What is Rhinoplasty?

Rhinoplasty is the medical term for a "nose job". Rhinoplasties are among the most popular but also the most challenging operations.  In simple terms the nose can be reduced, augmented, widened, narrowed, straightened and reshaped by correcting the bones and the cartilage. Similarly, different parts of the nose, tip of the nose and nostrils can be altered with surgical and minimally invasive procedures.

The nose is the feature around which the face finds it's axis, it is the anchor of the facial features and by improving nasal contour one can radically improve their overall appearance. Rhinoplasty is perhaps the most complex cosmetic procedure as it combines treatment of both function and form; the nose not only has to look good it has to work well. Rhinoplasty highlights the delicacy of both aspects of surgery; art and science – the balance of form and function. A better nose tends to improve your health as well as your looks. 

Dr Mooney is a rhinoplasty specialist surgeon and currently performs the highest number of rhinoplasty procedures in Australia. You can be assured that your care is with a highly skilled and experienced surgeon.

The Surgical Procedure

Rhinoplasty is performed under a general anaesthetic and takes around two hours. Dr Mooney favours the ‘open-structure’ rhinoplasty technique. This involves a small incision between the nostrils, which leaves an almost imperceptible scar. This technique affords the best access and results, especially for a twisted nose and for tip deformities. It is the best technique to achieve the perfect nose.

The tip of the nose represents the greatest challenge to surgeons.  Achieving a good tip contour is the difference between an adequate and excellent nose. Dr Mooney has developed a ‘Diamond Tip’ technique that provides superior results. 

These results have been assessed by independent, qualified observers, and the favourable outcomes presented at several international meetings. We frequently see patients who are unhappy with the result of a previous rhinoplasty and often it is the tip that they have found disappointing. For both these patients and first time candidates open-structure rhinoplasty combined with the Diamond Tip is ideal.

In detail, the procedure begins with incisions within the nostril rim and between the nostrils. The nasal ‘skeleton’ of bone and cartilage is meticulously remodeled to achieve the new nasal contour. The skin is then re-draped over the new frame and all incisions are closed. During the procedure problems such as airway and sinus issues, snoring and rhinitis (allergy) can be surgically treated.

As well as treating functional problems, rhinoplasty can be combined with other cosmetic procedures. These include Thread Lifts, Blepharoplasty (Eye Lid Surgery), Lip Augmentation, Otoplasty (Ear Correction Surgery), Face-Lifts, Facial Implants, and even other simple Injectable Rejuvenating Fillers or Anti-Aging Treatments.  Dr Mooney will be happy to discuss all these options during your consultation.

rhinoplasty sydneynose surgery
Images taken 12 months after procedure

What to Expect After Surgery

When patients wake up, they are often surprised that pain isn't a big feature in the postoperative period, but they may have some bruising and swelling. An overnight stay is routine and two weeks off work is typical. Patients are required to wear a splint over the top of their nose and have a  stitch under their nose until both are removed at seven days. Dr Mooney reviews each patient closely in the post operative period, and is always available if there are any queries or issues.

After two weeks patients usually look completely normal but the final result can take a few months; and sometimes up to a year if it has been an extensive procedure. These final changes are usually only minor and can only be noticed by the surgeon and patient.  In the short term there is a minor risk of bleeding and infection, but these are most unlikely.  It is the exception for the patient to not be satisfied with the outcome, particularly if preoperative preparation has been thorough and compliant.  However post-operative follow up continues thoroughly with Dr Mooney until the patient is completely happy with their new nose.

Images taken 12 months after procedures. 

Other Considerations

What are the different noses for different ethnicities?

In the 80s and 90s there was a ‘cookie-cutter’ mentality to nose design, and as a consequence every nose looked the same. This was a mistake. No two noses should be the same just as no two faces are identical. Face shape, others facial features, age and sex, even personality and occupation are ingredients that have a roll in planning nose shape.

One of the biggest determinates is ethnicity. The requirements for the ideal nose change for each ethnicity and we must plan your nasal contour so it is in harmony with those typical features. Darker skinned patients, and patients of middle eastern, or Mediterranean origin often have bigger more dramatic facial features. Noses must be planned to suit this. Northern European faces often have more delicate, smaller features and thinner skin. African American noses like those of pacific islanders are often very broad through the alar base with poor tip support, and oriental noses often require significant augmentation rather than reduction.

Planning your nose shape is a meticulous process. Digital imaging is an excellent way for you to see different options. We always repeat this on at least two occasions before we consider surgery. Giving you realistic outcome expectations is the roll of any good clinic, and planning your nose shape to be in harmony with your ethnicity is part of this good preparation.

What other procedures can we do at the same time?

In our clinic we assess your face as a whole. Formal skin assessment and digital imaging are excellent to aid in this assessment. As a consequence we often suggest other treatments at the same time as your rhinoplasty. This may be as simple as adding skin care in the form of facial or laser treatment. Anti-ageing techniques using filler or muscle relaxant injectables, more extensive procedures such as facial implants, eye lid surgery, sub-mental liposculpture or thread lifting, or in some cases we may suggest your nose isn’t actually the problem! It is not infrequent that I have a patient that thinks their nose is too big when actually a deficient chin is the problem.

The aim of all good cosmetics is to provide a safe, effective procedure, provide a natural result and work within your budget. If we follow all these rules patients are never disappointed. All treatment options will be discussed with you during your consultation, and we will gently explain the effect and outcomes, risks and complications. The most obvious advantage of multiple procedures is less recovery time and reduced ancillary costs (such as one hospital stay). The main advantage from an outcome point of view is that we can balance your changes with simultaneous treatment.

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

If you are considering Rhinoplasty surgery please take the time to contact our experienced patient co-ordinator using our Online Inquiry Form for further information on pricing and procedural information.  Or to book a consultation today please call 1300 379 455.

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