Rhinoplasty Surgery

Rhinoplasty (nose job) in Melbourne

Rhinoplasty, or nose reshaping surgery, may enhance the appearance of your nose making it more proportional to your face. It involves a fine balance between reshaping the nose and maintaining or improving its function.

The nose has a fine and complex anatomy that requires a thoughtful and meticulous approach. Every nose is different and it should always be analysed in the context of the whole face, where it holds a central and relevant position. Learn more about facial analysis…

Modern rhinoplasty

Past techniques majorly focused on achieving the desired ‘look’ rather than considering the function and intricate anatomy of the nose. As a result, previous rhinoplasty surgery mostly involved tissue removal for reshaping the nose. The result? The removal of too much tissue, which risked causing scar tissue to form. The long-term consequences were also underestimated, and this often led to poor cosmetic and functional outcomes for patients later down the line.

Dr Rodrigo is a strong believer in the modern structural procedure. Modern techniques aim to preserve tissue, especially the key anatomic structures that support the nose. It  is also important to recognise the need for extra support and cartilage graft is often necessary. The focus is to retain or improve function of your nose and factor in your unique nasal anatomy whilst creating your desired look.

Dr Rodrigo Teixeira is a specialist plastic surgeon in Melbourne. His approach to facial surgery respects your identity by enhancing facial features and improving facial harmony. Above all, he aims to achieve natural beautiful results to restore your image.
See the facelift page…

Anatomy of the nasal cartilages RT
Nasal Anatomy – Cartilages

Initial Consultation

There is a lot of information easily accessible online and it can be daunting to figure out what is best for you. It is always best to set simpler and more objective plans when you start your journey. At your consultation, you will have a opportunity to learn more about Dr Rodrigo, his qualifications and facilities that he operates on in Melbourne.

When you fell comfortable, you and Dr Rodrigo can discuss your desired results and consider how to approach achieving this for you. This is particularly important, as it is at this point that he can best offer his expertise and insight into what options are available for you, and which will help you to achieve your ideal look. Dr Rodrigo Teixeira’s goal is to support you in making informed decisions which are right for you and which will have a positive impact on your life.

Cosmetic rhinoplasty

Nose reshaping surgery (cosmetic rhinoplasty) can improve the shape, size and general appearance of the nose as well as the overall balance of facial features. During your consultation it is important to have a good discussion about your nose features, what you do not like, or the aspects that you would like to enhance.

Rhinoplasty may be a good option if you feel that your nose is not in balance with your face. For instance, a big dorsal hump, a crooked nose or the tip of your nose may appear full and lack definition. Also, nose tip surgery, or tip rhinoplasty, can reshape the tip of the nose by lifting a droopy tip or making it more refined. Similarly, it is possible to perform nose reduction or nose augmentation, as well as change nasal angles, like the angle between the nose and the upper lip (nose tip lift).

Before deciding if rhinoplasty is for you, ask your surgeon to make an informed decision. Be straight forward in saying what bothers you during your consultation, good communication with your surgeon is very important. Your consultation is an opportunity to discuss possible results and find out if they match your expectations.

Rhinoplasty results

See before and after photos and have a better idea of results. Photos and simulation should not be used to predict the final result. Instead, they facilitate communication between you and your surgeon, when talking about your complaints and changes desired. Learn more about the procedure, recovery and risks involved. Preventing complications is always best, but problems can occur despite all efforts to avoid them. It happens even in the most experienced hands and rhinoplasty should not be underestimated.

Functional rhinoplasty

Very often cosmetic or reconstructive cases will present with nasal breathing issues. Those can be:

  • Nasal congestion or stuffiness
  • Nasal blockage or obstruction
  • Trouble breathing through the nose
  • Trouble sleeping
  • Unable to get enough air through the nose during exercise or exertion.

The functional surgery of the nose not only aims to correct the size, shape, proportions and symmetry, but also alter the cartilaginous framework to improve breathing. Also, septoplasty will be required if you have a deviated nasal septum (the cartilage in your nose that separates the nostrils).

