Before and two years post secondary rhinoplasty reconstruction with grafting
Before and after a septorhinoplasty
About The Procedure
Of all plastic surgery procedures, nose enhancement, nose job or rhinoplasty, is among the most common and satisfying for patients. Rhinoplasty Surgery can be performed on any part of the nose. Nose reduction surgery to reduce its size, or nose plastic surgery to modify the size and shape of the nostrils, nasal tip or bridge of the nose; or to alter the slope or angle of the nose. Rhinoplasty surgery, sometimes in conjunction with Septoplasty (to repair the septum of the nose) may also be performed to correct an injury or birth defect, or to improve breathing difficulties. The septoplasty or reconstructive rhinoplasty surgery is performed at the same time as the surgery to improve the aesthetics in creating the new nose of the nose.
When considering a nose plastic surgery procedure and because rhinoplastic surgery can change patient’s profile, many patients make use of the digital imaging service available at the clinic to help them envisage not only what is possible and what their new look might be but appreciate the benefits that this tool allows in doctor/patient communication. This is popular for both female and male nose job Sydney patients. This is a very accurate tool with photographs taken in a studio and transferred to a computer with the software Alter Image. Patients interact with rhinoplasty surgeon Dr Hodgkinson and his staff to determine which nose shape provides the best facial balance, and will be the most attractive and natural on the patient’s face. The result must be customised to each and every patient. Dr Hodgkinson respects the ethnic characteristics and facial features of the individual patient’s face.
While the rhinoplasty procedure is designed to change the shape and appearance of your nose for cosmetic reasons, it can also fix nasal features or deformities caused by an injury or nasal trauma. Your nose should work harmoniously with your face, and the right rhinoplasty surgery for you should be subtle and natural. If you have one of the following concerns, a rhinoplasty procedure may be the right one for you;
The rhinoplasty procedure works to improve the appearance of your nose for increased self-confidence, but it can also be beneficial in helping with a nasal breathing problem or nasal obstruction. This can lead to better breathing and better quality sleep. Rhinoplasty, as well as a range of other cosmetic procedures for the facial region like facelift, are set to provide someone more confidence with their facial appearance; lifting spirits and giving themselves an improved sense of self. Dr Hodgkinson tests your breathing function pre-operatively and may order a CT scan or X-ray to determine the obstructions which might be present in the back of a patient’s nose. Patients are grateful for the chance to correct breathing problems as well as to look better.
While most people think of rhinoplasty as making some aspect of the nose smaller, for example removing a hump or bump, or reducing the width of the nose or size of the nostrils, sometimes the nose actually needs to be made larger to bring it into balance with the face. Too small a nose can also look unnatural and as out of balance with the other features of the face as too large a nose.
The most common area of the nose for which patients seek augmentation is the bridge or dorsum on the nose. The bridge can be “weak” in appearance due to trauma or genetics. Whether a nose has been broken or the bridge is in concave in shape like a banana as opposed to strong and straight. The other area that commonly is built up is the tip of the nose. This is especially common for persons with a flat or depressed tip of the nose.
The only option to correct this concavity of the bridge or depression of the tip is by augmenting the nose with an implant or implants, preferably of autologous tissue. Autologous tissue means the patient’s own tissues such as bone or cartilage. The bone or cartilage can be used to build up the dorsum and restructure the tip to create more aesthetically pleasing contours. The bone can come from the elbow (the olecranon bone graft) or the hip and the cartilage is most commonly taken from the ear (conchal cartilage) or rib. These donor sites not only allow for the optimal grafts but the small incision required to harvest the graft is easily hidden behind the ear, in the creases of the elbow or under the breast.
Dorsal augmentation of the nose is especially popular with Asian patients who seek to have a “high nose” and a more Eurasian look. It is more typical in Asian populations to have a greater concavity at the top of the nose initiating from the area between the eyes and scooping downward toward the tip. Most patients like the option of using their own tissue such as cartilage or bone to improve the height of the nose. In Asia, silicone grafts have been commonly used but because there are of a foreign material in an area often with very thin skin, these tend to extrude (work their way out) over time creating an even greater reconstructive challenge.
Whether it be to correct the deformity resultant from trauma or to create a more balanced and beautiful nose, sometimes the nose has to be “built up” not reduced.
The nose plays a crucial role in our body image and can cause anxiety and lack of self-confidence if someone is unhappy with this region. Some parts of the nose can be made smaller or narrower, and some parts can be made more substantial and more projecting.
A rhinoplasty, or nose job surgery, should also be ethnically appropriate, fitting in with the person’s ethnic profile. In Caucasians, the bony hump which gives the nose a certain prominence is removed. In Asians, the procedure is almost always a reverse of the Caucasian and aims to give the bridge and tip more projection. Surgeons in Asia commonly use silicone Medpor and Gor-Tex to provide the desired dorsal projection, but it is not only not recommended but its popularity is waning due to a high rate of failure over time.
