure, a small splint is placed on the nose.

Depending on your particular case, Dr Turner may recommend a range of different options.

Open vs Closed

In a closed rhinoplasty surgery, also known as an endonasal rhinoplasty, all incisions are done inside of the nostrils. This means there are no external scars. This type of procedure is done when there is an obstruction in your nasal airway or when there is an aesthetic need to change the internal shape. While this can be a good option for a small number of situations, it has a very limited scope.

If incisions are needed both inside of the nostril and outside of them, an open rhinoplasty surgery is done. Most surgeons prefer the open method because it allows access to the bony part of the nose as well as the underlying cartilage. This enables the doctor to access every element and make highly delicate changes

Open rhinoplasty is often done for major augmentations, complex nasal deformity corrections, revision rhinoplasty, nasal tumour excision, internal nasal valve dysfunction treatment, nasal tip modification, repair of septal perforations, and non-Caucasian rhinoplasty.

Reduction Rhinoplasty

The most common type of rhinoplasty, it’s incredibly common to see men and women looking to reduce the size of their nose. A reduction rhinoplasty can transform your look at enhance your self-esteem.

To create a balanced look, many reduction rhinoplasty patients often opt to have a chin augmentation done at the same time to balance the look of the nose.

Tip Rhinoplasty

Many people find that they don’t need a full change but simply an adjustment to their nasal tip and nostrils. Whether your nose is bulbous, wide, turned up, or has some other feature that you don’t like, this can be a good solution.

This method can be used alone or in combination with other methods to create your ideal nose shape.

Structured Rhinoplasty Surgery

This procedure is focused on restoring the support of your nasal framework while changing the contour of it. This is a method of reducing the size of a nose while creating a strong support structure.

Revision Rhinoplasty

There are any number of reasons why a person may need to undergo a second rhinoplasty. Whether you have injured yourself since the first procedure of just aren’t happy with the results, Dr Turner can give you the results you have always wanted.

Whether it’s a minor fix or a major overhaul, a revision rhinoplasty can be transformative. When you visit our Sydney clinic, Dr Turner will create a completely customised treatment plan for you and your unique needs.

Septoplasty

Did you know that nearly 80% of people have some amount of displacement of their septum? If you have trouble breathing or experience excessive dryness and nosebleeds, a septoplasty could change your life.

If you have a nasal blockage that causes breathing or sinus problems, you may need a septoplasty. In this procedure, your septum is reconstructed. Dislocated septums can be put back in the correct place to improve the look of your nose and resolve any physical issues

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 done in conjunction with a rhinoplasty.

A septoplasty may also be performed when extra cartilage is required during a rhinoplasty to help strengthen the cartilage structure of the nose to maintain its shape and prevent collapse.

Augmentation Rhinoplasty (Ethnic Rhinoplasty)

An augmentation rhinoplasty is typically customised to suit different ethnicities. This means creating your ideal look while maintaining your unique features.

Typically, an augmentation rhinoplasty procedure is done by increasing the projection of the bridge and tip of your nose. If you have soft nose cartilage, this can increase the length of your nose and reduce the width.

While your rhinoplasty will be customised to you and your unique needs, there are a range of treatments that have been designed to work with the features of each ethnicity.

Generally, Caucasians are looking to get a reduction in the size of their nose. Asians are often looking for augmentations, rather than reductions, that add length to their noses. In the majority of revision rhinoplasties, extra material is needed for constructing the shape. In these cases, the doctor will use your own cartilage from your ears, ribs, or septum.

People of African decent often have a flat nasal bridge with a wide tip. In these cases, an augmentation rhinoplasty can create length and reduce width.

Those of Hispanic and Mediterranean decent often have a dorsal hump, which can be removed from augmentation rhinoplasty while having the tip narrowed and elevated.

With a Middle Eastern background, people often have a narrow nose with a sharp definition. An augmentation rhinoplasty can work with the lack of soft tissue.

Your Consultation with Dr Turner

Your rhinoplasty consultation begins with a personal one-on-one consultation with Dr Turner at his Sydney clinic to discuss your operation, your expectations, and your concerns.

Since a rhinoplasty is a highly customisable process, Dr Turner will talk to you about your goals and recommend a range of different options that could work for you.

During this consultation, Dr Turner and his staff will:

  • Review the rhinoplasty surgery with you
  • Clearly discuss the potential risks of the procedure
  • Outline in detail how the surgery is performed
  • Explain what you can expect before, during, and after the procedure
  • Provide detailed cost and payment information
  • Answer all your questions

The first step to getting a rhinoplasty surgery is coming in for a consultation. We understand that this is a big step for many people and we aim to make the process as simple and comfortable as possible. When you are ready to talk about having a procedure, our Sydney office will schedule a rhinoplasty consultation to discuss every detail of the procedure. It is a no-commitment, informal conversation that will leave you informed and ready to make a decision about moving forward.

