Often referred to as a “nose job”, rhinoplasty is one of the most common operations in plastic surgery. Being such an important facial feature in terms of breathing function and physical appearance, nose surgery can be a life-changing operation for many people.
A rhinoplasty procedure involves repairing or reshaping the nose cartilage and bone to achieve a change in size or shape for either medical or cosmetic reasons, or both. Changes in appearance may include straightening and or reducing the bridge of the nose, reducing nostril size, correcting nose width and reshaping the nose tip.
Dr Avery has over a decade of experience in plastic surgery and has been performing rhinoplasty in Newcastle since 2013.
Every rhinoplasty procedure is highly personalised, with skill and delicacy needed to create a nose which not only functions as it should, but fits well in proportion to the patient’s other facial features.
A rhinoplasty is performed under a general anaesthetic, with local anaesthetic used to help with post-operative pain relief. An incision will be made on the underside of the nose in the bridge of skin between the nostrils known as the columella, this generally heals very well to be imperceptible at a conversational distance. Further incisions are made inside the nostrils, separating the skin from the bone and cartilage.
There are several techniques that may be used for reshaping in nose surgery, depending on the original condition of the nose and the desired outcome.
Additional cartilage may be removed from the ear or deep within the nose (the nasal septum) to replace damaged tissue. In some cases, cartilage from a rib, an implant or bone graft may be necessary to repair severe damage.
All rhinoplasty procedures are performed in an accredited hospital, with appropriately trained support staff and anaesthetist. A rhinoplasty can be performed as a day procedure however Dr Avery will generally have you stay one night in hospital. The surgery will often take between 2-3 hours and can be combined with other procedures as appropriate.
During your initial consultation, Dr Avery will assess your relevant medical history and before going any further, ensure that a rhinoplasty procedure is a safe and appropriate choice for you.
Some people choose rhinoplasty purely to address breathing difficulties, while others simply wish to change their physical appearance. Whatever your motivations are, our goal for every patient is to create a nose that not only looks appropriate for the person’s face, but also works appropriately.
Whether you are considering nose surgery for cosmetic or health-related reasons, book a consultation with Dr Avery and together you can discuss the different options available, developing a personalised treatment plan.
As with any operation, the patient will need to organise somebody to drive them home and it is recommended that they have another adult stay with them during the first night after surgery.
Patients may return to work and normal activities within 1–2 weeks after nose surgery, depending on the complexity of the procedure. Blowing your nose, excessive chewing, swimming, and other sports that might damage the nose are not recommended until the nose has completely healed.
There will be some bruising, swelling, occasional bleeding, and drainage which generally subsides about 2 weeks after the operation. Patients recovering from nose surgery will be required to wear a splint and/or nasal packs to provide septum support and help the nose retain its shape while healing. An immediate change is usually evident but the final appearance of the nose may take up to 18 months to be seen particularly at the nasal tip where swelling takes longest to resolve.
A customised pain relief program will be created for each patient and issued before leaving the hospital. If circumstances change at any stage during the recovery period, then the pain medication can certainly be adjusted accordingly.
Scars from nose surgery are generally not visible, as most incisions are made from the inside of the nose. A small incision will be made at the base of the nose in more complicated procedures. Visible scars can vary depending on the complexity of the rhinoplasty and how well your skin copes with scarring.
Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner. Dr Avery is a member of the two leading professional associations for plastic surgeons in Australia, ASAPS and ASPS. Their websites provide additional information regarding plastic surgery in Australia that you might find useful, please visit ASAPS and ASPS.