Things to consider before surgery

Rhinoplasty surgery may not be for everyone. Talk to your medical practitioner and consider the following:

  • Your medical practitioner can only work with the existing bone and cartilage structure, so there are limits to how far you can alter the shape of your nose.
  • Best age for rhinoplasty – it is ideal to wait the bones of the face and nose to fully mature.
  • Rhinoplasty cost – consider the cost of treatment. Generally, cosmetic surgery does not qualify for rebates from Medicare or private health insurance companies. Also, it is important to have some extra savings available or consider hiring surgery insurance.
  • Smokers are at increased risk of complications. To decrease the risk of complications, and for your general health and wellbeing, try to quit smoking before having surgery.
  • Consider obtaining a second opinion. It is important to have as much information as possible before deciding to have rhinoplasty.

Rhinoplasty risks and complications

It partially depends on your circumstances such as your medical history, previous treatment or nose operation, the medical facility where the procedure is undertaken, the training and experience of your surgeon. In addition, there are risks with medications, anaesthetic, surgery and during recovery. Some of the general complications are allergic reactions, severe swelling, bleeding, infection and blood clots. Similarly, there are specific complications. For example: pathologic scars, asymmetries, irregularities, under and over-correction. To minimise risk and complications in rhinoplasty, it is important to have a clear surgical plan, safety checklists and good communication.

Likewise, it is important to fully comply with medical instructions, attend appointments and communicate any concerns early on.
Dr Rodrigo has been doing rhinoplasty for several years and his work speaks for itself. His revision surgery rates (having to redo surgery) are very low and he will provide you with adequate follow up and care.

During surgery

All surgery, including rhinoplasty procedure, must be performed within licensed and accredited facilities. A registered anaesthetist must be present to treat you for any adverse reaction you may have to the anaesthetic. You can check if your anaesthetist is registered by searching on the AHPRA website.

Before the procedure starts “Time out” is performed to check your id, operation details, consent, special equipment and care needed. Allergies are checked, thromboprophylaxis reviewed (to avoid blood clots) and antibiotics given.

Most commonly, you will receive general aesthetic. Dr Rodrigo will also use local anaesthetic as it reduces bleeding and medication requirement during general anaesthesia. Your nose may feel numb after surgery for a few hours.

Rhinoplasty recovery

rhinoplasty splint tape

Generally, patients will be able to go home the following day of their procedure, once they’ve fully recovered from the anaesthetic and were observed overnight. Part of your pre-surgery preparations should involve arranging assistance and transportation to get home. Dr Rodrigo also recommends having a responsible adult accompany you for up to 2 days as you recover.

Your nose may be packed with soft internal dressing and/or secured by a splint. These are for absorbing drainage and providing protection and support. Dressings stay up to 7 days post-surgery, with the splint kept in place for 1-2 weeks.

To minimise swelling, you’ll have to keep your head elevated during bed rest. As with pre-op care, please abstain from smoking, aspirin and aspirin-containing medications for two to three weeks after surgery. 

Part of investing in your rhinoplasty journey with an accredited and affiliated Specialist Plastic Surgeon like Dr Rodrigo is knowing that you’re getting a high standard level of care throughout your procedure. He and his team will be ready to support you post-surgery, giving you detailed and clear post-operative instructions, wound care and dressing changes, pain management, and long-term healing care.

Self-care after surgery

  • Report any bleeding, severe pain or unusual symptoms to your surgeon, including sudden nosebleeds.
  • Pain management – you will receive pain relief specifically designed for your treatment.
  • Wound care – apply the ointment topically as per instructions.
  • Attend your follow-up appointment.
  • Do not blow or rub your nose for a minimum of eight weeks.
  • Avoiding heavy lifting, strenuous exercise, swimming and contact sports until advised by Dr Rodrigo

Rhinoplasty revision

The final result may take up to 12 months to emerge, so it is important to wait before making any decisions about the necessity for further surgery. It is ok to discuss your concerns if you are unhappy with the result and revision rhinoplasty may be an option. Or at least, you will receive timely advice and reassurance.

Revision surgery is not always more difficult and complex. There are situations where minor adjustments may be enough to resolve the complaint. However, there will be cases where the amount of work required is even greater than the previous procedure. Despite your surgeon’s experience, the medical literature recognises that complications may occur even with the best surgical care.

Find a rhinoplasty surgeon

The best rhinoplasty surgeon is one that makes you feel comfortable and communicates well with you.  He /she should understand your complaints and be realistic about outcomes. Look for well trained surgeons that perform rhinoplasty on a consistent basis.
Check the credentials of your surgeon. There are excellent surgeons experts in rhinoplasty in Melbourne, make sure you check their qualifications.

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