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Are you considering nose surgery (rhinoplasty)?

Dr Jeremy Hunt FRACS has performed hundreds of rhinoplasties on patients throughout his 20-year career. View samples in his before and after rhinoplasty gallery below.

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

Rhinoplasty is one of the most common types of plastic surgery/cosmetic surgery. Rhinoplasty is performed to alter the noses appearance or to fix medical concerns that interfere with breathing, such as a deviated septum or broken nose.

Find Out More about Dr Hunt's Nose Procedures

Read the Blogs about Nose Surgery

Nose Surgery (Rhinoplasty) FAQs – Your Questions Answered

Rhinoplasty Sydney FAQs

Should I have a Rhinoplasty?

If you’re unhappy with the size, shape or position of your nose, you may be a suitable candidate for a Rhino or Rhinoplasty surgery. However Dr Hunt will discuss your situation and suitability for rhinosplasty surgery in detail during your personal one-on-one consultation.

When can I go home after Rhino surgery?

You can choose to go home on either the day of your Rhinoplasty surgery or after an overnight hospital stay. Whichever you choose, you should rest in bed with your head elevated for the first day, and then limit your movements to around the house for the next two to three days. During the first 24 hours your face will feel puffy, your nose may ache and you may have a dull headache. Cold packs and the pain medication prescribed before you left the hospital will help.

Will I have to return for post-operative care?

You’ll come to see Dr Hunt within the first week after your surgery, so that he can check you’re recovering well and remove any packing, your splint and usually your sutures. You’ll then have regular follow up visits over the next year so that Dr Hunt can ensure you’ve achieved the desired result and that you are recovering nicely.

How long will I be off work after Rhinoplasty?

You should plan on taking two weeks off work to allow a full recovery depending on the physical demands of your occupation

What is the recovery like after a Rhinoplasty in NSW?

A rhinoplasty can be performed as a day only surgery, or an overnight stay surgical procedure. On discharge, the patient will need to allow at least two weeks to recover from their nose surgery. The patient will usually experience bruising around the eyes and an external nasal splint is often used to control the positions of the bones until they are healed. After two weeks the patient should easily be able to return to work and undertake normal activities. However, they may not be ready to attend social functions until approximately six weeks after their surgery. It is recommended that a patient should not participate in contact sports until approximately three months following a rhinoplasty.

After a Rhinoplasty, generally most patients experience minor pain and are able to return home the same day, though bruising and swelling is apparent for approximately five days. This will vary depending on how complex the surgery is. You will be expected to wear a dressing with a splint, as well as bandages, to protect your nose for a week; these can then be removed.

What are Open Rhinoplasty and Closed Rhinoplasty Techniques?

There are two different types of Rhinoplasty surgery, both used for very different reasons. These are called the open and closed approach and both should be discussed at your consultation. Each nose procedure comes with their positives and negatives which should all be highlighted.

  • Open Rhinoplasty surgery has a small incision made along the bridge of tissue between the nostrils. As this is as small as possible, the incision is usually unnoticeable after the recovery period. Alterations to the tip of the nose, reconstruction work and those with severe breathing difficulties will be recommended to have open approach surgery.
  • Closed Rhinoplasty surgery is where no external incisions are made. Instead, all incisions are within the nose, meaning there will be no scars on the exterior. This procedure is used predominately to aid with minor breathing difficulties.

What is the difference between an Open Rhinoplasty and Closed Rhinoplasty?

An open rhinoplasty involves an incision in the columella – the piece of skin that runs between the two nostrils. It allows the skin to be separated from the cartilage and gives the surgeon better access to the nose. An open rhinoplasty is more frequently performed than it was in the past as it has been shown to have a lower rate of revision. A closed rhinoplasty has no incisions of the external nose, which is an advantage as this means there is a relatively small scar. However, this method can have a higher revision rate than open rhinoplasty. As a result most surgeons today tend to perform open rhinoplasties.

Can I combine Rhinoplasty and Genioplasty (chin surgery)?

If a patient is concerned about the symmetry of their face then a rhinoplasty combined with a genioplasty could be considered. The balance between the middle third and lower third of the face are often corrected by a rhinoplasty addressing the nose in the middle third of the face and a genioplasty addressing the projection of the chin point in the lower third of the face. In a proportion of patients, the two procedures are combined to correct a weak lower third of the face with a recessed chin at the same time as correcting a particularly large nose. This combination achieves the best correction of balance between the middle and lower third in this patient.

What are the different nose problems?

There are a number of reasons why someone would consider nose surgery, ranging from breathing problems to disliking the shape of their nose to wanting their face to be more in proportion.

