Rhinoplasty Surgeon in Sydney

Rhinoplasty Surgeon Sydney

Rhinoplasty, sometimes referred to as “nose reshaping surgery”, is a procedure used to modify the structure of the nose for aesthetic or functional reasons.

The word “rhinoplasty” comes from the Greek terms rhinos (nose) and plassein (to shape).

This procedure may be considered to address nasal contour or improve airflow in selected patients. Individual outcomes vary and are influenced by anatomy, healing and surgical technique.

Dr Shahidi is a registered specialist in Otolaryngology (Ear, Nose and Throat Surgery) whose clinical practice includes rhinoplasty procedures.

Rhinoplasty – Clinical Considerations:

Rhinoplasty may be considered to address specific nasal concerns such as a prominent dorsal hump, nasal tip shape, nostril width, or nasal projection.

The procedure may involve changes to nasal shape or size, depending on the individual’s anatomy, goals, and clinical assessment.

In some cases, rhinoplasty is performed in conjunction with septoplasty to address structural causes of nasal obstruction. Where clinically indicated, supporting nasal valves or reducing turbinates may also be considered to improve airflow.

All surgical procedures carry risks. A second opinion from an appropriately qualified health practitioner is recommended before proceeding.

What Happens During Rhinoplasty Surgery

Rhinoplasty is performed under general anaesthesia in an accredited hospital setting. If the procedure is clinically appropriate, Dr Shahidi may administer local anaesthetic and make small incisions, typically placed inside the nostrils and across the base of the columella, depending on the chosen approach.

These incisions allow access to the underlying nasal framework. Where indicated, adjustments may be made to bone and cartilage to modify features such as a dorsal hump or the nasal tip.

Techniques vary depending on the patient’s anatomy and goals. Healing responses differ, and results cannot be guaranteed. A full explanation of the procedure, risks and recovery will be provided during your consultation.

Structural Adjustments and Septoplasty

To address nasal deviation or modify nasal width, bone cuts (osteotomies) may be performed in a controlled manner using specialised instruments. In select cases, an ultrasonic device (piezotome) may be used to assist with reshaping the nasal bones.

Where additional structural support is needed—such as for a misaligned nasal tip—cartilage grafts may be used. These grafts are commonly taken from the patient’s own tissue, though donor cartilage may be required in certain situations.

After adjustments are made, the nasal skin is re-draped and incisions are closed with sutures. External and internal splints may be applied to protect and support the nasal framework during early healing.

If nasal obstruction, breathing issues, or sinus symptoms are identified during your consultation, a septoplasty may be considered. This involves surgical correction of the nasal septum (the wall dividing the left and right nasal passages) to improve airflow and function.

All procedures are subject to clinical evaluation, and outcomes vary. A second opinion from an appropriately qualified health practitioner is recommended before undergoing any surgical procedure.

If you are experiencing persistent sinus symptoms, a CT scan of the sinuses may be recommended to support diagnosis. Based on your clinical evaluation, Dr Shahidi will advise whether additional procedures may be appropriate in conjunction with nasal surgery to help manage sinus-related concerns.

Why Some Individuals Consider Rhinoplasty in Sydney

Rhinoplasty may be considered for both functional and structural reasons. While some individuals are concerned about nasal appearance, others experience symptoms related to breathing or nasal structure. Each case is assessed individually to determine whether surgery is clinically appropriate.

Common reasons patients may consult Dr Shahidi about rhinoplasty include:

• Concerns about nasal obstruction or breathing difficulties
• Previous nasal injury or trauma
• Structural changes related to congenital conditions
• Concerns about nasal asymmetry or prominence
• Desire to refine nasal features such as a hump or wide base
• Assessment of revision surgery following a previous rhinoplasty

Rhinoplasty is typically considered in patients who have completed facial growth, generally aged 18 years or older. There is no upper age limit, provided the individual is in good overall health. A thorough clinical evaluation is required to determine suitability.

Why Consult Dr Shahidi?

Dr Shahidi (MED0001167352) is a registered specialist in Otolaryngology, Head and Neck Surgery (ENT), with a clinical focus on functional and aesthetic nasal procedures. He holds Fellowship of the Royal Australasian College of Surgeons (FRACS), which indicates completion of an accredited surgical training program in Australia.

He has also undertaken further training in facial plastic surgery and maintains membership in professional associations including:

• The Australasian Academy of Facial Plastic Surgery (AAFPS)
• The Australian Society of Otolaryngology Head and Neck Surgery (ASOHNS)
• The European Academy of Facial Plastic Surgery (EAFPS)

Dr Shahidi consults and operates at Lakeview Private Hospital and Alexandria Specialist Day Hospital in Sydney, alongside a multidisciplinary team. Treatment decisions are made based on individual assessment and in line with best clinical practice.

Questions To Ask During Your Consultation

Understanding your rhinoplasty procedure begins with a thorough consultation. To help you make an informed decision, you may wish to ask your practitioner the following:

1. What does the rhinoplasty procedure involve, including preparation, surgery, and aftercare?
2. Are you able to provide examples of previous cases, such as de-identified before-and-after images, for educational purposes?
3. What are the potential risks and complications of the procedure?
4. What is the typical recovery period, and what should I expect during this time?
5. How are post-operative issues managed if they arise?
6. Based on my anatomy and goals, what are the realistic outcomes of the procedure?

