Are you considering surgery to improve the appearance of your nose or make breathing easier? More commonly referred to as a nose job or nose reshaping, rhinoplasty is a surgical procedure to improve the size, shape, and/or position of the nose. It has become one of the most popular cosmetic plastic surgery procedures offered by our Sydney-based plastic surgeon Laith Barnouti.
What are the common reasons people get rhinoplasty?
Some patients wish to reduce or increase the size of their nose, change the shape of the tip or the bridge, narrow the span of their nostrils, or change the angle between their nose and upper lip.
Surgery can be performed from inside the nose producing no visible scars. This technique is known as Closed Rhinoplasty. The other technique is known as an Open Rhinoplasty, where an 8mm incision is made in the columella to lift the nose skin so the procedure will be done under direct vision.
Septoplasty and turbinectomy procedures are often performed at the same time for patients who need to breathe easier through their nose.
Rhinoplasty is one of the most technical and creative procedures in plastic surgery and should only be performed by a qualified and experienced plastic surgeon. Dr Barnouti specialises in the procedure and, from your first consultation, you’ll feel confident knowing that you’re placing your nose and health in safe, experienced and skilled hands.
What is Septoplasty?
Septoplasty is a surgical procedure to correct a deviated nose septum and make breathing through the nose easier. Many of our patients suffer from difficult or obstructed breathing because their septum is deviated or blocking a nasal airway.
This problem is corrected by either straightening the septum inside the nose or removing the deviated part of the septum to open both airways and ensure easy breathing through both nostrils.
What is Turbinectomy?
The turbinate is an anatomical structure situated inside the nose which may get enlarged or hypertrophied for any number of reasons. As the turbinate gets bigger inside its nostril, breathing becomes more restricted. A turbinectomy solves this problem by reducing the size of the turbinate to make breathing easier again.
Turbinectomies are usually performed at the same time as rhinoplasty to improve and facilitate breathing. By Laith Barnouti
Dr Barnouti will advise you on the best approach for your rhinoplasty during your initial consultation.
Contact us today to book your consultation in Sydney.
What happens during my consultation?
Your full medical history, an examination of your nose and your goals and wishes will be discussed thoroughly.
Our specialist surgeon Dr Barnouti will determine whether you are suitable for a ‘soft treatment’ or whether you require a surgical solution. A ‘soft treatment such as filler to augment the nose can be provided on the same day of the consultation.
Computer analysis will be used during the consultation to let Dr. Barnouti know exactly what you want and give you a clear idea of what to expect after your procedure.
During the consultation at one of our three plastic surgery clinics in Sydney, you can discuss possible alterations to your nasal tip, your nasal dorsum, your nasal width, nasal bridge, and your nasal base with Dr Barnouti. Because a change in one of those features of your nose can have a significant effect on the appearance of the others, Dr Barnouti will be able to advise you on the possibilities and best options to suit your preferences.
After your consultation, Dr. Barnouti can customise the procedure to your individual needs using his meticulous surgical techniques combined with an in-depth knowledge of nasal anatomy and vast experience of the nuances of rhinoplasty.
What happens during surgery?
During rhinoplasty surgery our plastic surgeon Dr. Barnouti will sculpt and reshape the framework of cartilage and bone, which makes up your nose. Access to this is gained in one of two ways; either directly through the nostrils (without visible scar), or through a small incision across the columella (the vertical strip of tissue separating the nostrils). This will depend on your individual circumstances.
Specialist types of rhinoplasty
Reduction Rhinoplasty – to reduce the size of the nose or change its shape or size
Cosmetic reshaping of the nose has undergone numerous changes over the last two decades. Reduction rhinoplasty is a procedure for people who’d like to have a smaller nose. This is achieved by cutting away excessive cartilage and bone and letting the natural skin envelope shrink down to the smaller framework. Dr. Barnouti’s main concern in this procedure is to produce a smaller, natural looking nose that maintains exceptional breathing capacity.
Augmentation Rhinoplasty – to enlarge the nose or change its shape or size
The augmentation rhinoplasty technique uses either natural tissue or nasal implant to create a nose that will match your face and any racial characteristics. The skin of the nose has no shape; it is the underlying cartilage and bony architecture that give shape. Therefore smaller noses require precise placement of grafts from your own tissue and sometimes implant material (such as silicone, gortex or medpore) to produce a natural looking nose. Augmentation rhinoplasty is commonly requested by our Asian clients.
Reshaping Rhinoplasty – to changing the shape but not the size of the nose
Some patients are happy with the size of their noses but not with the shape. Reshaping rhinoplasty may focus on the shape of the tip, the bridge, or the root of the nose. Reshaping rhinoplasty can be addressed with a variety of procedures ranging from a simple non-invasive technique to a larger scale surgical procedure.
Combined Rhinoplasty/Septoplasty/Turbinate reduction – also known as Septorhinoplasty with Turbinectomy.
Achieving a balanced appearance to the shape of the nose, from both the front and side views, must be combined with careful attention to the functional purpose of the nose for breathing.
Rhinoplasty changes the way your nose looks by changing the underlying cartilage and bone and Dr. Barnouti will make sure your new nose is in balance with the rest of your face. He will take into account your facial proportions, skin thickness, cartilaginous rigidity and bony formations to create the right nose for your face.
While working on the appearance of your nose, the nasal septum may also need attention to improve breathing. Other nasal structures such as the turbinates may require assessment and surgical adjustment for the same reasons. It is vital that a multifaceted approach be utilised to assess your needs and work out the best way to execute your septorhinoplasty.
During your initial consultation Dr. Barnouti will explain the details of your operative assessment and the reasoning behind each of the planned surgical procedures. Computer analysis may be used to help show Dr. Barnouti your ideal outcome or allow him to relay postoperative expectations back to you.
As one of the most technical and creative procedures in plastic surgery, Dr. Barnouti takes pride in specialising in rhinoplasty, septoplasty (correction of a deviated septum) and turbinate reduction (reducing the inferior turbinate to facilitate breathing).
Dr Barnouti will advise you on the best approach for you during your initial consultation.
How long does it take to recover from surgery?
A splint or cast will be applied to your nose immediately after your surgery.
The nose will be sensitive to touch for the first few days with some bruising for seven to ten days following rhinoplasty surgery, with bruising declining two to three days after surgery.
Cold compresses or ice packs will be applied for the first 24 hours to minimise swelling and bruises and help accelerate the healing process.
If there are stitches, they will be removed five to seven days after surgery, after which most patients do not need further dressings.
How soon can I get back to work and regular activities?
You will need to rest completely for two days after rhinoplasty and can return to work after the first week provided your job does not involve strenuous activities like lifting heavy objects.
Intense physical activity should be avoided for about a month after rhinoplasty due to the vulnerability of the nose during this time. By Laith Barnouti
Plastic Surgery Costs
Total Cost: $6,900 (including surgeon fee, assistant surgeon fee, anaesthetist fee, hospital, operating theatre and all follow up visits).
This price assumes hospital cover with a private fund and that your rhinoplasty procedure attracts a medical item numbers 41671 and 45644. If private health fund cover does not apply in your situation, plan for additional costs of $3,000.
We look forward to finding out more about your needs and to helping you with your rhinoplasty procedure