At our Sydney clinic, we use the latest 3D imaging technology to help you see what changes are realistic and achievable. These simulations will let you know exactly what to expect from your procedure.

Frequently Asked Questions

What scars will I have after rhinoplasty?

During an open rhinoplasty procedure, an incision will be made on the skin bridge between the nostrils. This line will become virtually invisible once fully healed. If an alar reduction is also performed during your surgery, then one more incision will be placed in the groove between the alar and the cheek.

Will I get black eyes after my nose job?

As part of the rhinoplasty surgery, Dr Turner may need to alter the position of the nasal bones to reshape your nose. This is done by creating a controlled break or osteotomy in the nasal bones. Because of this, it is normal to have to get black eyes. It’s important to realise that this is temporary and nothing to worry about.

Do I need to have a splint?

After the operation is completed, an external splint is applied to the nose to maintain its new position and help control swelling. You’ll need to wear this for the first 10-14 days after your procedure. Depending on your procedure, you may also need an internal nasal splint to maintain the position of the septum and prevent bleeding. This will only need to be worn for five days.

Once your nose is healed, you’ll return to Dr Turner’s Sydney clinic to have skin coloured tape applied. You will need to wear this for six weeks.

When is the best age for a nose job?

While there is no age restriction for undergoing a rhinoplasty surgery, it is generally recommended that women wait until age 16 while men wait until they’re 18 years old. Because your facial features are still developing prior to this time, it’s better to wait. An important part of a rhinoplasty is creating balance in all of your facial features and that’s just not possible before your facial structure is fully developed.

When can I return to work after my rhinoplasty?

Most people return to school or work two weeks after the procedure. During the first two weeks, you will have a splint on your nose. If you wear glasses, you’ll need to switch to contacts for the first six weeks or plan to tape your glasses up to your forehead. The bridge of your nose won’t be able to handle any weight so you’ll need to plan in advance.

When will I be able to exercise again?

You can do light exercise again two weeks after your rhinoplasty surgery. After six weeks, you’ll be able to go back to high intensity workouts. It’s important to remember that too much activity can cause swelling post-surgery so you’ll need to take things slowly.

How long does it take for the swelling to settle?

Swelling is standard after a nose job, especially with an open rhinoplasty. The majority of the swelling will go down within the first six weeks, with minor swelling lasting up to one year. If you have oily skin, you’ll be more prone to swelling. It’s can also be more problematic for men and those having revision rhinoplasty. During the recovery period, Dr Turner can inject a small dose of steroids into your nose to reduce swelling more quickly.

Is a nose job painful?

You will be prescribed pain medication for the first three or four days. These initial few days after surgery are the most painful, especially when you are moving around or coughing. After this time, you’ll be more comfortable and need nothing more than an over-the-counter pain reliever.

Can I have a non-surgical rhinoplasty?

A non-surgical nose job can be done via a few small injections of dermal fillers around the nose area. This can reshape your nose in less than 30 minutes with minimal downtime. It is a safe and effective treatment the will give you results for up to 24 months. By adding dermal fillers, you can gloss over small bumps and other minor irregularities.

Does Medicare cover the cost of a rhinoplasty surgery?

In certain circumstances, as specified by Medicare Item Number 45638/41671. Some of your procedure may also be covered by your private health insurance. This is only available for patients with functional breathing concerns or following a trauma that has altered your nasal shape.

Will I need to have a revision rhinoplasty or touch-up?

Rhinoplasty is an incredibly complicated procedure and, if the nose swells during the operation, there is a chance you may need to have some post-surgery touch-ups. About 15 percent of rhinoplasty operations require touch-up procedures.

If the issue is minor, this can be adjusted just using dermal fillers. This can be done at our Sydney clinic under local anaesthesia.

What are the risks associated with rhinoplasty?

Before you decide to have any procedure, it’s essential that you understand all of the risks. While Dr Turner will make every effort to minimise the risks, complications can happen even under ideal conditions.

The following are possible issues:

  • Postoperative nose bleeds
  • Cartilage grafts (donor sites – additional scars)
  • Asymmetry
  • Nasal septal perforation
  • Nasal airway alterations
  • Bleeding or haematoma
  • Postoperative infection
  • Poor Scarring including keloid scars
  • Numbness
  • Chronic pain
  • Unsatisfactory results
  • Revision Surgery

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