Sydney cosmetic plastic surgeon Dr Darryl Hodgkinson discusses his approach to rhinoplasty in two individual cases.BEFORE & AFTER rhinoplasty by Dr HodgkinsonCase study 1 Dale Hoo...Continue Reading
About The Procedure
When it comes to the results of a rhinoplasty procedure in a multicultural society such as Sydney, there is a wide variety of people with different ethnic backgrounds seeking aesthetic surgery. Dr. Hodgkinson’s approach to different ethnic subgroups over the past thirty years, has included over twenty years of performing procedures in the Eastern Suburbs of Sydney and over ten years performing plastic surgery in the United States.
Australia is built on ethnic diversity, and all Australians are aware of the great success of our immigration policies since World War II. Our population doubled due to new Australians coming from every continent with a range of cultural backgrounds. This increase in the variety of ethnicity demands an understanding of the social, cultural, and aesthetic values of patients by your surgeon.
It has also been shown that first-generation new Australians seek an aesthetic, which is a hybrid of their cultural background and their new environment.
Issues addressed with ethnic rhinoplasty
Features common to many Middle Eastern noses most typically include a strong, prominent nose with a high bridge, a broad middle area of the nose, and a big or sometimes drooping tip. People who have this type of nose may notice that it appears slightly long in relation to the face, especially in the frontal view of photographs. The profile or the three-quarter view may reveal a hump or drooping tip that could distort the balance of the facial features.
The aesthetics of the Asian face differ as they often do not have strong noses with high bridges. It is common that the Asian nose is usually flat, with a broad and depressed tip. When viewing this in profile, there is generally very little projection to the nose, giving a scooped out look. This requires a different approach due to the requirement of enhancement or augmentation, often with a bone graft or, in some cases, a cartilage graft to the bridge of the nose to build up the ‘flatness.’
Synthetic grafts like silicone are avoided due to the fact that they can be rejected over time. These grafts do not bond as well to the existing nasal structures when compared to the success rate of the patient’s own tissues. The graft gives the nose height and projection while also being able to narrow the flare of the nostrils to give the female nose a more elegant appearance or, in the case of a male nose, a stronger look.
Ethnic Rhinoplasty with Dr. Hodgkinson
When assessing any patient, perhaps the most important pitfall to avoid is the myth that there is such a thing as a ‘perfect nose.’ There is no one nose that will look good on everyone’s face. This can create a challenge for the surgeon as they need to conceive a nose that is appropriate for the specific patient and will look balanced on a face.
The aesthetic judgment of the surgeon, combined with years of experience, a range of techniques, and the desires of the patient, determine the best outcome. Dr. Hodgkinson will work with the patient to find an appropriate aesthetic design that fits the overall appearance of the face.
Dr. Hodgkinson has performed thousands of rhinoplasties and spends a great deal of time with all patients before surgery. This, along with the aid of a computer program called ‘Alter Image,’ means Dr. Hodgkinson can individualise the look of the nose, achieving a natural result that does not look operated on.
The healing process for the Ethnic Rhinoplasty procedure
It is somewhat unpredictable when dealing with the healing factors of the nose. Slight asymmetries may occur, but this is a risk with any procedure. A rhinoplasty procedure asymmetries are often more evident during the scar maturing phase, which happens around the six to eight-month part of the healing process. In some cases, a minor touch-up procedure may be required; however this has so far only been necessary for roughly five to ten percent of patients.
Why is Dr. Hodgkinson best suited to this procedure?
Dr. Hodgkinson has previously lectured at the Eurasian Nose at the Australian Academy of Facial Plastic Surgeons, The Brazilian Society of Plastic Surgery, The Korean Society of Rhinoplasty Surgery and the International Society of Aesthetic Plastic Surgeons. He has been asked to speak on his in-depth experience and vast skill set in regards to the various rhinoplasty procedures. He is asked to teach his Asian Rhinoplasty at meetings in Asian as he has an alternative solution to using skincare.
His Ethnic Rhinoplasty results, along with Blepharoplasty (eyelid surgery) has led to Dr. Hodgkinson being invited to assist other surgeons in the learning of new techniques and approaches. The methods he teaches, he has mastered over time and is sought-after as an authority on ethnic rhinoplasty and blepharoplasty.
Dr. Hodgkinson and his experienced team have a highly regarded set of unique skills. This goes above and beyond ethnic rhinoplasty procedures to include other facial and body procedures, all of which have the primary goal of assisting a patient’s comfort and confidence levels. Dr Hodgkinson is the director of Double Bay Day Surgery a dedicated facility just for cosmetic surgery of the face and body.
- Can an Ethnic Rhinoplasty procedure improve breathing?
If you have issues with breathing or your septum has been damaged, nose reshaping surgery can be of benefit.
Ths Septoplasty Procedure can reshape and improve both the appearance and function of the nose. Visit our Before and After Gallery to see the aesthetic changes that can be achieved during the Septoplasty procedure. In particular a twisted nose can be straightened with the procedure of septorhinoplasty.
- When can I return to work?
An Ethnic Rhinoplasty procedure is usually not particularly painful. The recovery period will take approximately seven to ten days, and you should be able to resume most activities within two weeks. However, if you take part in contact sports, you should wait around six weeks before resuming them.
Dr. Hodgkinson’s Double Bay Day Surgery facility provides a comfortable environment for all patients, with the use of state-of-the-art equipment. Our main goal is minimal postoperative sedation and the quickest recovery period possible in all procedures. You will likely feel a little strange as the anaesthetic wears off, and may also experience some tiredness, soreness, swelling, or discomfort after the procedure. Your family can take you home or we can organise a nurse to care for you post operatively.
Before and six months after a Rhinoplasty to build up the bridge of the nose performed by Dr Hodgkinson
Post-surgery you will require a splint across your nose for roughly seven days. Once this is removed, we use paper tape for a further several weeks to reduce swelling. You will be well across this process as our team will provide all relevant information about post-operative care during our consultations. We always encourage patients to ask whatever questions they need to ensure complete ease with the process of their procedure as well as their recovery.
- Will my looks differ significantly?
With all rhinoplasty cases, we aim for an improvement as opposed to change dramatically. Natural results are always Dr. Hodgkinson's primary goal ensuring that results suit the patient's individual aesthetic. Our team believes that successful surgeries are not obvious at all. Dr. Hodgkinson has the experience and skills to customise results of ethnic rhinoplasty to ensure you look completely recognisable when you see your reflection.
- I’m a male patient and worried that I won’t look manly after the procedure?
Many male patients are worried about a feminine look after a rhinoplasty; however, Dr. Hodgkinson can individualise the result. If we are aiming for a natural and balanced look, and you are male, then your manly features will be maintained. Male rhinoplasty avoids the "cute" look that is caused by too much tissue or cartilage being removed. Using video imaging … allows the patient to choose their look.
Males like to maintain a strong nose that is one of the defining features of the masculine appearance. As Dr. Hodgkinson always provides the best results for his patients, achieving this is the goal in life.
- What risks are associated with the procedure?
Dr. Hodgkinson is an expert in all rhinoplasty procedures having over 30 years experience and has performed thousands of surgeries, always ensuring the highest levels of safety. All surgical procedures present a level of risk; these are the ones relevant to rhinoplasty;
- Issues with the anaesthetic including allergies
- Visible swelling over several months
- Altered nasal sensation
These problems are uncommon, it is also important to note that any incisions will be inconspicuous, and all scarring will fade or lessen with time.