Rhinoplasty (Nose Job)
Rhinoplasty surgery is considered to be one of the most challenging surgical procedures within the field of plastic surgery and requires an appreciation for both aesthetic and functional elements. Following general surgical training and specialisation in otolaryngology, Dr Michael has sub-specialised in conditions of the nose and sinuses; with a particular passion for rhinoplasty surgery. He undertakes rhinoplasty operations in Melbourne and approaches each case as a unique procedure. Using his expertise and appreciation of facial aesthetics, he aims to achieve a result that is individual and balanced with facial features rather than arriving at an operated appearance. Dr Michael favours techniques incorporating structural rhinoplasty which involve minimising cartilage removal and reshaping and supporting the nasal skeleton. This approach aims to provide long-term stability and retain both functional and cosmetic post-operative characteristics. In fact, revision rhinoplasty cases almost always require insertion of grafts to restore lost structural support. Rhinoplasty surgery can represent a potential emotional investment and monetary cost and it is essential to be well informed prior to committing towards an operation as the benefits of surgery should be balanced with what is achievable and the risks entailed with undergoing an operation.
The links below and the remaining pages on this website provide further details regarding the reasons for undergoing rhinoplasty but if you have further queries or to book a consultation, please use our contact form.
* Cosmetic Rhinoplasty
A rhinoplasty can change the shape of a nose to make it smaller and is termed a reduction rhinoplasty, to increase the size and structure of the nose which is termed an augmentation rhinoplasty or to refine the direction or shape of the nose either from a front on, side view or a view from looking below or above the nose.
Reduction rhinoplasty is typically undertaken for noses that have a bump (termed a dorsal hump) on a side view, overly broad noses or nose that are over projected.
Augmentation rhinoplasty uses a variety of grafts and techniques. They are typically performed on noses that have lost parts of their structure due to injuries, previous operations, infections and rarely malignancies. They are also carried out on people whose nose is too small in relation to their face. Especially in the case of previous injuries, a septoplasty may also need to performed at the same time.
Refinement rhinoplasty may not need removal or replacement of the tissue structure of the nose but in some aspects can be considered to be more challenging procedures to reshape the nose. For example, if the tip of the nose is drooping or asymmetrical.
As the nose is the central axis of the face, its appearance needs to be balanced with other facial features and enhancement of other facial elements such as through a mentoplasty may be required to arrive at the optimal aesthetic result.
* Functional rhinoplasty
In some individuals, the external shape and support structure of the nose may be causing a sensation of a blocked nose. The feeling of nasal blockage may affect one or both nasal passages. Occasionally, these cases may benefit from an augmentation rhinoplasty or a reduction rhinoplasty dependant upon the shape of the nose and its supporting elements. However, nasal blockage may also be due to deviations of the nasal septum which needs to addressed through a septoplasty operation or increased swelling of structures called the nasal turbinates the size of which can be reduced through a turbinoplasty procedure. These operations may be undertaken together with the rhinoplasty.
* Revision rhinoplasty
Revision rhinoplasty can be undertaken for noses that are not satisfactory from a cosmetic and/or functional perspective. These cases are amongst the most difficult of rhinoplasty operations as the tissue and structures that make up the nose can be very scarred or absent. This often requires restoring structural support through grafting. Grafts are ideally obtained from remaining elements of the nose but owing to removal of tissue from prior operations, material can be limited. This may necessitate harvesting of graft from other sites such as rib cartilage. These techniques are challenging and only a limited proportion of rhinoplasty surgeons are experienced in performing these procedures.