There are 2 key types of Nose problems:

1. Cosmetic – External nasal deformity patients – patients with nose shape concerns

Patients in this category will often be unhappy with the shape of their nose or they may have suffered a trauma to the nose, causing a deformity. If a person is unhappy with the shape of their nose then a rhinoplasty may address any disproportion in the nose, such as a hump or deformity. The nose will be brought into balance with the height and width of the middle third and lower third of the face.

During a rhinoplasty, consultation measurements will be made of the dimensions of the middle and lower third of the face which will be kept as a guide for the length and projection of the nose. Where the nose does not meet these ideal lengths and projections, changes can be planned through a rhinoplasty to achieve a balance and proportion to the face. Proportion is the basis of all rhinoplasty procedures and is the key to achieving a balanced aesthetic result.

2. Functional – Airway obstruction – patients with breathing issues

Nasal airway obstruction can be a concern for patients born with the obstruction, or notice it as a result of trauma to the nose. In cases where the nose is deviated, there can be an obstruction to breathing and this can be corrected through a rhinoplasty, septoplasty, turbinate reduction or a combination of these procedures to improve breathing. These patients are more likely to get a Medicare Item Number and a subsidy from Private Health Insurance. May also be able to get early release of their Super to pay for surgery.

Will Medicare cover a Nose Job?

In some instances, Medicare will recognise the need for a patient to undergo a rhinoplasty or septorhinoplasty. The nose is divided into the external nose which is visible and the internal nose which is the passage for breathing. If there is a medical issue such as a post-traumatic deformity to the nose, Medicare will recognise the medical need to perform a rhinoplasty. In cases where there is obstruction to the nasal airway in the internal nose Medicare may recognise the need to perform a septoplasty or turbinate reduction to improve nasal breathing. As these examples are recognised as medical procedures there will be a Medicare rebate associated with them. Health funds will also potentially contribute to (if not cover) hospital costs depending on the level of cover.

Is rhinoplasty a major surgery?

Many people assume that rhinoplasty is a minor surgery because the nose is small. However, the answer is no. The nose is a very important organ of the human respiratory system. And you can face many problems if the surgery isn’t done correctly. Always choose an experienced surgeon.

Is rhinoplasty painful?

In most cases, it’s not too painful. The patients have some swelling and a tender nose. Sometimes, there can be a bit of bleeding, too. However, Dr Hunt will explain pain management and prescribe you medications. It’s incredibly important to follow instructions.

Does a nose job change your voice?

A nose job can certainly change the shape of your face, and alterations in nasal airflow can lead to a change in the voice. The more airflow there is through the nose, the less “nasal” the sound of the voice.

At what age can you get a nose job?

If you’re younger than 18 in men and 16 in girls the face may not have fully developed and for this reason it is best to wait until you are older.

Do rhinoplasty results last forever?

As with so many things in life, the answer to this question is that it depends on a lot of factors. Some procedures last a very long time. In fact, most patients’ noses don’t change much at all after surgery. Others change significantly for the better. Also, with age, your nose will lose some of its volume.

Do you have to breathe through the mouth after rhinoplasty?

For most nose jobs, breathing through your nose is fine, though straight after surgery the nasal passages will often be swollen so airflow may be limited. This will improve in the weeks after surgery as swelling settles.

What are the risks and potential complications of Rhinoplasty?

Like all surgeries, rhinoplasty does carry some risks. You may experience the following complications:

  • Bleeding– A small amount of bleeding is normal after surgery, but if you’re still bleeding several days after surgery, contact the medical team
  • Infection– If you develop a fever and notice swelling or redness at the level of the face, you might have an infection
  • Reaction to anaesthesia– Some people have allergies or adverse reactions to the anaesthesia used during surgery
  • Nasal septum perforation (hole in the septum)- Occasionally, the tissue that separates the two sides of your nose can become perforated as a result of a rhinoplasty procedure. This can lead to chronic runny nose and nosebleeds and may require additional surgery to correct
  • Unsatisfactory results– Despite your best efforts to communicate what you want from surgery, you might not be satisfied with the final outcome of rhinoplasty. In some cases, revision surgery might be necessary to improve the results of your procedure

Find out more details in risks of plastic surgery page.

What are the other types of Nose Surgery Dr. Jeremy Hunt offer?

Tip Rhinoplasty Sydney FAQs

Can you get surgery on the tip of your nose?

Yes. It’s called tip plasty, tip rhinoplasty or tip reshaping surgery. It’s surgery to specifically modify the shape of your nasal tip. It can make it smaller, narrower, more or less projecting, wider, pointier, or rounder. It can lift the nose tip or bring it down.

How long does a nose tip lift last?

Nasal tip rhinosplasty surgery is regarded as permanent. If the results are satisfactory, you will not need any future revision surgery. That being said, nose surgery is complex and you need a qualified plastic surgeon.

