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Rhinoplasty, often referred to as a nose job, is a highly personalised surgical procedure that is used to rectify or remodel the structure of the nose. It may be undertaken for aesthetic purposes to alter the nose's appearance and proportion. In addition to cosmetic enhancements, rhinoplasty is also utilised to address functional issues, such as difficulties in breathing, which stem from structural anomalies within the nasal framework.
Functional rhinoplasty is performed to improve nasal function, particularly breathing. It addresses structural issues such as a deviated septum, nasal valve collapse, or enlarged turbinates. This procedure can be combined with cosmetic changes to enhance both form and function.
Cosmetic rhinoplasty involves adding volume to certain areas of the nose using cartilage grafts, implants, or fillers. It is often performed on patients with a flat or under-projected nasal bridge and can help create a more balanced and harmonious facial appearance.
Rhinoplasty can be performed using two primary surgical approaches: the Open Technique and the Closed Technique. Each method offers distinct advantages and is selected based on the patient's unique nasal anatomy, desired outcomes, and the complexity of the surgery. By understanding these techniques, patients in Sydney and beyond can feel more confident in discussing their options with a qualified rhinoplasty surgeon. Dr Zacharia uses the closed technique in over 90% of cases.
The Open Technique, also known as external rhinoplasty, involves making a small incision across the columella which is the narrow strip of skin separating the nostrils. This incision allows the surgeon to lift the skin and gain direct access to the underlying bone and cartilage. The increased exposure makes this approach particularly valuable for complex cases, such as revision rhinoplasty (correcting previous nose surgeries) or when significant reshaping is required.
Advantages of the Open Technique
Considerations
The Closed Technique, or endonasal rhinoplasty, involves making all incisions inside the nostrils, leaving no visible external scars. Specialised instruments are used to gently separate the skin from the underlying bone and cartilage, which are then sculpted to achieve the desired shape. The skin is re-draped over the new framework, and dissolvable sutures close the incisions seamlessly.
Advantages of the Closed Technique
Considerations
The Closed Technique appeals to Sydney patients who value minimal invasiveness and a scar-free outcome, making it a popular choice for straightforward rhinoplasty procedures.
Ultrasonic rhinoplasty, also technically known as a piezo rhinoplasty is a new form of rhinoplasty which avoids a hammer and chisel technique to reshape the nasal bones. It provides more precision and reduces the inadvertent trauma and soft tissue damage which can occur in traditional rhinoplasty techniques.
Each type of rhinoplasty procedure requires a customised approach based on the patient’s individual anatomy and goals. A thorough consultation with a qualified and experienced surgeon like Dr Zacharia is essential to determine the most appropriate technique and achieve optimal results.
A tip plasty is a precise procedure that focuses exclusively on the nasal tip, making it an excellent choice for those who are content with the overall structure of their nose but seek improvement in this specific area. This surgery is often sought by individuals with a bulbous, drooping, or asymmetrical tip, as it reshapes the cartilage to create a more defined and balanced look. Beyond aesthetics, the nasal tip can sometimes affect breathing if its shape obstructs airflow. Through careful contouring, tip plasty can alleviate such issues, improving nasal function while enhancing the nose’s appearance. Compared to a full rhinoplasty, this technique is less extensive, often leading to a shorter recovery period. It appeals to those desiring subtle changes with noticeable impact, such as nasal tip refinement, without altering the entire nose.
Dorsal hump removal targets the bridge of the nose, specifically addressing a prominent bump known as a dorsal hump. This hump, typically composed of excess bone or cartilage, can create a convex profile that some find distracting or disproportionate to their facial features. During the procedure, the surgeon carefully removes or reshapes the excess tissue to achieve a straighter, smoother nasal bridge. This adjustment can significantly enhance the side profile, bringing the nose into better harmony with the rest of the face. Many patients opt for this surgery to correct a feature that has long caused self-consciousness, though it can also be combined with other rhinoplasty techniques for a more comprehensive result. Dorsal hump removal stands out as a common request in nose surgery due to its ability to create a more streamlined appearance.
