Structured Rhinoplasty Surgery

Dr Shahidi is an Australian trained and qualified Ear, Nose & Throat Surgeon with particular training in Rhinoplasty and over 20 years experience in structured rhinoplasty and alar base reduction. Structured rhinoplasty focuses on restoring or maintaining the strength and support of the nasal framework while altering the contour. Structured rhinoplasty addresses issues arising from traditional reductive rhinoplasty, such as the loss of structural integrity. Alar base reduction, often performed alongside structured rhinoplasty, targets the width of the nostrils to create a more balanced appearance. Both procedures are commonly performed using an open approach, allowing for precise adjustments.

Structured rhinoplasty surgery

Procedure details

Structured rhinoplasty involves reshaping or repositioning the nasal cartilage based on the patient’s aesthetic or functional requirements. During a consultation, Dr Shahidi will discuss the specific techniques that may be used to meet your goals and ensure the procedure is tailored to your needs. In some cases, additional procedures like alar base reduction or nasal tip plasty may be included in the structured rhinoplasty.

The procedure usually lasts a few hours, depending on the complexity of the required adjustments. It is typically performed under general anaesthesia to ensure the patient’s comfort and safety throughout the surgery.

Risks and potential complications

As with any surgical procedure, structured rhinoplasty carries certain risks, including infection, nasal asymmetry, changes in skin or nasal sensation, scarring and, in rare cases, breathing difficulties due to alterations in the nasal passage. In some cases, revision surgery may be required to address unexpected outcomes.

During your consultation, Dr Shahidi will thoroughly explain the potential risks, ensuring you clearly understand any possible complications and how they will be addressed. Every surgery is personalised, and Dr Shahidi will minimise risks while achieving the best possible result.

Aftercare and recovery

After structured rhinoplasty, a personalised aftercare plan will be provided to promote optimal healing. This plan may include instructions for managing swelling, bruising and discomfort. Patients must keep their head elevated and avoid strenuous activities for several weeks. Swelling is a normal part of the recovery process and can take several months to subside fully, with final results typically visible after 12 to 18 months.

We will schedule follow-up appointments to monitor the healing process and help the nose heal as expected. Dr Shahidi will provide guidance on how to care for the surgical site and prevent complications, such as infection or excessive scarring. Medications may be provided to help alleviate discomfort and support the healing process.

Eligibility for structured rhinoplasty

Not all individuals are suitable candidates for structured rhinoplasty. Dr Shahidi will thoroughly assess your overall health, medical history and psychological readiness to determine if this procedure is appropriate for you. Factors such as existing nasal conditions, previous nasal surgeries and your reasons for seeking surgery will be considered during the evaluation. Patients with certain medical or psychological conditions may require further evaluation before surgery.

Alar base reduction rhinoplasty

Alar base reduction rhinoplasty is a surgical technique used to reduce the width of the nostrils. This procedure is commonly employed when the nostrils are out of proportion with the rest of the facial structure. Depending on the patient’s specific needs, it can be performed on its own or alongside rhinoplasty.

Procedure details

Alar base reduction surgery entails precisely removing a small portion of skin from the lower nostrils to decrease their width. The procedure is customised to fit the patient’s unique anatomy and goals. Dr Shahidi carefully measures and marks the area to ensure symmetry and minimise visible scarring.

Risks and potential complications

Alar base reduction is generally a safe procedure, but like any surgery, it does come with potential risks. Complications may include infection, noticeable scarring, asymmetry or altered sensation around the nostrils. Although these risks are uncommon, they will be carefully discussed during your consultation.

Dr Shahidi will explain the possible outcomes of the surgery and how to minimise risks, such as by following aftercare instructions closely and attending follow-up appointments. In the event of complications, Dr Shahidi will work with you to address and resolve any issues as efficiently as possible.

Aftercare and recovery

If alar base reduction is performed as a standalone procedure, recovery is similar to minor skin surgery, such as mole removal. The initial healing period is typically seven to ten days, with scars maturing and fading over the following months. It is important to keep the area clean and follow the aftercare plan provided by Dr Shahidi to ensure proper healing and prevent infection. Topical medications may be prescribed to aid healing.

Mild swelling or bruising may occur in the days after the procedure, but this usually diminishes within a week. Most patients can return to work and daily activities within one to two weeks. However, it is recommended to avoid strenuous exercise or any activities that could put a strain on the nasal area for several weeks.

Eligibility for alar base reduction rhinoplasty

During the consultation, Dr Shahidi will assess your suitability for alar base reduction surgery, taking into account factors such as your physical health, nasal anatomy and psychological readiness. Alar base reduction is particularly popular among individuals with specific nasal features, including those from diverse ethnic backgrounds, such as Asian and Polynesian patients.

Determine the right procedure for you with Dr Shahidi

During your consultation with Dr Shahidi, you’ll have the opportunity to explore the various nasal procedures available and how each option could enhance the appearance and function of your nose. Choosing the right method is essential, but even more important is selecting the right surgeon. A skilled and experienced surgeon like Dr Shahidi ensures that your surgery is done correctly the first time, reducing the likelihood of complications, revision surgery and extended recovery periods. Your consultation is the first step towards achieving a safe and successful outcome.