Understanding Rhinoplasty

Rhinoplasty is a surgical procedure designed to adjust the structure of the nose.

It can be performed to address breathing difficulties, restore nasal symmetry following trauma, or modify nasal proportions to achieve facial balance.

Despite being a well-established medical procedure, many misconceptions about rhinoplasty continue to circulate.

Below, we clarify some of the most common myths and provide factual information to support informed decision-making.

Myth 1: Any Surgeon Can Perform Rhinoplasty

Fact:

Rhinoplasty is one of the most technically complex facial surgeries. It requires detailed knowledge of nasal anatomy, airway function and facial harmony.

In Australia, only specialist surgeons who hold a Fellowship of the Royal Australasian College of Surgeons (FRACS)and are trained in Otolaryngology (Ear, Nose and Throat) or Plastic Surgery are qualified to perform rhinoplasty.

Before deciding to proceed, ensure your surgeon:

• Holds FRACS accreditation.
• Has training specific to nasal surgery.
• Operates in accredited facilities.

Myth 2: Rhinoplasty Is a Simple Procedure

Fact:

Rhinoplasty involves the fine adjustment of bone, cartilage and soft tissue, and even small changes can affect both appearance and function.

Each nose is anatomically unique, meaning that the same surgical step may have different effects in different individuals.

A detailed pre-operative assessment and discussion with your surgeon are essential to establish what is medically and structurally achievable.

Myth 3: Rhinoplasty Is Only Cosmetic

Fact:

While rhinoplasty can modify nasal appearance, it is also frequently performed for functional reasons such as:

• Correcting a deviated septum.
• Repairing trauma-related deformities.
• Improving nasal airflow and breathing efficiency.

Many patients undergo rhinoplasty for medical indications, often in conjunction with septoplasty.

Myth 4: Rhinoplasty Always Looks “Obvious” or “Artificial”

Fact:

Modern rhinoplasty techniques focus on achieving natural and proportionate outcomes while preserving nasal structure and function.

An experienced surgeon will take into account each patient’s facial features, ethnic background, and anatomical differences.

The goal is not to create a “template” nose but to ensure balanced facial symmetry.

Myth 5: You Can Choose Any Nose Shape You Want

Fact:

Each person’s nasal structure, skin thickness and cartilage strength determine what can be safely achieved.

Attempting to drastically change the nasal framework can affect both appearance and function.

A qualified surgeon will help you understand what is surgically realistic and safe based on your anatomy.

Myth 6: Rhinoplasty Is Extremely Painful

Fact:

The procedure is performed under general anaesthesia, so you will be asleep during surgery.

Most patients describe postoperative discomfort as mild pressure or congestion rather than severe pain.

Temporary bruising and swelling around the eyes are common and typically improve within 7–10 days.

Following your surgeon’s post-operative care instructions, such as keeping your head elevated and avoiding strenuous activity for several weeks, helps ensure a smoother recovery.

The Importance of Proper Consultation

Before rhinoplasty, patients are required to:

• Obtain a referral from a general practitioner (GP), as mandated by the Medical Board of Australia Cosmetic Surgery Guidelines (2023).
• Attend two consultations, including at least one in person with the surgeon.
• Observe a seven-day cooling-off period before confirming a surgery date.

During your consultation, your surgeon will:

• Review your medical history and nasal function.
• Perform a nasal examination, which may include nasendoscopy.
• Explain the procedure, risks, and expected recovery timeline.
• Discuss your motivations and ensure your expectations are realistic.

Risks and Possible Complications

All surgical procedures carry risks. For rhinoplasty, these may include:

• Bleeding or infection.
• Scarring (internal or external).
• Temporary numbness or altered sensation.
• Breathing difficulties.
• Asymmetry or irregular contour.
• Adverse reaction to anaesthesia.

Understanding these risks and following your surgeon’s post-operative guidance is essential for a safe recovery.

About Dr Shahidi

Dr Shahram Shahidi

BSC(MED)(HON I) MB BS(SYD) FRACS FAAFPS

MED0001167352

Specialist Otolaryngologist (Ear, Nose and Throat) – Head and Neck Surgeon

Fellow, Australasian Academy of Facial Plastic Surgery

Dr Shahidi is an Australian-trained, FRACS-qualified ENT surgeon with extensive experience in both functional and structural nasal surgery.

His practice focuses on improving nasal function and structural stability while maintaining natural facial balance.

Disclaimer:

All surgical and invasive procedures carry risks. Individual results vary.

Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.