What you must know about Rhinoplasty

We also notice the nose more than any other feature on someone’s face. The nose is located in the middle of our face. It is the beginning of the external respiratory system which helps us breathe. That’s why it’s important to know about the different parts of your nose. You might want to change how your nose looks, but you should also understand it better.

Not every person needs the same type of surgery on their nose. Rhinoplasty surgery is customised for each patient, depending on what they need. Sometimes the surgery is done through cuts inside the nose, or sometimes it is done through cuts in less noticeable locations on the outside of the nose. If you need to improve your breathing through your nose, this can be done at the same time as your rhinoplasty surgery.

People who want to improve the appearance of their nose, are good candidates for rhinoplasty surgery. In order to have this surgery, you must be in good health and psychologically stable. This surgery can also be done with other surgeries.

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Alternative Treatments

Alternative forms of management consist of not undergoing rhinoplasty surgery.  Certain internal nasal airway disorders may not require surgery on the exterior of the nose.  Risks and potential complications are associated with alternative forms of treatment that involve surgery such as septoplasty to correct nasal airway disorders

What’s normal after your rhinoplasty surgery

Bruising and swelling of the nose, as well as bruising and swelling around the eyelids occur to some extent with all surgery. An altered sensation of the nasal tip is common and takes months to improve. There may be temporary numbness of the lip and central teeth. Swelling of the nasal lining causes some obstruction, particularly in the first two weeks following surgery. The nose should not be forcibly blown for one month after surgery (it is safe to sniff). Irregularities along the bridge line are usually felt at sites where the nasal bones are trimmed or divided. Rarely these are severe and persist and require further surgery Usually there is some initial redness and thickening of any external scars

Risks of Rhinoplasty Surgery

It is important that you understand the risks involved with surgery.  An individual’s choice to undergo a surgical procedure is based on the comparison of the risk to potential benefit.  Although the majority of patients do not experience the following complications, you should discuss each of them with your plastic surgeon to make sure you understand all possible consequences of the planned surgery.

All surgery is associated with some risk. Risks are minimised by appropriate patient selection, careful pre-operative planning, meticulous surgical technique and vigilant post-operative care. In general, the least serious problems occur more often and more serious complications occur rarely. When they do occur, every effort is made to resolve these problems as quickly as possible. Complications prolong the recovery period, but they uncommonly have a permanent effect on the final result. Re-hospitalisation is rarely required.

Risks of cosmetic surgery in general

  • Bleeding and haematoma (bleeding into the tissues). This rarely requires a return to the operating theatre or a blood transfusion. Aspirin, as well as other non-steroidal anti-inflammatory agents taken up to two weeks prior to surgery, even as a single, small dose, can increase the risk of bleeding. Patients on anti-coagulants need specific peri-operative management.
  • Wound separation or delayed healing
  • Inflammation and infection 
  • When a procedure is performed on both sides of the body, the amount of swelling and pain are rarely exactly the same. More pain and/or swelling on one side does not necessarily mean that a complication has occurred, although this should be reported to the surgeon.
  • Pain. The severity and duration of post-operative pain vary with each individual patient.
  • Painful or infected intravenous line site
  • Sore throat caused by the tube used to administer anaesthesia
  • Other anaesthetic complications.  Any specific concerns should be discussed with the anaesthetist
  • Sensitivity or allergy to dressings and tape
  • Thick, wide, depressed or discoloured scars
  • Unsatisfactory result and need for revisional surgery
  • Post-operative fatigue and depression. Physical recovery from the operation and the anaesthetic is gradual. Many patients may feel “emotionally low” post-operatively. This can occur after any surgery that has involved hospitalisation and tends to improve over a number of weeks.

Rarer Complications

  • Deep venous thrombosis (DVT) can lead to pulmonary embolism (PE). (Blood clots forming in the veins of the legs and floating to and blocking the blood vessels supplying the lungs),. These events can be fatal (risk 1 in 1000 in major surgery such as abdominoplasty). The oral contraceptive pill and hormone replacement therapy (HRT) can increase the risk of a DVT and should be stopped at least a month before surgery. Special precautions such as the use of anti embolic stockings and heparin (anticoagulant) injections appear to significantly lower the risk of DVT and PE.
  • Severe allergic reactions to drugs used in anaesthesia are also rare (1 in 10,000).
  • Chronic pain.
  • Other rare complications of surgery include stroke, heart attacks, cardiac arrhythmias, etc. however, these are extremely rare in otherwise fit patients.

Specific Risks to Rhinoplasty

  • Unsatisfactory final shape. Bony irregularities initially felt along the bridge line where the nasal bones are trimmed or divided are usually not seen. Rarely these are severe and persist and require further surgery. Structures such as bones, cartilages, skin and other soft tissues contributing to deformity do have “memory” and tend to return to their original shape and position despite the most skilled and well-planned surgery. Additional surgery is sometimes required to refine the result further.
  • Healing problems, causing undesirable changes to the external shape of the nose or airway blockage. Thickening of the soft tissues in the first few months after surgery can lead to “parrot-beak” (supratip) deformity just above the tip of the nose. Postoperative oedema control with taping may reduce this problem.
  • Bleeding, which rarely requires a return to the operating theatre
  • External scars, particularly with open rhinoplasty
  • Wound or skin break down, leading to unpredictable external scarring
  • Loss of septum, leading to the collapse of the bridge line of the nose
  • Septal perforation leads to a permanent fistula, which may cause abnormal whistling sounds on breathing, as well as other irritative nasal symptoms.
  • Actual or perceived ongoing airway obstruction.

So, if you are considering rhinoplasty surgery, it is important to be aware of the risks involved. However, please keep in mind that these risks are present with any surgical procedure. With proper research and a qualified surgeon, most of these risks can be minimized. If you have any questions or concerns, please do not hesitate to contact us. We would be happy to discuss the surgery with you and see if you are a candidate for this procedure.


Why Choose Dr Kleid for Rhinoplasty?

Dr Stephen Kleid
Cosmetic Rhinoplasty
Melbourne

Dr Stephen Kleid is an experienced ENT Surgeon (Otolaryngologist) based in Melbourne with a passion for Septo-rhinoplasty, Septoplasty and a strong interest in Rhinoplasty Revision.

Dr Kleid’s Procedures

How can we help?

Dr Kleid’s Team takes pleasure in assisting you with any questions when considering a plastic surgery procedure. Please call the Hawthorn East clinic in Melbourne between 8 am – 6 pm on Weekdays.

Phone,  Email or Book a free 15-minute Call with Dr Kleid’s team.

What Next?

Want more information about your Procedure?

  • For more information about pricing and payment methods, please visit our page on Surgery Payment options.
  • Talk to our Patient Care Team from 8 am to 6 pm Monday to Friday on 
    1300 264 811
recovery

What to Bring to Your Consultation

  • If you like, please bring a friend or relative to help discuss the information and your choices.
  • Take a lot of notes and thoroughly examine the documents your surgeon provides.

How to Book a Consultation

  • Dr Kleids Consultation fee is $600 which includes a nasendoscopy ($300).
  • A referral from your Doctor is helpful to claim any Medicare or Health Insurance rebate but is not necessary for a consult.
  • Please contact the Patient Care Team at Coco Ruby Plastic Surgery today to book your consultation.