Rhinoplasty, or nasal surgery, is a detailed procedure performed for both functional and aesthetic reasons. It may be considered to improve nasal breathing or to address changes resulting from congenital conditions, trauma, or previous surgery.
Age Considerations
The Medical Board of Australia advises that individuals should generally be 18 years or older before undergoing aesthetic rhinoplasty. This recommendation reflects the typical completion of facial growth by that age.
In certain situations, functional rhinoplasty (for example, to improve breathing or repair injury) may be discussed earlier, depending on medical assessment and individual needs.
Adults of all ages can also be suitable for rhinoplasty if they are medically fit. Structural or functional changes to the nose over time can sometimes make nasal surgery appropriate for health or comfort reasons.
Key Considerations Before Rhinoplasty
Rhinoplasty is a major surgical procedure, and it is important that patients understand the process, risks, and recovery. During consultation, topics often include:
- Clarifying your goals: Identifying whether your reasons are medical, functional, or aesthetic.
- Choosing a qualified surgeon: In Australia, surgeons performing rhinoplasty must hold Fellowship of the Royal Australasian College of Surgeons (FRACS) in Otolaryngology – Head and Neck Surgery or Plastic Surgery.
- Medical assessment: A full health evaluation helps determine suitability for surgery.
- Risks and complications: All surgery carries risk. Common risks include infection, bleeding, asymmetry, scarring, and the potential need for revision surgery.
- Recovery and downtime: Recovery typically takes several weeks to months. Patients are advised to plan time off work and avoid strenuous activity until cleared by their surgeon.
- Financial aspects: Costs vary according to hospital, anaesthesia, and surgical requirements.
- Post-operative follow-up: Regular reviews help support recovery and long-term healing.
Preparing for Rhinoplasty Surgery
Preparation supports a smoother recovery and helps patients plan for the healing process. Common pre-surgical advice includes:
- Avoiding smoking and alcohol, as they may impair healing.
- Following guidance on medications or supplements that could increase bleeding.
- Arranging transportation and assistance for the day of surgery and the initial recovery period.
- Preparing supplies such as cold compresses, prescribed medications, and soft foods.
- Allowing 10–14 days of rest and avoiding strenuous activity until cleared by your surgeon.
Recovery and Swelling After Rhinoplasty
Swelling and bruising are normal during recovery. Measures that may assist include:
- Keeping your head elevated when resting.
- Applying cold compresses to the cheeks or forehead (avoiding direct pressure on the nose).
- Maintaining hydration and a balanced, low-sodium diet.
- Avoiding alcohol and smoking during recovery.
- Following all post-operative care instructions from your surgeon.
The nose’s appearance changes gradually as swelling resolves. Final results may take 12 months or longer to become fully visible.
Scarring After Rhinoplasty
The likelihood of visible scarring depends on the surgical technique:
- Closed rhinoplasty: Incisions are made inside the nose, which generally leaves no external scar.
- Open rhinoplasty: A small incision beneath the nasal tip may leave a fine, often faint, scar.
Typical wound-care measures include:
- Following the surgeon’s specific aftercare instructions.
- Avoiding sun exposure for at least a year.
- Using any prescribed treatments as directed.
- Protecting the surgical site from pressure or trauma.
Outcomes and healing vary between individuals.
Types of Rhinoplasty
Rhinoplasty can be classified according to its purpose:
- Functional rhinoplasty: To improve nasal airflow.
- Post-traumatic rhinoplasty: To address structural changes after injury.
- Septoplasty: To correct a deviated septum.
- Structured rhinoplasty: To provide long-term support and definition.
Your surgeon will discuss which approach is most appropriate for your anatomy and treatment goals.
Choosing a Qualified Rhinoplasty Surgeon in Australia
In Australia, only doctors who have completed specialist surgical training and obtained FRACS accreditation may lawfully use the title surgeon.
FRACS-qualified surgeons in Otolaryngology (ENT) or Plastic Surgery complete over a decade of education and supervised surgical training, focusing on anatomy, technique, and patient safety.
Patients can verify a practitioner’s credentials through the AHPRA public register to ensure they are appropriately registered and qualified.
Surgeon vs. Cosmetic Doctor — Understanding the Difference
The title surgeon is legally protected under the Health Practitioner Regulation National Law. Only those who have completed accredited specialist surgical training and hold Fellowship of the Royal Australasian College of Surgeons (FRACS) may use this title.
Medical practitioners who describe themselves as cosmetic doctors may not have undertaken formal surgical training to this level. Patients are encouraged to confirm their practitioner’s registration and qualifications before proceeding with surgery.
Consultation with 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
Member, Australasian Academy of Facial Plastic Surgery
Dr Shahidi has more than 20 years of experience in nasal surgery and rhinoplasty. During your consultation, he will assess your nasal structure, review your medical history, and discuss procedural options, preparation, risks, and recovery to help determine your suitability for rhinoplasty.
Disclaimer:
All surgical and invasive procedures carry risks. Individual results vary. Before proceeding, patients are encouraged to seek a second opinion from an appropriately qualified health practitioner.