Facial Surgeries

Nose Job Surgery (Rhinoplasty)

Many people are unhappy with the shape of their nose. It may be something as little as a small hump on the bridge, or perhaps nasal tip that is too wide or bulbous. Then again, it may be the result of a previous injury, which has left the nose crooked and you may have difficulty breathing through one side.  

Whatever the problem, virtually all parts can be reshaped and changed in size with the help of a rhinoplasty surgeon. The hump can be removed, the tip can be made finer, the nose can be straightened and breathing improved. It is possible to make it shorter, longer or narrower, but Dr. Kohout can give the tip more definition and correct wide nostrils.

It is obviously important that you have a good idea of exactly what it is about the nose that concerns you and how you would like to see it changed. However, even if you do not, different nasal shapes can be visualised with the help of computer imaging, allowing you to communicate your concerns with your Surgeon.

Nasal reshaping surgery, or rhinoplasty, usually requires a general anaesthetic and you may stay in hospital overnight, although day surgery is often also appropriate.

Essential Information

What is rhinoplasty?

Rhinoplasty is an operation designed to change the appearance of your nose. There are several components to your nasal shape that you may wish altered in some way, such as the profile from the side view, the length or width, or the shape of the tip. Rhinoplasty, can improve the shape, size and general appearance of your nose. The goal is a nose that looks natural and achieves a harmonious balance with your other facial features. The changes you wish to achieve may require altering the bones and cartilages that make up the bones, the lining of the nasal passageways or even the skin covering. It is important to be clear about the changes you want and to agree with your surgeon on realistic goals before surgery.

Is this procedure for me?

Assuming you are in good health, there is no upper age limit for having your nose reshaped. Rhinoplasty can alter the nasal profile, change the angle between the nose and upper lip and reshape the nasal tip. Alterations can be made to decrease the nasal bridge and reduce the size of the nose. The results of rhinoplasty enhance the balance between the nose and other facial features.

Sometimes certain breathing problems related to the internal nasal structures can be corrected at the same time as nose reshaping is performed. At our Sydney clinic, Dr Mark Kohout will be able to help you determine whether these structures should be modified along with reshaping your nose, and will inform you of all costs involved.

Any of the following conditions may make you a good candidate for rhinoplasty:

  • You have a hump on the nasal bridge seen from profile.
  • Your nasal bridge is too low.
  • Your nose looks too wide seen from the front.
  • Your nose looks too small or too large for your face.
  • The nasal tip droops.
  • The nasal tip is thickened or enlarged.
  • Your nostrils are excessively flared.
  • Your nose is off-centre or crooked.
  • Previous injury has made your nose asymmetrical.
  • You have breathing difficulty because of previous injury.

Does medicare and private insurance cover rhinoplasty?

While most insurance plans will not pay for aesthetic nose reshaping, they frequently will cover surgery performed on the internal structures of the nose to improve breathing problems. Medicare and private funds also cover nasal deformities from trauma or birth defects. Your plastic surgeon can discuss this with you at the time of your consultation.

Initial consultation

It is important that you have a clear idea of how you would like your nose to look and, at the same time, realise that there are limitations to the procedure. During the initial consultation, you may be asked to point out exactly what you would like to see improved. This will help your plastic surgeon to understand your expectations and determine whether they can be realistically achieved. You will be asked about your medical history including previous operations, past and present medical conditions and current medications. In order to provide you with the best information and safest options, it is important that you give your surgeon complete information. The medical conditions that may increase risks of surgery include high blood pressure, thyroid problems, diabetes and bleeding problems. Dr. Mark Kohout may also ask whether you have difficulty breathing through your nose, suffer from allergies that may cause nasal stuffiness, or are a chronic user of nasal sprays. He will examine your internal nasal structures. Your skin quality as well as the size and shape of your nose and its relationship to your other facial features will be carefully studied. Preoperative photographs may be taken during your initial consultation or a subsequent visit. Your surgeon will discuss the details of the operation with you and the possible risks and complications associated with the procedure.

Preparation for surgery

The goal of your plastic surgeon and the staff is to make your surgical experience as easy and comfortable for you as possible. Smokers will be asked to stop smoking 3 weeks before surgery as nicotine in cigarette smoke interferes with blood circulation. Aspirin and some anti-inflammatory drugs used for the treatment of arthritis can cause bleeding, so you should avoid taking these medications for 2 weeks before surgery. Rhinoplasty may be performed on an outpatient basis. If this is the case, make certain you have someone to drive you home after surgery and to stay with you at least the first night following surgery.

The day of surgery

Your surgeon may mark your skin before the operation and if you have not already done so, you will need to sign the consent form for your operation. Your operation may be performed in a hospital or in a day surgery facility depending on the extent of the operation you need. Medications are administered for your comfort during the surgical procedure. During the anaesthetic, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.

The results of rhinoplasty enhance the balance between the nose and other facial features. Sometimes certain breathing problems related to the internal nasal structures can be corrected at the same time as nose reshaping is performed.

Maintaining a relationship with Dr. Kohout

Should there be any questions regarding Rhinoplasty be sure they are answered in advance. Well-meaning friends are not a good source of information. Find out everything before proceeding with the operation - a well-informed patient is a happy one. After surgery, you will return to Dr. Kohout's office in Sydney for follow-up care at prescribed intervals, at which time your progress can be evaluated. Post-operative photographs will form a part of the evaluation of your result. Once the immediate postoperative follow-up is complete, many surgeons encourage their patients to come back for periodic check-ups to observe and discuss the long-term results of surgery. Please remember that the relationship with Dr. Mark does not end when you leave the operating room. If you have questions or concerns during your recovery, or need additional information at a later time, you should contact us.

Rhinoplasty (nose reshaping) $5,900 This cost assumes top hospital cover with a private fund. If fund cover does not apply in your situation, plan for additional costs of around $3,000. If any internal nasal surgery is required, such as septoplasty or turbinectomy, this will carry an additional cost.

To find out more about rhinoplasty and the costs involved, please get in touch with Dr. Mark Kohout's Team at 1300 551 555.

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