Rhinoplasty, or a ‘nose job’ is an operation that aims to improve the appearance of your nose and harmonise it with the rest of your face, while preserving or improving nasal breathing. The operation can improve a nasal hump, your nasal tip and/or your nostrils, and can correct deformities due to injury or birth defects. In the right circumstances, problems that affect breathing can also be addressed.
A trained artistic approach is critical in rhinoplasty surgery as balance and proportions are more critical than in any other aspect of plastic surgery. Your nose is the most crucial feature in defining your overall appearance and it takes great skill to get this balance right. The results from rhinoplasty surgery can be amazing for your overall appearance, and flow on to your overall confidence and self-esteem.
This operation is limited to those requiring very minimal changes in specific areas. All incisions are placed inside the nostrils. As a result there are generally no external scars.
This procedure is by far the more common one performed by Dr Kumar. In addition to the incisions inside the nostrils, there is a small incision placed on the columella – the small bridge of skin between the nostrils.
This technique provides the best exposure to the underlying cartilage and bony elements of the nose and thus greater control and finesse can be used for the delicate reshaping required in rhinoplasty.
A deviated or curved nasal septum can create the appearance of a crooked nose and may change the appearance of the nasal tip. Breathing can also be affected on the deviated side. Septoplasty is often done in conjunction with a rhinoplasty to improve these features.
Rhinoplasty surgery is a highly individualised operation and should always be customised to the individual patient. Predicting which technique to use can be very complicated and may require more then one consult to get right.
During the initial consultation we use the Vectra 3D imaging and simulation software to help plan the operation. The animated models attempt to predict your likely post-operative result and appearance. While this is only a computer simulation and we may not achieve all that is visualised it serves as a great communication tool (far better then Photoshop or before-and-after images) and can help guide both the patient and the surgeon to what can be realistically achieved.
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Rhinoplasty surgery is performed under general anaesthetic as a day case, or more commonly with an overnight stay.
A splint is worn on your nose for 1-2 weeks and patients usually take this period off work.
Internal splints are also placed and these usually come out after one week. In the immediate pre- and post-operative period you will be required to flush the nose with normal saline and potentially use some anti-inflammatory creams. A detailed information pack of what you are required to do will be given to you before your surgery.
If there is any dripping or bleeding from the nose (may last up to 2 weeks) this is to be wiped only and we request that you don’t blow your nose for the first week after surgery. External stitches are removed at around five to seven days post op. Bruising is variable and most of the bruising subsides in about 3-4 weeks. Most patients report little pain after nasal surgery and the discomfort is easily controlled with simple pain medication.
While some results will be seen when the cast is removed and in the weeks that follow, it takes about a year before the final result can be fully appreciated.
After your surgery you will be advised to take a number of precautions:
Nasal appearance may change as the result of aging, sun exposure, or other unexpected circumstances and these are not related to rhinoplasty.
In a small but significant number of cases (about 10%) both the patient and surgeon may agree that the shape of the nose after six months is not quite that which was intended. A second procedure (revision rhinoplasty) may be required. This revision surgery cannot be carried out immediately as the nose has to be allowed to settle before further surgery is safe; this will be discussed with you in detail should it be
Meet the Experts
Dr Rohit Kumar is an Australian trained and fully certified cosmetic plastic and reconstructive surgeon.
Dr Kumar completed his Bachelor of Medicine and Bachelor of Surgery (MBBS) degree in 1995 at the University of Queensland. He subsequently went on to successfully complete a Masters Degree in the field of Burns Surgery in 2004 – MMedSci (Burns)
His advanced surgical training commenced in the specialty of General Surgery in which he trained for four years. This gave him a solid foundation of technical knowledge and surgical perspective upon which he then built his considerable skills, once he commenced his advanced training in Plastic and Reconstructive Surgery. The Australasian training scheme in Plastic and Reconstructive Surgery is one of the most thorough and rigorous in the world and upon successful completion of this training, over a period of ten years, Dr Kumar was awarded his Fellowship in Plastic and Reconstructive Surgery – FRACS (Plas).
He thus brings over 15 years of surgical experience to his practice having been involved in over ten thousand procedures in that time.
If you are considering rhinoplasty surgery then it is important that you are informed of the potential risks, complications and side effects of this surgery.
While all care is taken to minimise or totally avoid these complications and side effects, complications may and do occur despite the best medical care. It is important that you carefully read and understand the risk factors and they will be discussed in more detail when you have your consultation with your surgeon.
The Risks include…
- Unsatisfactory results
- Cartilage grafts
- Chronic pain
- Allergic reactions
- Delayed healing
- Nasal septal perforation
- Nasal airway alterations