Rhinoplasty is one the most common cosmetic surgical procedures of the face performed in Australia. A nose that is out of proportion with the surrounding face or one disfigured from trauma can have a significant impact on the aesthetic of the face and understandably, a patient’s self esteem. The goal of surgery is therefore to bring the nose back into harmony with the remainder of the face. A beautiful and well proportioned nose will then ultimately blend in with the surrounding features of the face.
The reasons for Rhinoplasty surgery can be quite varied, but broadly speaking fall into 3 categories:
1) Cosmetic Rhinoplasty – change the appearance of the nose
2) Functional Rhinoplasty – improve the function of the nose (eg. improve a blocked nose)
3) Combined – improve the appearance and function of the nose
As a Facial Plastic Surgeon and Ear Nose and Throat surgeon, Dr Cleland can comprehensively manage the form and function of your nose.
When considering if you are a suitable candidate for Rhinoplasty Dr Cleland will carefully evaluate your nose and discuss the surgical options which may be best suited to correct your area of concern. This commonly includes lowering a nasal hump, narrowing the nose, refining a bulbous or droopy nasal tip and correcting a deviated nasal septum. Other important considerations when performing Rhinoplasty include your age, skin type and the ethnic features of your nose which you may wish to preserve or alter.
Dr Cleland will take pre-operative photos and use the Vectra imaging system to create incredibly lifelike before and after 3D images of your nose and face. This is performed to help you understand the post-operative results that can be achieved. It is one thing to discuss the changes you have in mind, but it is another entirely to see those changes and further refine how you want your nose to look.
Depending on the area to be addressed Dr Cleland may enter your nose by either a closed (no external excision) or an open (small external excision under the tip of the nose) approach. The skin covering the cartilage and bony framework of the nose is then exposed and manipulated to change the shape of the nose. Where previous rhinoplasty or nasal septal surgery has been performed there is often a lack of cartilage in the nose. It is not uncommon in these cases to use cartilage taken from another area of the body such as the ear or rib to enhance the appearance and function of the nose. Sometimes other tissue grafts and synthetic materials may also be employed in specific circumstances. These important aspects of the surgery will be discussed with you in depth during your pre-operative consultation.
2-3 hours, but may be significantly longer in some cases
General anaesthetic, local anaesthesia +/- sedation for minor touch ups
Usually overnight but may be performed as a day case
1-2 weeks off work, minor residual swelling may persist for 3 to 6 months
We will see you at 1 week, 6 weeks, 3 months and 6 months or as required