Nose (Rhinoplasty / Septoplasty)

Rhinoplasty (“nose job”) improves the shape of the nose. Whether you are just unhappy with the nose you were born with or your nose has been altered following an injury, rhinoplasty can subtly alter the shape of your nose to improve your overall facial balance.

How can this procedure help me?

The bony and cartilaginous skeleton underneath your facial skin dictates the shape of the nose. Rhinoplasty changes the shape of the nasal skeleton, thereby altering the exterior shape of the nose.

Rhinoplasty can address a wide range of aesthetic and functional concerns.

  • Increase or decrease the size or breadth of your nose.
  • Remove or reduce the “dorsal hump” on the bridge of your nose.
  • Change the shape of the tip of your nose.
  • Improve a crooked nose.
  • Improve breathing by correcting a deviated septum.

What can I expect in the consultation process?

The first step when you are considering nasal surgery is a consultation with Dr. Arianayagam. You should frankly discuss your goals and expectations at this consultation. Bring in any pictures of noses that you like and be ready to discuss your ideal nose size and shape.

Dr. Arianayagam will ask you a variety of questions about your current health situation, medications, allergies and any past medical treatments.

Rhinoplasty requires meticulous assessment and planning. Dr. Arianayagam will undertake a detailed and thorough examination of the internal and external structure of your nose and how it relates to your face as a whole. He will then discuss the options available and his recommendations.

If appropriate, he may photograph your nose to allow for surgical planning.

Ideally, a second consultation is had a week or two later to give you the opportunity to come back with more questions and to confirm your decision.

What does the procedure involve?

Dr. Arianayagam uses the “open” approach to rhinoplasty, a technique which has gained popularity over the last 30 years. Incisions are made inside and below the nose and the skin is then lifted to expose the nasal structure. Changes are made to the cartilage and bone depending on the agreed goals. The skin is then draped back into place and dissolvable stitches are used to close the incisions.

The procedure is performed under general anaesthesia at Baringa Private Hospital and can take up to 3 hours and often includes a night spent in hospital.

What is recovery like?

Dr. Arianayagam will provide you with detailed post-operative instructions and it is important to closely follow these to ensure the best possible results.

It takes time for the swelling to subside and the soft tissue to shrink around the altered skeleton. The change will start to be evident once the swelling subsides in 6-8 weeks, but it may take up to a year for the final shape to be revealed.

Most patients return to work within 2 weeks. You should avoid strenuous activity for at least 4 weeks.

What complications can arise from this procedure?

As with all surgical procedures, there will always be risks such as post-operative bleeding, allergic reactions, infection, deep vein thrombosis and haematoma.

There are also some risks and complications that are specific to rhinoplasty.

Altered Nasal Sensation

It is very common to have some numbness after rhinoplasty, but generally this resolves within 6-12 months.

Reduced Sense of Smell

Swelling immediately after surgery can alter your sense of smell. This usually resolves after 4-6 weeks. Permanent change is very rare.

Airway Obstruction

It is not uncommon to have post operative nasal congestion after rhinoplasty. This should resolve once the swelling completely subsides, usually within 6-8 weeks.

Asymmetry

Very occasionally nasal surgery may result in facial asymmetry.  It is important not to judge too quickly because it can take up to a year for the results of your surgery to become apparent.  However, if asymmetry remains a problem, it is possible to address this with revision surgery.

Perforation of the Septum

Very rarely the septum is perforated during rhinoplasty. This may require surgical repair.

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