People come along for rhinoplasty for different reasons. Sometimes concerned about how their nose looks; and that might have been because they have had an injury in the past, or it might just be that they were born that way. Others come because they don’t breathe well, and others still may have a combination of both.
Rhinoplasty addresses two things; Cosmesis (the look of your nose) as well as Function (how well you breathe). It is important that these things are considered together. If you have problems with both, then we can make them both better! If you have a cosmetic concern only, we can’t compromise your breathing and vice-a-versa.
What happens at my consultation?
We will discuss what bothers you about your nose. It may be certain parts of your nose, different views (i.e. profile) or the whole thing! I’ll ask you about your breathing and we will discuss in detail the things that can be changed.
You will have photographs taken, including with a 3D camera, the Vectra which allows me to simulate the changes to the appearance of your nose during the consultation. This is very helpful in showing you what can be changed and helping you to understand any limitations on what is achievable with your nose. I will make sure we are both on the same page to ensure you are happy with the outcome.
We will discuss the surgery in as much detail as you wish to hear and we’ll talk about recovery. My assistant will talk with you about quotations and scheduling.
What is the down time?
Most people are surprised how little down time there is with rhinoplasty surgery. Surgery is often day, sometimes a one night stay and initial recovery is fairly fast. There will be bruising and swelling that begins to settle after the first 3-4 days and by the time you come back to the office for your first visit at one week most of the bruising is gone and your stitches and splint comes off. I suggest two weeks off work but find that office-based work is often fine by about 10 days after your surgery. Gentle exercise can be resumed at two weeks.
The final result of a rhinoplasty is not properly seen until at least a YEAR after surgery. It takes that long for absolutely all the swelling to disappear. Fractions of a millimeter in swelling can be noticed on the nose, so it’s a long process!
Is there a Medicare or Health Fund rebate for the surgery?
Quite often. Once I’ve heard your concerns and examined you at your consultation I will assign item numbers where appropriate which will determine your rebate from your health fund or Medicare if you are uninsured.
Sometimes people have had surgery on their nose in the past and they are not completely happy with the result. It may be that they still have concerns about the appearance of the nose or there may be difficulty with breathing or both.
Some aspects of the nose can be changed and others are more challenging when rhinoplasty surgery has already been performed. My job is to help you understand what is realistically correctable. I will use photographs with the 3D camera, the Vectra to highlight this to you.
How is revisionary rhinoplasty different?
Revisionary or re-do rhinoplasty surgery is more challenging for a few reasons. There is scarring from previous surgery that makes the surgery technically more challenging.There is often not as much cartilage available at the back of the nose to use as a graft or ‘building material’ for correcting things. This means that sometimes I need to borrow some from another site such as the back of the ear or a rib.
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