Rhinoplasty Surgery

A rhinoplasty is a nose reshaping procedure. The nose is made up of skin, subcutaneous soft tissue, a muscle layer, cartilaginous support and underlying bony structure. The rhinoplasty is a unique operation as it encompasses both functional and aesthetic considerations. It is also unique because the operation is different for each person.

During your appointment, the 3-D camera will be used to analyse your face including nose, chin, and cheek proportions.

An ideal nose width is 1/5 of the facial width, and roughly 1/3 of the facial height. The dorsal aesthetic lines would be respected and there is a nose to lip angle of around 100-110 degrees in a woman and a lesser angle in men.

 

The 3-D camera will then model different possible surgery outcomes.

*the hump can be reduced or narrowed

* the bridge of the nose height can be increased

*the tip can be refined and narrowed

* the tip can be lifted

* the septum can be straightened

* the middle third can be bolstered to help with breathing

How has this operation changed?

In the 1970 and 80s, rhinoplasty was mostly a reductive operation. The focus was on narrower noses and “the ski slope” look. These may look great initially, but with time, the weak structural support led to warping of the results. Particularly the inverted “v” deformity. This sometimes resulted in a narrower airway and difficulty breathing. The focus now is much more on reconstruction of the nose. Repair of the deviated septum, building up of cartilage in the middle third to provide strong structural support and maintain longevity of the results. Newer techniques, such as onlay of a cartilage matrix, also helps the nose heal with better contour and shape. We also recognise that the inferior turbinate may need to be reduced to improve breathing.

How can I prepare for surgery?
You will need to see Dr Hadi twice. The first consult takes you through the operation as well as expected results. The second consult is at no extra cost to you and runs through things again. All risks and benefits will be discussed with you and treatment will be tailored to your needs and your body shape. When you decide to proceed, there are a few things you can do to prepare.

  • Eat healthily by avoid excessively fatty foods and foods high in sugar.
  • Stop smoking as this significantly increases complications rates. You cannot smoke for 6 weeks prior and 6 weeks after surgery.
  • Stop all blood thinners unless previously discussed with Dr Hadi. Please stop any over the counter medications that might thin the blood.
  • Shower the night before or the morning of surgery with a medicated soap. These reduce the bacteria living on the skin and there is evidence it reduces chance of infection.
  • Fast (do not eat anything) at least 6 hours prior to surgery. You will be given this time from Kareena Hospital.
How long will the operation take?
You will need to be fasted at least six hours before surgery. The operation usually takes around 4 hours and a recovery time of around two weeks. You will need to avoid heavy exercise for around one month. The operation is performed under general anaesthetic. You will be looked after by a Specialist Anaesthetist throughout your operation. Our preferred hospital is Kareena hospital.
How long will I stay in hospital?
Surgery can be day stay or overnight depending on your preference and how you feel. You will be given antibiotic tablets and pain relief tablets to take home so that you can be comfortable. You will be given Dr Hadi’s number to contact her if you have any concerns or questions post operatively.
Do I need a splint?
External splints are worn for 1-2 weeks. Sometimes additional internal nasal splints are used. These are removed one week later.
What about the sutures?
Sutures will need to be removed 1 week after surgery.
What about scar management?
Post-operatively, the wounds will be dressed, with tape. Silicone gel is then applied from two weeks post-operatively, for a few weeks. Avoid sunburn as this can cause the scar to darken. When in the sun, apply sunscreen and wear a hat.
When can I shower?
You need to keep the splint dry for 1-2 weeks until it is removed.
When can I drive?
You can usually drive one week later.
When can I go back to work?
Allow one to two weeks depending on how physically demanding your job is.
When can I exercise?
Allow 4 weeks before heavy exercise. Please protect your face from accidental injury for the first few weeks after surgery.
Best Plastic Surgical outcomes
Your part in the operation is essential. You can help achieve the best possible outcome by:

  • Do not smoke for at least six weeks after surgery.
  • Keep the nose splint in place, both external and internal if used.
  • Avoid nose blowing.
  • Keep the head elevated after surgery.
  • Sleep on your back on two pillows.
  • Avoid heavy exercise and lifting for at least 4 weeks.
  • Avoid pain killers which contain antiplatelet agents. Please check with us prior to taking medication not prescribed by us.
  • Come back for regular review as detailed in the next section to ensure your healing is progressing at each stage.
What about post-operative visits?
As a minimum, you will be seen by Dr Hadi after surgery at one week at six weeks and twelve months after surgery. This is so that you can have the best possible outcome. Please call the Swan Clinic on 9526-6885 following your surgery to ensure we have booked all your follow up appointments. As our patient at the Swan Clinic, you will be well looked after and can always count on our honesty as we always have your wellbeing in mind. Please feel free to contact us if you have further questions.