For individuals concerned about the width or flare of their nostrils, alar base reduction provides a focused solution. This procedure involves removing small sections of tissue from the area where the nostrils connect to the cheeks, effectively narrowing the nostril base. The outcome is a more proportionate and refined nostril shape, which can enhance facial symmetry and balance. It is particularly helpful for those who feel their nostrils appear too wide or flare excessively during expressions like smiling. By adjusting the nostril size and contour, alar base reduction offers a subtle yet impactful improvement without affecting other nasal structures. This technique can stand alone or complement other rhinoplasty procedures, depending on the patient’s overall objectives, making it a versatile option for nostril reduction.
It’s important to remember that every individual is unique and so too are their needs and desired outcomes for cosmetic surgery. If you’re considering a procedure, it’s essential to have a comprehensive consultation with one of our experienced surgeons. They can help you understand whether you’re a suitable candidate and what you can realistically expect from the surgery. The information provided here is meant to help guide you, but it’s not a replacement for professional medical advice. Always organise a consultation for personalised advice.
If you are concerned about the way you look or are thinking about cosmetic surgery for confidence reasons, there are alternatives. Talking to a counsellor or psychologist may help you overcome your concerns about your appearance.
Photographs shown above are actual patients from our clinic, who have given their consent for the use of their images purely for informational purposes. It is important to note that the results observed are subjective, and will differ based on each individual’s unique characteristics and the specific surgical or non-surgical techniques implemented. As with all procedures, both surgical and non-surgical, there are inherent risks involved.
Despite our efforts to maintain standardisation in our before and after photos, certain inconsistencies, such as differences in lighting, posture, facial expression, hairstyle, and make-up, may still exist between images. For a more comprehensive understanding of potential results, additional surgical result photographs can be viewed during a private consultation at our clinic located in Double Bay, NSW.
Additionally, we wish to emphasise that individual outcomes can greatly differ. The results experienced by one person should not be viewed as an exact indication of the results that others may experience. Such variations are due to a multitude of factors, including an individual’s genetics, diet, and exercise regimen.
All photos are watermarked and hold the copyright of Dr Zacharia. Any unauthorised usage or distribution is strictly prohibited.
Number and type of consultation
It is a requirement under the law, that a patient seeking cosmetic surgery must have at least two pre-operative consultations. The patient’s first consultation must be with the medical practitioner who will perform the surgery or another registered health practitioner who works with the medical practitioner who will perform the surgery (not a patient advisor or an agent). At least one of the two consultations must be in person with the medical practitioner who will perform the surgery. Other consultations can be in person or by video.
When consent can be given
A patient must not be requested to sign consent forms at their first consultation and cannot consent to cosmetic surgery until they have had an in-person consultation with the medical practitioner who will perform the surgery. The decision to have the surgery (provision of informed consent) must be made at a consultation with the medical practitioner who will perform the procedure (in person or by video).
Cooling-off Period
There must be a cooling-off period of at least seven days after the patient has had two consultations and given informed consent (signed consent forms), before the surgery can be booked or a deposit paid.
The cost of rhinoplasty in Sydney varies depending on the complexity of the procedure and the surgeon’s experience. Typically, prices range from $16,500 to $27,000 for a functional rhinoplasty, which may involve reshaping the nasal dorsum, refining the tip, or correcting a deviated septum. More complex cases, such as revision rhinoplasty, can cost between $20,000 and $45,000. For specific procedures like tip rhinoplasty, you might expect around $15,000 - $18,000.
These costs generally include:
If the surgery addresses functional issues like breathing difficulties, you may be eligible for Medicare or private health insurance rebates. For an accurate quote, a consultation with your surgeon is recommended.
