No products in the cart.
(02) 9192 1600
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 or a mix of techniques. It may be performed on patients seeking to alter the appearance of their nose, depending on individual assessment and suitability.
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 carefully lift the nasal skin and gain direct access to the underlying bone and cartilage. The increased exposure can be beneficial in more complex cases, such as revision surgery or when significant reshaping of nasal structures is required.
Advantages of the Open Technique
Considerations
The closed technique, also known as endonasal rhinoplasty, involves making incisions inside the nostrils so there are no external incision lines. Using specialised instruments, the surgeon carefully separates the nasal skin from the underlying bone and cartilage. These structures are then reshaped in line with the surgical plan before the skin is repositioned and the incisions are closed with dissolvable sutures.
Advantages of the Closed Technique
Considerations
Ultrasonic rhinoplasty, also known as piezo rhinoplasty, is a technique that uses ultrasonic vibrations to reshape the nasal bones rather than traditional manual instruments. The approach involves using a specialised device that allows the surgeon to modify bone while aiming to minimise disruption to the surrounding soft tissue.
Each rhinoplasty procedure is tailored to the individual, taking into account their anatomy and surgical objectives. A thorough consultation with a registered and suitably qualified surgeon, such as Dr Zacharia, is important to determine the most appropriate technique for the patient’s needs and circumstances.
A tip plasty is a surgical procedure that focuses on the nasal tip. This surgery may be considered by individuals who wish to modify the shape of their nasal tip cartilage. The nasal tip can sometimes affect breathing if its shape obstructs airflow. Through surgical techniques, tip plasty aims to modify the nasal tip structure. This technique focuses specifically on the nasal tip rather than the entire nose structure.
Dorsal hump removal addresses the bridge of the nose, specifically targeting a prominent bump known as a dorsal hump. This hump, composed of bone or cartilage, creates a convex profile. During the procedure, the surgeon removes or modifies the tissue to change the nasal bridge structure. This modification can alter the side profile and the nose's relationship with other facial features. Patients may choose this surgery for various personal reasons, and it can be combined with other rhinoplasty techniques.
For individuals concerned about the width or flare of their nostrils, alar base reduction is a surgical procedure that involves removing small sections of tissue from the area where the nostrils connect to the cheeks, narrowing the nostril base. This procedure modifies the nostril shape and can alter the nostril size and contour without affecting other nasal structures. This technique can be performed alone or combined with other rhinoplasty procedures, depending on the patient's objectives.
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 alter 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 substantial experience in carrying out this type of procedure. Dr Michael Zacharia is a registered medical practitioner who specialises in cosmetic and functional rhinoplasty, with over twenty-five years of experience performing rhinoplasty in Sydney. He has completed over 4,500 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