A rhinoplasty procedure involves changing the shape and size of your nose to improve appearance and enhance facial harmony.
The central feature of your face demands a specialist understanding of facial anatomy and the cultural differences that the nose brings to the face. Sydney plastic surgeon Dr Eddy Dona brings the art and science to the intricacy of rhinoplasty. He employs the latest techniques to achieve natural looking results that complement your face.
In an operation where millimeters can make a dramatic difference to the final result, you can trust your most visible and defining facial feature to Sydney plastic surgeon, Dr Eddy Dona.
Dr Eddy Dona has a specialist insight into the cultural significance that the nose often has, and has expertise in managing the intricacies of such noses.
YOUR CONSULTATION WITH DR DONA
Your first visit will allow you to discuss exactly what you wish to change about your nose and expectations on the final result. Dr Eddy Dona will perform a complete evaluation of your face and nose and discuss an individualised plan to achieve your goals…… enhancing your nose and facial beauty.
Dr Dona may request a CT scan to investigate the bony structure of your nose and internal nasal airways if you have any problems with your nasal breathing or a history of nasal trauma.
COMMON PATIENT REQUESTS
Using the latest surgical techniques, your nose can be surgically altered to:
- Increase or decrease the size of the nose
- Change the shape of the tip
- Change the shape of the bridge
- Increase or decrease the span of the nostrils
- Remove a hump
- Improve symmetry
- Improve a poor relationship between the nose and upper lip
- Improve breathing
- Correct complicated nasal problems
Rhinoplasty is also used to correct any birth deformity or damage due to injury.
WILL PRIVATE HEALTH INSURANCE COVER COSTS?
Most insurance plans will not pay for aesthetic nose reshaping surgery. However if the surgery is performed due to a previous injury to the nose, or if you have problems breathing then some of the fees will be covered by Medicare and your health fund.
PREPARATION FOR SURGERY
Your complete medical history should be made aware to Dr Dona, fully disclosing all health problems. All relevant details should be disclosed when you fill out your “Patient Registration Form” and during your initial consultation.
Do not take any blood thinning medications such as; aspirin or any medicine containing aspirin, large amounts of vitamins or anti inflammatory drugs.
You should cease smoking for at least 2 weeks prior to surgery, as it increases surgical and anesthetic risks and can lead to serious complications.
The operation is performed with most incisions inside the nose. Sometimes there will be an additional incision in the narrow strip of skin between the nostrils called the columella. When this is performed, it is referred to as an “open rhinoplasty”. Ultimately any external incisions will result in a very inconspicuous scar.
THE SURGICAL TECHNIQUES
The techniques used to reshape the nose will be discussed in your evaluation based on the desired outcome you would like to achieve. A multitude of different surgical procedures can be undertaken depending on what is required.
Through the small incisions described previously, work is done on the cartilage and bone that form the structural framework of your nose.
In complicated cases, the surgery may also require the use of cartilage grafts taken from your nasal septum, ear or ribs.
Ultimately, the techniques used will depend on the problems that need correcting. Dr Dona will outline the surgical steps required to achieve your goals.
WHAT HAPPENS DURING YOUR RECOVERY?
Following surgery, you will awake in the recovery room with ice cold wet gauze covering your eyes to help control any swelling and bruising. You may be able to go home the same day of surgery, but most patients go home the following day. The first night you should aim to sleep with the head of your bed elevated and continue with ice cold wet gauze to cover the eyes..
You will have a splint placed on your nose at the end of the operation which is usually removed the following week on your follow up visit with Dr Eddy Dona. Occasionally, some packing is placed in your nose at the end of your operation, and this is usually removed before leaving the hospital.
Pain relief will be prescribed if required. You are not permitted to drive while you are taking prescription pain relief or sedatives.
The nose and the area around the eyes will be swollen and bruised sometimes resulting in “black eyes”. The amount of swelling and bruising often increases in the first two to three days and then starts to subsides. It may be difficult to breathe through the nose initially but will improve as swelling and bruising go down.
It is common to experience a little bleeding from the nose for the first few days after surgery. Do not blow your nose for at least a week after surgery, and avoid any activity that increases blood pressure for two to three weeks. Keep out of the hot sun and try not to bump or injure your nose for six weeks.
Glasses can be worn after the splint has been removed but must not exert weight onto the healing nose. Some patients tape their glasses to their forehead to avoid putting pressure on the healing tissue in the nose. Contact lenses can be worn as soon as you feel able.
WHEN CAN YOU EXPECT THE FINAL RESULTS?
The final shape of your nose will be affected by factors such as nasal bone structure, cartilage structure, shape of the face, thickness of the skin and age.
Most of the final result is evident at approximately 6 weeks post-surgery, however ongoing swelling is to be expected and the final result is achieved at approximately 1 year after surgery.
It is important to keep in mind that improvement in appearance rather than perfection is the goal of surgery.
WHAT ARE THE POSSIBLE COMPLICATIONS?
Complications are uncommon with rhinoplasty but as with any surgery, there are always involved risks and potential complications.
- Numbness to the nose or change in feeling that continues after the swelling has gone down
- Asymmetry of the nose
- Distortion to the nostrils
- Reduced sense of smell; loss of smell (very rare)
- Visible swelling that persists for weeks and sometimes months
- Loss of structural support resulting in a flattened nose and the need for further surgery
- Perforation of the septum
- Nasal airway obstruction
- An implant (if used) may extrude
- Reddening of the nasal skin caused by increased tiny blood vessels (can be treated by laser therapy in most cases)
- Eye injury (very rare)
- Persistent pain and discomfort
- Unhappy with the results necessitating further surgery to improve the outcome (up to 20%)
SOME ADDITIONAL FACTS
Chin augmentation – sometimes, to help enhance facial harmony, a chin augmentation or reshaping may be required. This can be undertaken at the same time of a rhinoplasty.
Rhinoplasty in teenagers – it is recommended that teenagers wait until their growth spurt is complete and the bones in their face are mature before undergoing the surgery. The age varies between genders and particularly if any trauma to the nose has occurred. It is important to take into consideration a teenager’s social and emotional adjustment as well as any third party pressure. Parental guidance is endorsed to ensure that the teenager has sufficient reason and maturity to decide the surgery is necessary.
Non-surgical rhinoplasty – replaces the scalpel with a needle, by injecting small amounts of dermal filler to soften, shape and even straighten an individual’s nose without resorting to invasive surgery. Not many people are aware that the majority of minor “bumps” on the nose are easily treatable – slightly building up the indentation or smoothing out any deviations, you can reshape the nose to a cosmetically appealing shape.
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