Overview

Rhinoplasty is a surgical procedure performed to modify the structure of the nose.

It may be undertaken to improve nasal function, address breathing issues, or refine the nasal shape in proportion to the rest of the face.

Each procedure is individualised, with careful consideration of both structure and balance.

Why Consider Rhinoplasty

People may consider rhinoplasty for a combination of functional and structural reasons.

Functional (Medical) reasons may include:

• Breathing difficulties due to a deviated septum or nasal obstruction.
• Correction of changes caused by trauma or injury.
• Chronic sinus congestion or recurring sinus infections.
• Snoring or sleep-disordered breathing related to nasal blockage.

Structural (Aesthetic) reasons may include:

• Concerns about nasal symmetry, width, or projection.
• Adjustments to the nasal tip or bridge for better facial proportion.
• Restoring normal structure after injury or previous surgery.

It’s important to note that surgical outcomes vary between individuals and depend on nasal anatomy, skin thickness, and healing response.

How Rhinoplasty Is Performed

Rhinoplasty is performed in an accredited surgical facility under general anaesthesia.

The procedure usually takes between one and three hours, depending on its complexity.

Two main surgical approaches may be used:

• Closed Rhinoplasty: Incisions are made inside the nostrils, leaving no external scars.
• Open Rhinoplasty: A small incision is made across the columella (the tissue between the nostrils) to allow direct visual access to the nasal structures.

The surgeon may adjust bone or cartilage to achieve the desired structure while maintaining nasal support and function.

The approach depends on your anatomy and the goals discussed during consultation.

What to Expect After Surgery

After surgery, a small external splint is applied to protect and support the new nasal shape during healing.

Some bruising, swelling and minor bleeding are common in the first one to two weeks.

Pain or discomfort is usually mild and can be managed with prescribed medications.

Typical recovery milestones:

• First week: External splint removed; swelling and bruising begin to subside.
• Two to four weeks: Most visible swelling settles; light work can resume.
• 12–18 months: Full healing and final contour stabilisation.

Recovery varies from person to person based on anatomy, skin type and overall health.

Risks and Possible Complications

As with any surgical procedure, rhinoplasty carries potential risks, including:

• Bleeding or infection.
• Delayed wound healing or scarring.
• Changes in nasal sensation.
• Breathing difficulties.
• Asymmetry or contour irregularities.
• Adverse reactions to anaesthesia.

Your surgeon will discuss these risks in detail before surgery to ensure fully informed consent.

Consultation and Medical Requirements

Before proceeding with rhinoplasty or any other cosmetic surgery, patients must:

• Obtain a GP referral, as required by the Medical Board of Australia Guidelines for Cosmetic Surgery (2023).
• Attend two pre-operative consultations, with at least one in-person consultation with the operating surgeon.
• Observe a minimum seven-day cooling-off period between the final consultation and booking surgery.

These steps ensure that patients are fully informed and have sufficient time to consider their decision.

Choosing a Qualified Surgeon

When selecting a rhinoplasty surgeon, confirm that they:

• Hold a Fellowship of the Royal Australasian College of Surgeons (FRACS) in Otolaryngology, Head and Neck Surgery.
• Have training and experience in both functional and structural nasal surgery.
• Operate in accredited hospitals or day-surgery facilities.
• Provide detailed pre- and post-operative guidance and follow-up care.

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 specialising in rhinoplasty.

He performs both functional and reconstructive nasal procedures with a focus on safety, nasal function and structural harmony.

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.