How long does it take for tip swelling to go down?

Tip swelling usually peaks about 3-5 days after tip reshaping surgery. After that, it starts to decrease gradually until it becomes barely noticeable by 4-6 weeks.

Is a nose lift safe?

A nasal lift, or tip reshaping rhinosplasty surgery, is as safe as any other type of nose reshaping rhinosplasty surgery. Like all surgery, it has its own set of risks and complications.

Can my nose tip be reduced?

Yes. Tip rhinoplasty can reduce the size of the nasal tip. It can reshape it, and make it smaller.

Why is the tip of my nose split?

This means that the cartilage forming the nasal tip is overgrown or deviated. Tip rhinoplasty allows Dr Hunt to shave off the excess cartilage. This helps to achieve smooth continuity between your tip, nasal bridge, and the rest of your nose. No obvious bumps and splits.

What is a boxy nasal tip?

This is when the tip of the nose is wide, large, and broad. A boxy nasal tip might appear split from the rest of the nose, with clearly demarcated borders. Nasal tip rhinoplasty can help fix a boxy nose.

Septoplasty Sydney FAQs

Can a deviated septum come back after surgery?

No. Deviated septum surgery is regarded as permanent. However, if you sustain trauma to the nose after your surgery, then you might develop a deviated septum again. Keep in mind that even if the septum does not deviate again, the symptoms may still recur. Studies show that 25% of patients still have some nasal symptoms after septoplasty.

Can a septoplasty change your voice?

Yes. Many patients with previously nasal voices report that their voices have changed after getting their septum straightened and fixed.

How do you sleep after septoplasty?

It’s recommended that you sleep on your back with your head elevated after septoplasty.

Does septoplasty hurt?

Septoplasty is not a characteristically painful procedure. As with any procedure, there will be pain involved. Routine painkillers are usually enough to keep the pain under control.

Do deviated septums get worse over time?

The symptoms of a deviated septum may worsen with time. Nasal obstruction, congestion, and sinusitis can become a vicious cycle. The more obstruction you have, the more likely you are to develop sinusitis, leading to even more obstruction.

Does septoplasty shorten the nose?

If it’s needed. An over projecting septum can be a cause of a long nose. A Septoplasty can shorten your nose if required. It’s usually combined with other techniques to reshape the whole nose.

What happens if you don't fix a deviated septum?

The nasal deviation is not likely to be a life-threatening medical condition. You can live your whole life without getting it fixed. Nevertheless, leaving septal deviation untreated can lead to worsening nasal symptoms.

Will my teeth hurt after septoplasty?

It’s normal for the upper gums and teeth to hurt after septoplasty. Some of the nerves that supply this area might be over-sensitive for a while after the surgery.

Does a deviated septum make you snore?

Yes. A deviated septum can block one side of your nose and cause snoring. Septoplasty may help reduce your snoring.

How long do stents stay in after septoplasty?

Nasal stents, if used by Dr Hunt, should remain 1-2 weeks in the nose before being removed.

Does it hurt to have nasal splints removed?

Splint removal after septoplasty is not especially painful. However, it might be a bit uncomfortable.

Can you go for a walk after septoplasty?

Yes. Gentle movement and walking is encouraged after septoplasty. Jogging and running should be postponed till much later in the recovery. Ask your surgeon for recovery instructions.

Is deviated septum natural?

Deviated septum can be a result of a developmental disorder, trauma during childbirth, or trauma during childhood or adulthood. Genetics may also play a part.

What are the Risks and Complications of Septoplasty?

All surgery has risks and complications may occur:

  • Septum perforation – a hole forms in the septum. It might need surgical correction.
  • Unsatisfactory nose shape
  • Persistence of nasal symptoms, obstruction, stuffiness
  • Trouble breathing
  • Persistent nose bleed
  • Decreased sense of smell

Dr Hunt will cover your risks and complications during the consultation as part of the informed consent process.

Although the rate of complications is minor with septal correction surgery, you can still minimise it even more. You should choose a plastic surgeon with extensive experience in this specific procedure.

What are the other types of Nose Surgery Dr. Jeremy Hunt offer?


About Dr Jeremy Hunt

Dr Hunt has worked with thousands of patients across his 20-year career. This is reflected in his role as Spokesperson for the ASPS – Australian Society of Plastic Surgery. Dr Hunt is also a Fellow of the Royal Australasian College of Surgeons (FRACS) and Supervisor of Plastic Surgery Training at Sydney Children’s Hospital.

Dr Hunt has a strong interest in helping his patients achieve their desired results by employing the most appropriate practices for each individual patient.

See More About Dr Hunt

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