Nose reshaping can have a profound effect on a young person’s confidence, explains Sydney plastic surgeon Dr Darryl Hodgkinson.
Deformity of the nose – either too large, too small or twisted – severely impacts on the appearance of the face. The deformity can constitute a source of immense psychological pain to a patient.
Young females often seek treatment to appease the embarrassment and self-consciousness that is experienced because of the size and/or shape of their nose. They avoid having photographs taken of themselves; in particular, they shy away from profile shots. Some patients have breathing difficulties which are often associated with a history of trauma to the nose, including twisting of the nose.
Rhinoplasty involves carefully assessing the skeletal, bony and cartilagenous components of the nose which contribute to the shape of the nose. These components are changed in such a way, that when the skin is re-draped over the nasal structures, a new appearance is produced.
THE ART OF NOSE RESHAPING
Sydney plastic and cosmetic surgeon, Dr Darryl Hodgkinson has been performing the procedure of rhinoplasty for well over 20 years. Modern rhinoplasty incorporates an aesthetically pleasing result with functional improvement. It also makes it possible for the patient to have the procedure in a day surgery with minimal bruising, swelling and discomfort.
Communication between the surgeon and patient is the number one objective in the consultation. Expectations need to be addressed and the surgeon needs to understand what the patient wants and if possible, deliver satisfaction.
” I have a very close look at the nose in comparison with the rest of the facial features and ask the patient exactly what bothers them about their nose”, says Dr Hodgkinson. “I then examine the structure of the nasal bones and cartilage, the thickness of the skin and explain whether it is technically possible to achieve their request”.
Some patients have a very straightforward problem, such as a very large nose that they simply want made smaller, whilst others have a desire to define a slight angle or minimally re-shape the tip.
It is very common for an Asian patient to want the bridge of the nose built-up because the nose is too flat. In the case of building up the bridge of the nose, Dr Hodgkinson advises the patient against using any foreign materials, for example silicone or other synthetic materials. He believes that using the patient’s own bone and cartilage is safest and the most permanent option.
The patient often has already checked on the internet site which shows dozens of Dr Hodgkinson’s results and this gives them, along with the extensive information available on his internet site, the direction and focus necessary to predetermine the likely result from the surgery
There is a small chance that in some cases a secondary revision might be necessary but this is usually extremely minor. The cases that are most unpredictable are those that have had unsuccessful rhinoplasty performed elsewhere. Repair if carried out is called a secondary rhinoplasty and often will require grafting of tissue in the nose. Results of secondary rhinoplasties can also be viewed on the website.
Good communication assists the surgeon and patient to achieve the desired result.
Careful consultation between the plastic surgeon and the patient should be straightforward and unambiguous regarding what the patient finds unattractive about her nose, and what she thinks would improve her appearance. The surgeon should be able to show patients “before” and “after” pictures of cases very similar to the patient’s own problem.
Computer imaging is available and is sometimes quite helpful to both patient and surgeon – to provide the patient with a realistic view of what might be achievable from a rhinoplasty.
Good communication assists both the surgeon and patient to achieve the desired result. It should be kept in mind that we live in a multi-cultural society, and all surgery should be racially and culturally appropriate.
BEFORE and AFTER Rhinoplasty
The procedure of rhinoplasty is usually carried out under light general anaesthesia or twilight anaesthesia as a “day only” procedure in a licensed surgical facility. It often requires movement of the bony framework of the nose and recontouring of the cartilagenous framework. If there is nasal obstruction, the internal structures such as the septum and turbinates (air-conditioning mucosa inside the nose) are also operated upon.
A nasal splint made of acrylic is used for 5-7 days to stablise the new shape, and swelling is variable but may last for several weeks to months after the procedure.
Dr Hodgkinson’s fully licensed day facility accommodates the patient for a stay of about six hours. The team at the Double Bay Day Surgery includes specialist anaesthetists, fully qualified surgical and recovery staff whose prime objective is to make the patient’s stay as safe and comfortable as possible.
For more details and bookings please contact our clinic on 02 9362 7400 or for further correspondence on this procedure please send your enquiries to [email protected]