Dr Hodgkinson has used the patient’s own cartilage and bone for 30 years to achieve correction of the Oriental nose. His methods and results have been published in several international plastic surgical journals and he has been invited to lecture on his technique worldwide. These results with autogenous materials are permanent and long-term unlike foreign material like silicone which extrudes or causes thinning of the tissues in a large percentage of cases.
Rhinoplasty is a procedure to reshape the nose. This surgical procedure can have both cosmetic and health benefits for those with breathing or sleeping issues. Breathing difficulties due to distortion or swelling of the internal structures of the nose can be corrected at the same time as cosmetic Rhinoplasty. Rhinoplasty involves the modification of the bones and cartilage of the nose and allowing the nasal skin to adapt itself to the new shape with time. For some, a secondary rhinoplasty is a procedure used to correct an inadequate, inappropriate or poorly performed initial primary rhinoplasty. Many of Dr Hodgkinson’s rhinoplasty procedures are for secondary or revision rhinoplasty cases.
Sydney cosmetic plastic surgeon, Dr. Darryl Hodgkinson, is a leader in facial plastic surgery and an expert in rhinoplasty surgery and nose surgery for Asian patients, lecturing on rhinoplasty in Australia and around the world. In fact, Dr Hodgkinson is only 1 of 2 Australian surgeons that has been accepted into The Rhinoplasty Society and the only surgeon in New South Wales. This society consists of top rhinoplasty surgeons throughout the world who specialise in rhinoplasty and to be accepted the rhinoplasty surgeon must go through an extensive vetting process in order to be part of this esteemed organization. Papers need to be submitted, expertise validated and they must be considered innovators in their field deeply committed to aesthetic and reconstructive nasal surgery. Many plastic surgeons from overseas who visit Dr Hodgkinson are impressed with Dr Hodgkinson’s rhinoplasty techniques and his natural results.
Dr. Hodgkinson has performed thousands of rhinoplasties and he likes to spend a great deal of time with his patients before surgery, getting to know them, their desires and getting a complete understanding of the work required. With the aid of our computer program ‘Alter Image,’ Dr. Hodgkinson will individualise an achievable nose shape which looks harmoniously natural with the rest of the patients facial features, and does not look operated on.
Healing in the nose is somewhat unpredictable and, as with all surgeries, slight asymmetries might occur. This is in no small part due to the fact that no nose is symmetrical pre-operatively and the tissues the surgeon is dealing with vary from side to side. It is also important to note that too symmetrical a look will appear “plastic” and unnatural. Minor asymmetries may become evident during the scar maturing phase of healing, usually at about six to eight months. A minor touch-up procedure may be needed in about five to ten percent of primary rhinoplasty cases usually not until at least 9-12 months of healing has occurred.
In a secondary rhinoplasty situation where the nose requires complex grafting, there is underlying scarring or loss of tissue, which can compound surgical problems making the results of the secondary revision rhinoplasty less predictable. Dr. Hodgkinson always aims for improvement but downplays expectations due to the unique issues secondary rhinoplasties present.
Deviated (crooked) septums are widespread and severe deviation can cause blockages of the airways, and this can be corrected with a septoplasty at the same time as a cosmetic rhinoplasty. Septoplasty for a deviated septum or injury to the nose is subject to a small claim from Medicare.
Dr. Darryl J. Hodgkinson is an expert in cosmetic plastic surgery with over thirty years of experience and surgical training from the prestigious Mayo Clinic in the United States. He holds two degrees in plastic surgery and serves on the Scientific Committee of the International Society of Aesthetic Plastic Surgery (ISAPS). The Double Bay Day Surgery is a fully licensed day surgery centre with state of the art cosmetic and plastic surgical procedures. You are in very safe hands for your rhinoplasty procedure. Our team will take their time to understand your needs and desires, answer all the questions you may have, and ensure that this is the right procedure for you.
We also place a great deal of focus on post-operative care for all of our patients. Our highly skilled nursing staff are on call 24 hours a day, and they are available to stay with patients either at home or nearby if desired.
To get the best advice when considering nose surgery Sydney, or any other cosmetic or plastic surgery procedure, please contact the team at Dr Hodgkinson’s clinic on (02) 9362 7400. You will be provided with a realistic image of what your result would look like, a costing and all the details you need to make a decision.
Frequently Asked Questions About RhinoplastyWe find the most common age for people to undergo nose job surgery is in their young adult years between the ages of 18 and 30, especially for those starting their university education or beginning new careers.
In fact, it is during the school or university summer holidays that we see the most student-aged patients for nose surgery. The full age range of patients, however, extends from 16 to 75! Improving a patient’s profile can dramatically enhance their overall appearance, and often rhinoplasty is combined with a cosmetic procedure on the chin or facial rejuvenation surgery to balance and enhance the look of the face as a whole.