Understanding The Different Types Of Rhinoplasty

Rhinoplasty is a complex procedure that may be performed for functional, aesthetic, or combined reasons. Dr Shahidi offers several surgical approaches based on individual needs and clinical indications:

Functional rhinoplasty

This procedure aims to improve nasal function by modifying or supporting internal structures using techniques such as cartilage grafts or structural sutures. In some cases, functional rhinoplasty may be performed alongside cosmetic adjustments.

Note: Individual results vary. Surgical outcomes depend on anatomy, healing response, and other clinical factors.

Fractured nose – Post-Traumatic Assessment and Surgery

Nasal trauma can result in visible changes or functional impairment. Fractured nose surgery may be considered to reposition or reconstruct affected structures.

Early assessment is advised, ideally within a few weeks of injury. If bones have healed in a displaced position, formal rhinoplasty may be considered after an appropriate healing period.

Septoplasty

Septoplasty is a procedure that addresses nasal obstruction caused by deviation of the nasal septum. This may help relieve symptoms such as:
• Persistent difficulty breathing through the nose
• Chronic nasal congestion
• Recurrent sinus infections

Septoplasty may be performed alone or in conjunction with other nasal procedures, depending on clinical need.

Structured rhinoplasty surgery

Structured rhinoplasty refers to a technique that aims to preserve or restore nasal support using cartilage grafts and structural modifications. This approach is typically performed via an open technique.

The decision to proceed with structured rhinoplasty depends on nasal anatomy, surgical history, and patient goals. A full clinical assessment is required.

What to Expect Before and After Rhinoplasty

Rhinoplasty is a complex surgical procedure that may be considered for aesthetic, structural, or functional reasons. Decisions regarding surgery should be made in consultation with a qualified specialist after a thorough clinical assessment.

Before Surgery

Before proceeding, patients are required to attend at least two consultations, as per AHPRA guidelines. These appointments are designed to allow for informed decision-making and adequate discussion of expectations, risks, and limitations. A mandatory 7-day cooling-off period applies following the second consultation for all cosmetic cases.

As part of your pre-operative planning:
• A complete medical history and physical examination will be undertaken
• Nasal anatomy and function will be assessed
• Images may be taken for documentation and discussion
• Where clinically appropriate, illustrative computer-imaging software may be used to facilitate communication — these simulations are general in nature and do not reflect guaranteed outcomes
•A written treatment plan and cost estimate will be provided
•In some cases, psychological or medical assessments may be required prior to surgery

After Surgery

Rhinoplasty is typically performed under general anaesthesia at an accredited hospital. Most procedures are completed as day surgeries, although an overnight stay may be required based on medical or support needs.

Post-operatively:
• Internal and external splints may be applied to assist with initial support
• Mild swelling, bruising and discomfort are common in the first days after surgery
• Splints are generally removed within 7–14 days, depending on the individual’s healing
• A tailored aftercare plan will be provided to guide your recovery
• Further follow-up appointments will be scheduled to monitor healing and answer any questions

Visible swelling may gradually subside over several weeks, although changes to nasal shape may continue for many months. Outcomes vary significantly based on individual anatomy, healing, and other clinical factors.

Post-Surgery Care Considerations

Following rhinoplasty, your surgeon will provide personalised aftercare instructions. Below are some general considerations that may support recovery:

Rest and elevation — You may be advised to rest with your head elevated, including during sleep, to help manage swelling.
Avoid strenuous activity — Physical exertion such as heavy lifting or vigorous exercise is typically restricted for a period following surgery.
Medication use — Use prescribed medications as directed. Do not take any non-prescribed medications without first consulting your surgeon or pharmacist.
Minimise nasal pressure — You may be instructed to avoid placing pressure on the nose, including wearing glasses or sunglasses, for a specified time.
Follow-up appointments — Post-operative reviews are important for monitoring healing and discussing any concerns.

Note: This information is general in nature. Individual recovery and post-operative care may vary depending on clinical findings and your surgeon’s recommendations.

FAQs

What is rhinoplasty?

What are the benefits of rhinoplasty?

What are the risks of rhinoplasty?

Rhinoplasty – Risks and Considerations

Rhinoplasty is a surgical procedure involving the nose. It may be considered for functional reasons (such as breathing difficulties) or to address structural or aesthetic concerns. Like all surgical procedures, rhinoplasty carries potential risks and limitations. Understanding these risks and setting realistic expectations is essential before deciding to proceed.

General Surgical Risks

These risks may apply to most surgical procedures, including rhinoplasty:
• Bleeding (Epistaxis): Minor bleeding is common. In rare cases, significant bleeding may require medical intervention.
• Infection: Although uncommon, infections can occur and are typically managed with antibiotics.
• Adverse reaction to anaesthesia: Reactions to anaesthesia may include nausea, allergic response, or in rare cases, more serious complications.
• Delayed wound healing: Scarring may become raised or uneven. This is more likely in smokers or patients with certain medical conditions.
• Hematoma: Accumulation of blood under the skin may occur and occasionally requires drainage.
• Postoperative discomfort: Pain or pressure is usually mild to moderate and can be managed with appropriate medications.

