Rhinoplasty Sydney

Rhinoplasty is a procedure performed to the nose. Rhinoplasty can help with correcting, reconstructing or resizing the nose, adjusting the appearance of, or restoring the functionality of the nose.

Rhinoplasty Sydney

Rhinoplasty, often referred to as a ‘nose job,’ is a surgical procedure employed 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.

Rhinoplasty can be one of the more complicated cosmetic procedures as both functionality and aesthetics need to be addressed. Therefore, it is crucial to select an experienced surgeon to ensure the best possible outcome is achieved from the procedure.

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What concerns may Rhinoplasty help to address?

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.

Size adjustment: Rhinoplasty may be considered to modify the overall size of the nose, either increasing or decreasing it, for functional or aesthetic reasons.

Bridge modification: One potential goal of this procedure could be to address a pronounced hump on the nasal bridge, adjusting it to align better with the individual's facial proportions.

Correcting deviation: A rhinoplasty might be performed to straighten a crooked nose or deviated septum, which can have both aesthetic and functional benefits.

Nose narrowing: If the nasal bridge, nostrils or tip are significantly wide, a rhinoplasty might be considered to narrow these features.

Tip projection: The procedure can be used to modify the tip of the nose, either increasing or decreasing its projection.

Transition improvement: A rhinoplasty might be used to enhance the transition area between the nose and the upper lip for aesthetic purposes.

Breathing issues: The surgery can be performed to improve airflow and alleviate breathing issues.

Prior surgery enhancement: If a previous nasal surgery didn't provide the desired results, a rhinoplasty might be considered for further adjustment or correction.

What to expect

Consultation

The first step in the rhinoplasty process is a consultation with our skilled surgeon, Dr Zacharia. During this visit, your goals, medical history, and facial structure will be discussed. Dr Zacharia will examine your nose both externally and internally and may use computer imaging to show potential outcomes. The consultation is a perfect opportunity to address any concerns or questions you may have about the procedure.

Important Information about Consultations and Consent

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.

Preparation

Once a mutual agreement is reached on the surgical goals, you will be given specific preoperative instructions to prepare for your procedure. These may include guidelines on eating, drinking, smoking, taking or avoiding certain vitamins and medications, and washing your face.

Surgery

The rhinoplasty procedure typically takes between one to three hours and is performed under general anesthesia or local anesthesia with sedation, depending on the complexity of the surgery. Techniques used during the procedure may vary based on your needs but typically involve making incisions inside the nose or across the columella (the strip of tissue that separates the nostrils) to access the bones and cartilage that support the nose. Dr Zacharia then reshapes the nose structure to aim for the desired appearance or function.

Recovery

After surgery, you’ll be monitored in a recovery room for a few hours. Most patients can go home the same day, but sometimes an overnight hospital stay is required. A splint and/or packing may be placed inside your nose and a splint or bandages on the outside to support and protect the new structures during initial healing.

Swelling and bruising around the eyes and nose are normal and will begin to improve after the third day. Most patients feel ready to go out in public and return to work or school after a week or two.

Regular follow-up appointments will be scheduled to monitor your progress and ensure a smooth recovery. The final result of your rhinoplasty may not be apparent for a year or more, as it takes time for the nose to fully heal and settle into its new shape.

Surgery Time
1.5 to 4 hours

Hospital Time
Day stay with an option for overnight

Time off work
2 weeks

Cast Removal
After 12 days

Exercise
4 to 6 weeks

Driving
24 hours after general anaesthetic and not while taking prescribed pain relief. We also recommend checking with your CTA insurer as to the post surgery exclusion period.

Travel
After 7 days for national and 4 weeks for international

Full Recovery
18 to 24 months for final results

Considerations Before Cosmetic Surgery

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

General risks and complications of surgery include:

Substantial Hemorrhage: This involves severe blood loss from the area that underwent surgery, which may necessitate additional medical interventions.

Susceptibility to Infection: Post-surgery, the risk of infection can rise, potentially requiring either antibiotic treatment or subsequent surgical interventions.

Allergic Responses: Patients may exhibit allergic reactions to medical materials such as sutures, dressings, or antiseptic solutions used during and after the procedure.

Hematoma Formation: This involves the development of a sizable clot of blood beneath the incision site, which may necessitate medical drainage.

Post-Surgical Discomfort: Patients may experience pain, bruising, and swelling in the area surrounding the surgical site.

Scar Development: There's a risk of developing keloids or hypertrophic scars, which are elevated, red, and thickened scars over the healed incisions. Though they can be bothersome and aesthetically displeasing, they don't pose a direct health threat.

Delayed Healing Process: Healing can be sluggish, especially in patients with pre-existing conditions like diabetes or those who smoke.

Anaesthesia Risks: Patients may experience short-term nausea following general anaesthesia, along with other potential risks associated with anaesthesia.

Rhinoplasty risks and complications include:

Post-Surgical Pain: Nose surgeries can lead to severe and persistent pain that requires pain management.

Altered Sensations: After the subsidence of bruising and swelling, the nose may exhibit numbness or a changed sense of touch.

Temporary Numbness in Teeth: Following the surgery, the upper front teeth may experience temporary numbness.

Unfulfilling Cosmetic Outcome: There's a chance that the visual outcome may not meet expectations, necessitating further corrective surgery.

Impaired Olfactory Function: The sense of smell may be negatively affected, with rare instances of permanent loss or distortion.

Long-term Swelling: The nose may remain noticeably swollen for several months post-operation.

Darkened Under-eye Skin: The skin beneath the eyes may darken, persisting for more than six months after the procedure.

Structural Instability: The support structure of the nose may weaken, leading to a flattened appearance of the nose. This could also result in complications with any implanted materials, possibly causing them to protrude into the nose or through the skin, and potential narrowing of major airways that may result in difficulty breathing.