Before and After Rhinoplasty
Click here to get your free info pack to learn more about rhinoplasty surgery and nose job costs. The range reflects the varying degree of difficulty and time necessary to perform the surgery.
Of note, there is a small Medicare rebate available for all Rhinoplasties. This detail can be discussed on the day or for some preliminary information, visit MBS Online.
We encourage patients to make use of the many tools we have available to help them explain to us what they want to achieve including: our articles, blog posts, galleries of “before and after” photos of actual patients, clinical procedural brochures, videos and digital computer imaging. All of these tools play a vital role in helping us to communicate with our patients and to understand their expectations and desired results.
We encourage patients to describe what they want and show us photos of the noses that they like. It is also helpful for them to share photos of any relative of theirs who they think has a particularly attractive nose. Patients may bring photos of models, celebrities, or film actors from popular magazines. This is not discouraged but rather encouraged as a further tool for communication. Clear, accurate communication between surgeon and patient is a top priority to allow a proper assessment to be made and realistic advice to be given.
Before and After Nose Surgery – Rhinoplasty
A nose job can also be referred to as rhinoplasty. The trials and tribulations of pop icon Michael Jackson drew much comment on rhinoplasty and nose jobs. Certainly, the fear of many patients seeking rhinoplasty is of ending up with a nose that has an obviously operated-on look so they are tagged as having had a ‘nose job’.
Too much tissue taken out of the tip of the nose, too great a reduction of the dorsum or bridge of the nose and/or an inappropriate repositioning of the nasal bones, all by inexperienced surgeons are the usual causes of the so-called nose job.
Another common cause is the use of plastic in the nose. These ‘plastic (or silicone) implants’ are common amongst Asian patients and are rarely successful in the long term.
Rhinoplasty if done correctly by a surgeon with experience and expertise can be one of the most satisfying procedures, beautifying the face and improving the patient’s profile. Any breathing problems can also be dealt with at the same time.
Proportion and balance of features are very important considerations with nasal reshaping, known as Rhinoplasty. The shape of the face and the chin as well as the position of the eyes should all be taken in consideration when contemplating changing the shape of your nose.
We find that digital imaging and image manipulation can often give the patient a better visual idea of what the end result might be. We encourage patients to bring photos of noses they like so we can discuss their expectations and what is realistic. Selfies greatly alter the appearance of the nose and clear communication with us is essential. This is why we perform computer imaging with you to determine your aesthetic goals.
The trend is away from making a too-cute or stylised nose and more towards individualised rhinoplasty to suit both the patient’s features as well as aesthetic requirements. No one nose suits every patient.
Before and After Rhinoplasty
The reason why so many people come to see Dr. Hodgkinson is his preparation process in which he will discuss the options and outcomes of your procedure, while also using the Alter Image program to provide a visual example of your expected results to help make your decision.
You will find peace of mind knowing that your goals will be taken into account with your current situation to ensure your nasal bridge procedure will provide an outcome that you’ll love, reinstating your self-confidence and comfort.
It may be the case that a different procedure is better suited to your goals, and if so, Dr. Hodgkinson will discuss this with you. This exemplifies the importance of the rhinoplasty consultation process to find the best path forward for you.
That way, you will understand the potential and realistic outcomes, as well as any associated risks. If you have any questions, they will be answered during this time, and Dr. Hodgkinson will ensure that you are comfortable with all decisions before surgery is confirmed.
The ‘Alter Image’ program allows Dr. Hodgkinson to let you see the achievable natural outcome of your procedure.
This is often one of the largest fears faced by patients when it comes to having a nose augmentation. Dr. Hodgkinson’s specialty across all procedures is a sensitivity to a range of elements. This includes the look of the person’s face, as well as gender, ethnic background, and family resemblance. A good result is a nose nobody notices as it blends and harmonises well with your other features, especially your profile.
A before and after rhinoplasty procedure as performed by Dr. Hodgkinson
When it comes to the rhinoplasty procedure, Dr. Hodgkinson is an expert who works hard to individualise the results for every one of his patients, so the new look is natural and balanced. This, in turn, means that the results do not show signs of obvious surgical intervention.
Most patients have a good idea about what they dislike about their nose and what they want done but a big concern is how much time they will miss from work or studies and/or how much discomfort they will experience. The surgery surprisingly causes minimal discomfort and oral painkillers such as Panadol can control this. Recovery from rhinoplasty takes approximately seven to ten days and you can resume most activities within two weeks, except for contact sports. Rigorous activities can resume in about six weeks.
The hard work of our team, along with the state-of-art equipment and materials we use create the most comfortable environment possible for patients. We aim for minimal postoperative sedation and the quickest recovery period possible. You will likely feel strange as the anaesthetic wears off and experience some soreness, swelling, or discomfort, which is all completely normal.
