Rhinoplasty Melbourne
Dr Rodrigo Teixeira performs rhinoplasty in Melbourne to address nasal structure, appearance, and breathing function. The procedure may involve modifying bone and cartilage to refine nasal contours or support airflow, depending on the patient’s anatomy and goals.
What is a Rhinoplasty (Nose Reshaping Surgery)?
Rhinoplasty, or nose reshaping surgery, is a procedure used to adjust both the form and function of the nose through subtle changes to its size, shape, or contour. It may be performed for cosmetic reasons or to address structural issues such as breathing difficulty, asymmetry, or deformity following trauma.
Medical reasons for rhinoplasty can include a deviated septum, nasal valve collapse, or longstanding obstruction. Some patients may also seek surgery following previous trauma or unsuccessful nasal procedures. Dr Teixeira has experience in addressing a wide range of concerns, from functional breathing issues to complex nasal reconstruction and aesthetic refinement.
Each nose is unique and requires a personalised approach. Surgical planning considers nasal anatomy, facial proportions, and the individual goals of the patient. Dr Teixeira performs rhinoplasty procedures in Melbourne using techniques that prioritise structure, function, and long-term stability.
Rhinoplasty Approaches
Open vs Closed Rhinoplasty
There are two main surgical approaches to rhinoplasty: open and closed. Both techniques involve carefully placed incisions to access the internal nasal structures and allow for reshaping. The choice of rhinoplasty approach depends on the goals of surgery, nasal anatomy, and the complexity of the required correction.
Closed rhinoplasty involves incisions made entirely inside the nostrils, leaving no visible external scars. This approach is typically suited to patients requiring limited adjustment of the nasal bridge or tip.
Open rhinoplasty includes the same internal incisions as the closed technique, with the addition of a small incision across the columella (the strip of skin between the nostrils). This allows for greater visualisation and precision when making changes to the cartilage and underlying structure—particularly useful in complex, revision, or tip-focused cases.
Both nose reshaping techniques have their advantages. Dr Teixeira will recommend the most appropriate method based on your specific concerns and nasal features.
Types of Rhinoplasty (Nose Reshaping Surgery)
Preservation Rhinoplasty
Preservation rhinoplasty is a surgical approach that reshapes the nose while maintaining much of its original bone and cartilage framework. Rather than removing tissue, this technique involves modifying and repositioning existing structures to achieve the desired contour. By preserving key anatomical elements, it aims to maintain nasal function and provide a natural aesthetic outcome. This method is typically suited to patients with relatively straight nasal anatomy and is not appropriate for individuals with significant deviations or complex structural issues.
Structural Rhinoplasty
Structural rhinoplasty involves reshaping the nose by modifying the underlying cartilage and bone. It allows for more nuanced adjustments to the nasal tip, bridge, and support structures, and may include repositioning or reinforcing tissues when needed. While reconstruction is necessary in some cases, such as post-trauma or secondary surgery, many patients with stable anatomy require only targeted modifications.
This is Dr Teixeira’s preferred approach in most cases due to its versatility and adaptability. It offers a wide range of options that can be tailored to address individual concerns while maintaining or improving nasal function.
Augmentation Rhinoplasty
Augmentation rhinoplasty is a technique used to increase the height or projection of the nose, particularly in patients with low nasal bridges or under-projected tips. This is more commonly sought by individuals with flat or broad nasal features, which may be related to ethnic background or individual anatomy.
The procedure involves adding volume to the nasal dorsum and tip using either implants or grafts. While synthetic implants (such as silicone or porous polyethylene) are sometimes used, Dr Teixeira generally prefers autologous cartilage grafts, typically from the patient’s rib or septum, due to their compatibility and lower risk of long-term complications. In selected cases, cadaveric (donor) cartilage may also be considered.
Revision Rhinoplasty
Not all rhinoplasty procedures result in the desired outcome on the first attempt. In some cases, patients may seek further refinement or correction. This is broadly categorised into two types: revision rhinoplasty and secondary rhinoplasty.