Yes, Medicare rebates may be available for Rhinoplasty if the procedure is deemed medically necessary by relevant health authorities. This typically applies to procedures that address functional issues, such as breathing difficulties, rather than those performed solely for cosmetic purposes. Specific Medicare item numbers are assigned to medically necessary Rhinoplasty procedures, making them eligible for rebates. To confirm if your procedure qualifies, consult with our clinic and check Medicare guidelines.
Rhinoplasty Medicare Benefits Schedule
Rhinoplasty could be a good fit if you want to enhance the appearance of your nose or resolve functional problems like breathing difficulties. Common cosmetic goals include:
Functionally, it can fix issues like a deviated septum that obstructs airflow. However, it’s important to have realistic expectations—rhinoplasty can improve your nose’s look and function, but it won’t transform you into someone else or solve unrelated personal issues. A consultation with a skilled surgeon can help you decide if it aligns with your goals.
You might be a good candidate for rhinoplasty if you:
Smokers should plan to quit at least two weeks before surgery to support healing. You should also be free of medical conditions that could impair recovery or increase risks. If you’ve had prior nasal surgery or have specific concerns, discuss these with your surgeon during a consultation to confirm suitability.
Recovery takes several weeks. After surgery, you’ll wear a nasal splint (and possibly internal splints for septoplasty) for about a week. Swelling and bruising around the eyes are normal and may last up to two weeks. Most patients return to work or school within 1-2 weeks, but avoid strenuous activities for 3-4 weeks. Full healing, including subtle swelling reduction, can take up to a year. During early recovery, refrain from wearing glasses or anything that might bump your nose.
Rhinoplasty, like any surgery, has potential risks, including:
There’s also a 5-10% chance of needing revision surgery due to aesthetic or functional issues. Choosing an experienced surgeon reduces these risks. Follow all pre- and post-operative instructions to optimise your outcome.
Rhinoplasty results are generally permanent, as the surgery reshapes the nose’s bone and cartilage. However, natural aging may cause minor changes over time, and factors like injury or weight changes could affect the appearance. Protect your nose and maintain a stable lifestyle to preserve your results.
Rhinoplasty comes in various forms based on your needs:
Choosing the right Rhinoplasty surgeon is an important decision and it's recommended you find a surgeon you are comfortable with. This procedure should be done by a reputable and registered medical practitioner who is specially trained to perform rhinoplasty and has a lot of experience in carrying out this type of procedure. Dr Michael Zacharia is Sydney's leading cosmetic and functional rhinoplasty surgeon with over twenty-five years of experience performing rhinoplasty in Sydney. He has also completed over 4,500 successful rhinoplasty procedures and is a registered Ear, Nose and Throat (ENT) surgeon.
Find out if your medical practitioner is registered with the Board by searching on the AHPRA website.
While we aim to provide accurate information about the different surgical procedures available, it’s important to understand that the content provided here serves as a general guide only. The specifics of each surgery, including the procedure detailed above, can and will vary significantly from person to person, depending on their unique circumstances and physical characteristics.
Undergoing cosmetic surgery is a serious decision that requires ample thought, careful consideration, and meticulous planning. It should never be taken lightly or treated trivially, as it can have profound impacts on one’s lifestyle and wellbeing.
Recovery from cosmetic surgery, too, requires time, support, and proper aftercare. We strive to present realistic and transparent information about the recovery process, but individual experiences may vary. It is typical for recovery to involve certain services or requirements, such as the use of compression garments or receiving therapeutic massages. It also often necessitates significant lifestyle changes, which may include a period of absence from employment and temporary restrictions on certain activities.
In light of these considerations, we strongly encourage potential patients to engage in comprehensive discussions with their GP and our surgeons. The goal is to fully understand the implications, requirements, and likely outcomes of any chosen procedure, and to make informed decisions about their health and aesthetics.
For more information on preparing for cosmetic surgery visit health.gov.au/cosmeticsurgery