You will also likely feel tired after surgery and have a splint placed across your nose to assist in the healing process for around seven days after surgery and with paper tape for several weeks after that. We ensure that you are well-informed when it comes to the healing process so there will be no shocks or surprises after your procedure. You are encouraged to ask any question that you may have to ensure you are entirely comfortable with what will happen before, during or after a rhinoplasty surgery.
Before and After Rhinoplasty
Dr. Hodgkinson places great importance on working at the highest levels of safety and care, which is why the thousands of nose surgeries he has performed over his long career have experienced no adverse or negative risks. Part of our responsibility as medical practitioners requires us, however, to inform you of any possible associated risks for the surgical procedures we provide.
Your risks are related to your general health, and even in the best of hands, sometimes (about 5%) of healing doesn’t go as expected, and a touch up operation may be needed at 6-12 months to refine the result.
Prior surgery by some other surgeon, taking recreational drugs and trauma all contribute to unpredictable healing after rhinoplasty.
The incisions that are made as part of this process are inconspicuous, along with any scarring that will fade or lessen with time.
The experience and expertise of your selected rhinoplasty surgeon will be the greatest factor in determining the quality of the rhinoplasty surgery performed. Dr Darryl Hodgkinson is recognized around the world as a leader in this surgical procedure and in facial plastic surgery in general.
Our mission is to provide our patients with the best results possible, and we appreciate the trust and faith placed in us by our patients. Dr. Hodgkinson provides a relaxed and professional environment, and we will work with you to understand your goals and ensure that you are entirely comfortable with making your decision to proceed with this procedure.
Please speak to our highly skilled staff about rhinoplasty surgery or any other surgical procedures today. Our team includes intensive care anaesthetists, registered nurses, and surgical technicians; all of whom are trained in catering to the needs of cosmetic and plastic surgical patients, to provide the best service and post operative care to achieve the highest quality result.
Yes it can. At the same time that nose reshaping surgery (rhinoplasty) is carried out, issues with breathing can also be addressed.
If the septum, the internal division between the nostrils, has been twisted or damaged from trauma this can be fixed along with any external structures to ‘free-up’ your airways and improve your breathing. This procedure is called a ‘septoplasty’. Dr Hodgkinson well do testing of your breathing and may do X-rays to better determine your breathing passages.
The two procedures of rhinoplasty and septoplasty can be carried out at the same time, improving both the appearance and the function of the nose; however, the surgery will usually require a more invasive technique than the one used for closed nose tip surgery. It is vital that you make Dr. Hodgkinson aware of the key drivers for your want of surgery, be they aesthetic or functional, so he can make an appropriate assessment and determine the best path forward for your needs and wants.
Before and after 3 months Septorhinoplasty
A rhinoplasty is one of the most satisfying procedures, beautifying the face and improving the patient’s profile. Any breathing problems can be dealt with at the same time. To review some of Dr. Hodgkinson’s rhinoplasty cases, please check out our Patients’ Before and After Gallery.
The “ski-jump” nose is usually caused by trauma, an accident or in some unfortunate cases, previous over-zealous rhinoplasty surgery wherein a less experienced surgeon removes too much tissue leaving a the patient with a nose which is either unnatural in shape or too small.
In a male, a small, weak nose is seen as most unattractive and lacking masculinity. Most men want a good strong nose and to achieve this for patients with a scooped out or too small nose, we use a patient’s own tissues to build up the top of the nose, thereby producing a more handsome, defined profile.
The tissues used for this nasal grafting are most commonly bone and cartilage. The use of silicone implants or implants of any synthetic material is problematic as over time the body rejects the implant and the implant works its way out of the nose and requires removal and can create an even more difficult defect to repair.
If your nose is naturally too small or scooped out in shape from trauma or previous surgery, there are options for rhinoplasty surgery to create a more natural and pleasing shape to your nose.
Before and After Nose Surgery
It certainly can. Dr. Hodgkinson is an expert in altering flat noses in both Caucasians and Oriental rhinoplasty. He is able to build up the bridge of the nose to provide an improved aesthetic, creating a better balance with the eyes. Asian patients find this gives a more Eurasian appearance, which they prefer.
An example of a built-up bridge of the nose with bone grafting to provide an improved aesthetic, creating a better balance with the eyes.
This procedure can be done with silicone however these are considerable problems long term with foreign material in the nose. Dr. Hodgkinson’s unique process uses the patient’s own tissue or a small piece of bone from the elbow to produce a more refined profile creating a more desirable appearance when viewing the face from the front. This result lasts a lifetime.
This highlights the upper part of the face and has been performed by Dr. Hodgkinson hundreds of times with few problems, in comparison to the silicone process, which tends to extrude or be rejected over time.
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