Revision rhinoplasty typically refers to minor adjustments following an initial procedure. These may include smoothing a small irregularity, improving tip symmetry, or making subtle changes to contour. These adjustments are usually less invasive and do not require full structural reconstruction.
Secondary rhinoplasty, on the other hand, involves a more comprehensive surgical revision. It is performed when there are structural problems, persistent functional issues, or significant cosmetic concerns. These cases often require rebuilding or reinforcing the nasal framework, using cartilage grafts, especially when support has been lost or distorted.
Secondary procedures are generally more complex due to scar tissue, altered anatomy, or limited remaining cartilage. Careful planning and realistic expectations are essential, and Dr Teixeira places strong emphasis on understanding each patient’s surgical history and goals before recommending a treatment plan.
Non-Surgical Nose Contouring
Risks and Considerations
Non-surgical nose contouring refers to the use of prescription-only substances to make temporary changes to nasal shape without surgery. In some cases, these treatments may be used to address minor surface irregularities or enhance the appearance of nasal symmetry. However, they do not modify the underlying nasal structure or improve function.
It is important to understand that non-surgical nose treatments carry specific risks. The nasal region contains critical blood vessels, and injection in this area can lead to serious complications such as vascular occlusion, tissue damage, or in rare instances, visual disturbances. There is also a risk of material migration, lumpiness, or skin changes, particularly in areas with thin or scarred tissue.
Due to the complexity of nasal anatomy and the potential risks involved, these treatments are not offered routinely at Unveil. Dr Teixeira may discuss their limitations and safety considerations during your consultation if relevant to your case.
Rhinoplasty Risks and Complications
As with any surgical procedure, rhinoplasty carries potential risks. These can vary depending on the individual’s anatomy, medical history, and the extent of the surgery. Dr Teixeira will discuss these risks in detail during your rhinoplasty consultation and provide personalised guidance to support informed decision-making and post-operative care.
Possible risks may include:
- Bleeding or hematoma (accumulation of blood under the skin)
- Infection
- Scarring (external or internal)
- Changes in skin sensation (temporary or permanent)
- Irregularities or asymmetry in shape
- Prolonged swelling or nasal stiffness
- Difficulty breathing through the nose
- Recurrence of functional or aesthetic concerns
- Changes in cartilage shape or position over time
- Unsatisfactory results requiring revision or secondary surgery
In addition, general side effects like allergic reactions, swelling, bruising, slow healing, tissue necrosis (especially in smokers) and fluid accumulation may occur.
General anaesthesia also carries a certain level of risk such as allergic reaction and breathing difficulties, although these risks are quite rare.
Following all pre- and post-operative instructions, attending follow-up appointments, and avoiding early trauma to the nose are essential steps in reducing complications and supporting a safe recovery following the nose reshaping surgery.
What to Expect During Recovery Following Surgery at Our Melbourne Clinic
Rhinoplasty is typically performed under general anaesthesia and takes approximately three hours, depending on the complexity of the case. Dr Teixeira will provide detailed post-operative instructions to help you recover safely and support your surgical outcome.
In the days following surgery, swelling, bruising, and nasal congestion are common. These symptoms usually improve gradually over the first two weeks. While most patients return to light activities within 10–14 days, residual swelling, especially around the nasal tip, may persist for several months as the tissues settle.
General recovery recommendations include:
- Keep your head elevated during rest and sleep to reduce swelling.
- Use cold compresses as directed to minimise bruising and discomfort.
- Avoid contact or pressure to the nose, including glasses resting on the bridge, for several weeks.
- Refrain from strenuous activity and heavy lifting during the early recovery period.
- Do not blow your nose and try to sneeze with your mouth open to avoid pressure on healing structures.
- Follow skincare and wound care advice as provided, avoiding unapproved products or treatments.
- Eat a balanced diet and stay hydrated to support tissue healing.
It is important to attend all scheduled follow-up appointments so Dr Teixeira can monitor your healing and address any concerns early. Final results evolve gradually, with noticeable improvements over the first 2–3 months and continued refinement up to 12 months post-surgery.
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