Understanding Rhinoplasty

Rhinoplasty is a surgical procedure that adjusts or reconstructs the structure of the nose.

It may be performed to address functional issues, such as breathing difficulties or structural deformities following injury, or to modify nasal shape to achieve improved facial proportion.

Each rhinoplasty procedure is tailored to the individual, taking into account nasal anatomy, function, health status and treatment goals.

Why Rhinoplasty May Be Considered

Rhinoplasty may be appropriate for several medical and structural reasons, including:

• Functional improvement – to correct nasal obstruction caused by a deviated septum or trauma.
• Reconstruction – to restore normal anatomy after injury.
• Structural balance – to address asymmetry or irregularities affecting nasal appearance and function.

In some cases, rhinoplasty is performed in combination with septoplasty, which corrects a deviated nasal septum to improve airflow.

A consultation with a qualified specialist is required to determine whether surgery is clinically appropriate and to discuss expected outcomes, risks and alternatives.

How Rhinoplasty Is Performed

Rhinoplasty is performed in an accredited hospital or day-surgery facility under general anaesthesia.

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

Two main surgical approaches may be used:

• Closed Rhinoplasty: incisions are made inside the nostrils, leaving no visible scars.
• Open Rhinoplasty: a small incision is made across the columella (the strip of tissue between the nostrils) to allow direct visualisation of internal nasal structures.

The choice of approach depends on individual anatomy and the goals established during consultation.

During surgery, the surgeon may reshape or reposition cartilage and bone to achieve structural support and functional stability.

If nasal blockage is caused by a deviated septum, correction of the septum (septoplasty) may be performed during the same procedure.

Recovery and Postoperative Care

Following rhinoplasty, mild bruising, swelling and congestion are expected.

An external splint is applied to maintain nasal structure during the early stages of healing.

Temporary internal dressings may also be placed to support internal tissues and control bleeding.

General recovery guidelines include:

• Keeping the head elevated while resting.
• Avoiding strenuous exercise and contact sports for at least six weeks or as advised by your surgeon.
• Not smoking during recovery, as this can delay wound healing.

Most patients return to routine activities within two weeks, although final results may take up to 12–18 months as swelling gradually resolves.

Suitability for Rhinoplasty

A thorough consultation and assessment are essential to determine whether rhinoplasty is appropriate for you.

Suitability depends on factors such as:

• Nasal anatomy and structural characteristics.
• Presence of breathing difficulties or medical conditions.
• General health and ability to undergo anaesthesia.
• Realistic expectations regarding surgical outcomes.

Your surgeon will also review your medical history and discuss potential risks and benefits before proceeding.

Risks and Possible Complications

All surgical and invasive procedures carry risks.

For rhinoplasty, these may include:

• Bleeding or infection.
• Swelling or bruising.
• Breathing difficulties.
• Scarring (internal or external).
• Temporary changes in nasal sensation.
• Asymmetry or contour irregularities.
• Adverse reactions to anaesthesia.

Your surgeon will provide detailed information about these risks and postoperative care instructions during consultation.

Consultation and Referral Requirements

Before rhinoplasty or any cosmetic surgery can proceed, the following steps are required under the Medical Board of Australia’s Guidelines for Cosmetic Surgery (2023):

• Obtain a referral from a general practitioner (GP).
• Attend two pre-operative consultations, including at least one in-person with the operating surgeon.
• Observe a minimum seven-day cooling-off period between the final consultation and scheduling surgery.

These steps ensure adequate time and medical evaluation before proceeding.

About Dr Shahidi

Dr Shahram Shahidi

BSc(Med)(Hons 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 who specialises in rhinoplasty and nasal reconstruction.

His practice focuses on procedures that enhance nasal function while maintaining structural integrity and 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.