Patient Results

Before

AFTER

Before

AFTER

Before

AFTER

Before

AFTER

Disclaimer: 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.

Meet Our Rhinoplasty Surgeon

Dr Michael Zacharia

Cosmetic Surgeon & ENT Specialist

Combining the latest medical, surgical and health techniques, Dr Zacharia strives to deliver the best outcome for each and every one of his patients.

How Much Does Rhinoplasty Cost?

Your personalised quote will be prepared following an in-depth evaluation by our expert surgeon. This includes a thorough assessment of your individual needs, detailed explanation of the procedure, and a tailored approach to best achieve the desired outcomes. The quote considers various elements including surgical supplies, hospital requirements, and the specifics of the surgery itself.

Potential rebates might be available if the procedure is deemed medically necessary by relevant health authorities. Conditions for this include providing evidence supporting the medical necessity of the surgery and a referral from a healthcare professional. Your private health insurance may also provide coverage, so it’s essential to discuss this with your provider.

FAQ

The ideal candidate for Rhinoplasty surgery is someone who is in good physical and mental health. Smokers are encouraged to quit at least 2 weeks before the procedure and it is also recommended to not drink alcohol before and after surgery. This promotes proper healing and aids in avoiding complications during the procedure. Any adult male or female can apply for nose surgery, however, with younger patients, this surgery can only be performed if the skeleton of the face is over 90% developed. With younger girls, this is around 13-to-14 years of age, while boys will be considered at around 15-to-16 years of age.Our experienced rhinoplasty surgeon in Sydney, Dr Zacharia will explain what can be done to assist eligible candidates for this procedure. He will discuss the steps of the proposed surgery and the variables that may affect the procedure. Physical characteristics such as the size and shape of nasal bones and cartilage, as well as the thickness of skin, may affect the technical considerations.

The cost of Rhinoplasty surgery varies to each individual, as well as the complexity of the procedure performed. The cost will be based on specific fees for the surgeon, anaesthetic, hospital, and if applicable, charges for an overnight stay.Any surgery performed for purely aesthetic reasons will not be covered by health insurance. In cases where the procedure is considered medically necessary, such as corrections of birth defects or damage due to trauma, the procedure may be covered. It is recommended that patients discuss what will be covered by their insurers prior to booking the procedure.Book a consultation, request a quote online or contact the staff at Dr Zacharia’s rooms today.

At the consultation, Dr Zacharia will discuss the procedure, risks and limitations, costs involved, patient expectations and goals, as well as the recovery process. He will also conduct a medical examination and help the patient prepare both physically and mentally for Rhinoplasty.Dr Zacharia will then provide a checklist surgery information packet that explains everything a patient should do and know before their Rhinoplasty surgery date.

In most nasal surgeries, general anaesthesia is used. However, in some cases, local anaesthesia with intravenous sedation may be used. Dr Zacharia and his anaesthetist will assist patients in making the decision regarding which type of anaesthesia is best for their individual procedure.

All patients will have an external splint in place for 10-14 days and some will require internal splints if the septum has been operated on. Bruising and swelling are expected but are usually minimal with Dr Zacharia’s techniques, usually aided by Vitamin C IV infusion administered post-operation.

No surgery is risk free. As with all procedures, there are number of risks and complications. Understanding the risks is imperative and Dr. Michael Zacharia discusses these openly with prospective patients in the initial consultation.The chance that any of these complications may occur during the surgery or recovery is usually very small. The following is a list the most common risks that may occur, such as bleeding, infection, scarring, small burst blood vessels, etc.5-10% of Dr. Zacharia’s patients will require a minor touch-up procedure to further refine the nose. Dr. Zacharia does not usually charge for minor touch-up procedures, however there is always the hospital anaesthetic to consider.During the initial consultation, Dr. Zacharia will answer any questions and make sure the patient fully understands all possible complications involved with the surgery.

The nose undergoes significant changes in the first two weeks following Rhinoplasty surgery. The swelling gradually dissipates over the first several months and thus the appearance of the nose changes gradually. When the cast is removed after one week, the nose will look swollen.Usually by the end of the second week, the swelling and bruising have subsided enough visible signs of the operation are unnoticeable. To the patient, the nose will look swollen or “puffy” for several months. By about three to four months, the majority of the swelling will be gone, but will look larger in photographs. Bruising around the eye may be present for several weeks.

At least one week is recommended to all patients. The plastic splint on the patient’s nose will be removed after ten days or more, leaving the patient free of this obvious stigma of surgery. Mild bruising may persist under the patient’s eyes, so the patient may feel safer to take two weeks off work or school if necessary.

Anytime that the skin is cut, a scar is formed. Incision healing is dependent on several factors, including surgical technique, prevention of infection, reduction of tension, patient nutrition, as well as smoking (before or after surgery), etc.If a procedure is done with the “closed” technique, then all incisions are inside the nose, meaning no scars are created in the skin. The “open” technique will likely lead to a very small, unnoticeable scar in the skin between the patient’s nostrils. If the nostrils are narrowed, there will be fine scar on the skin.

More and more people are travelling overseas for cheaper, all-inclusive surgery. Rhinoplasty surgery is the most difficult cosmetic procedure and it takes significant time and preparations for the patient and surgeon to properly prepare themselves for such a significant surgery.The Rhinoplasty surgeon should be a nasal specialist and have performed thousands of nasal procedures, as Dr Zacharia has throughout his career. In the long run, it is usually more expensive to revise a tourist nose job, than to originally have it performed in Sydney, Australia.

It can take between 12 to 18 months for the final shape to become apparent.

Rhinoplasty Sydney

Rhinoplasty Sydney

What concerns may Rhinoplasty help to address?