Procedure-Specific Risks

Functional Risks
• Breathing difficulties: Changes in nasal anatomy or post-operative swelling can impact airflow.
• Temporary numbness: Sensation loss around the nasal tip, upper lip or teeth is common and usually resolves over time.
• Reduced sense of smell: Swelling in the nasal passages may temporarily affect the sense of smell.
• Septal perforation: A hole in the septum may occur. It may lead to symptoms such as whistling, crusting, or bleeding.
• Voice changes: Very rare. Subtle vocal changes may be noticed, particularly by professional voice users.

Aesthetic and Structural Considerations
• Differences from expected appearance: Final results may differ from pre-surgical expectations due to anatomical and healing variables.
• Visible scarring: More likely with open rhinoplasty. Most scars fade over time, but individual results vary.
• Persistent swelling and bruising: Facial swelling typically resolves within a few weeks. Nasal swelling may continue for 12 to 18 months.
• Irregular contour: Unevenness or bumps may occur and can be more apparent in individuals with thinner skin.
• Skin changes: Temporary changes such as redness, irritation, or pigmentation differences may occur. These usually resolve with healing but may persist in some cases.
• Numbness of the nose or upper teeth, generally temporary.

Structural Complications
• Pollybeak deformity: A bulging appearance above the nasal tip due to scar tissue or incomplete reduction of tissue.
• Saddle nose deformity: Collapse of the nasal bridge, often due to excessive removal of cartilage or tissue.
• Inverted-V deformity: Collapse or narrowing of the upper lateral cartilages, typically after dorsal hump removal.
• Nasal valve collapse: Weakening of the nasal sidewalls may obstruct breathing.
• Tip asymmetry: Slight differences in nasal tip shape can occur due to healing, anatomical factors, or surgical limitations.

Revision Surgery

In some cases, individuals may consider additional (revision) surgery following initial rhinoplasty. This may be for functional concerns (such as nasal obstruction) or structural issues (such as asymmetry or irregularities). Revision rhinoplasty is typically more complex due to scar tissue, changes in nasal anatomy, and reduced tissue availability. For this reason, it is generally recommended to wait at least 12 to 18 months after the original procedure before considering revision surgery.

Psychological Considerations
• Emotional adjustment: Swelling and bruising can significantly alter appearance in the early healing phase. This may lead to temporary concern or anxiety as the final result evolves.
• Body image: Rhinoplasty may not lead to increased self-esteem, particularly in individuals with underlying psychological conditions such as body dysmorphic disorder (BDD).
• Satisfaction depends on preparation: Patients who are well-informed and have realistic expectations are more likely to be satisfied with their outcomes.

Setting Realistic Expectations
• Improvement, not perfection: The goal of rhinoplasty is to improve nasal form or function. Minor imperfections or asymmetries are common.
• Healing is gradual: Nasal tissues take time to settle. Final results are typically evident between 12 and 18 months post-surgery.
• Anatomical limitations exist: Factors such as skin thickness, cartilage strength, and facial proportions influence what is surgically possible.
• Imaging tools are only estimates: Computer simulations are planning tools and do not guarantee actual results.
• Clear communication is key: Discussing goals, risks, and limitations with your surgeon is essential in making an informed decision.

Recovery Overview
• Initial recovery (2–4 weeks): Swelling, bruising, and nasal congestion are expected during this period.
• Return to work: Most individuals return to work or study within 2–4 weeks, depending on their healing and comfort.
• Exercise restrictions: Strenuous activity (e.g. heavy lifting, running) should be avoided for 4–6 weeks.
• Final results: The nose continues to refine over time, with tip swelling resolving more slowly in patients with thicker skin.

How to Minimise Risk
• make an informed decision by consulting a registered experienced specialist surgeon.

• Stop smoking: Smoking impairs wound healing and increases the likelihood of complications.
• Follow aftercare instructions: Adhering to post-operative care supports safer recovery and better outcomes.
• Attend follow-up appointments: Continued assessment allows for early detection and management of any concerns.

Important Disclaimer

This information is general in nature and intended for individuals aged 18 years and over. It is not a substitute for medical advice. Rhinoplasty should only be considered after consultation with a registered medical practitioner who can assess your individual suitability, discuss risks, and provide written information to support informed consent.

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Book a Consultation with Dr Shahidi – Rhinoplasty Surgeon in Sydney

If you are considering rhinoplasty or experiencing nasal breathing issues such as snoring or obstruction, a consultation with Dr Shahidi can help determine whether surgical treatment may be appropriate.
Please contact our team to schedule an appointment or to learn more about the consultation process.

If you are in the early stages of considering rhinoplasty, you may also view our gallery of educational before-and-after images. These images are shared with patient consent and for illustrative purposes only. Outcomes vary between individuals.