Case Studies in Rhinoplasty

Sydney cosmetic plastic surgeon Dr Darryl Hodgkinson discusses his approach to rhinoplasty in two individual cases.

BEFORE & AFTER rhinoplasty by Dr Hodgkinson

Case study 1

Dale Hooper, a well-known Australian country and western singer, struggled with his breathing for 20 years. This was the result of breaking his nose several times and a large hump along with a droopy tip. Not wanting too dramatic a change to his well-publicised face, Dale consulted me for improvement to the function of his nose as well as to the aesthetics of his face.

Dale was shown virtual images, using AlterImage software, of the possible changes to his appearance that could be achieved by rhinoplasty surgery. X-rays revealed that the breathing passages were blocked and his septum was severely twisted.

During surgery the breathing passages were shrunk to identify the bony abnormalities deep within the nose. With the use of special headlamps and instruments these structures were carefully manipulated to centralise them and provide two good airway passages. Two soft plastic battens were placed temporarily in the nose so the reconstruction was stabilised and would not collapse. The hump and tip were remodelled to Dale’s design.

Six weeks later, the benefits are enormous. Dale has now offered to perform for Operation Restore Hope, the international surgical charity for underprivileged children, in the Philippines.

BEFORE & AFTER rhinoplasty by Dr Hodgkinson

Case study 2

Nadya, 37, always disliked her profile. An injury trauma during netball resulted in a bloody nose and as a teenager she developed an ugly hump on her nose that also constricted her breathing. The trauma that caused the nosebleed had obviously damaged the internal structures and these eventually needed to be repaired.

I examined the internal nose and obtained scans to demonstrate the deformity. AlterImage software was used to select a design which would satisfy Nadya’s wishes. The procedure was similar to Dale’s but, of course, with a more feminine outcome.

In the past, Nadya shied away from having her photo taken. With her renewed self-confidence, now she says it makes her day.

A septo-rhinoplasty operation takes about one to two hours to complete and is performed on an outpatient basis under light general anaesthesia. Discomfort is usually minimal and can be managed with oral medications and application of ice to reduce swelling in the early post-operative period.

My advice is to conduct extensive research to find a surgeon experienced in nasal surgery. It is essential they understand the internal mechanism of the nose and can repair any breathing problems as required.

If you’re thinking about a nose job or rhinoplasty, call us at the clinic (02) 9362 7400 to schedule a free consultation to discuss the possibilities! You can also email us on [email protected]

About Dr Darryl Hodgkinson

Dr. Darryl J. Hodgkinson is recognized world-wide as an expert in aesthetic plastic surgery with more than thirty years of experience in both aesthetic and plastic/reconstructive surgery.

Dr. Hodgkinson did his plastic surgical training at the prestigious Mayo Clinic in the United States and is amongst an elite group of a very few surgeons to hold two degrees in plastic surgery from American Board of Plastic and Reconstructive Surgeons and the Royal College of Surgeons, Canada.

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