Nose Surgery Procedures

Dr Jason Roth (MED0001185485) — Specialist Otolaryngologist & Head and Neck Surgeon, specialist registration in Otorhinolaryngology, Head & Neck Surgery.

Dr Jason Roth is a Specialist Otolaryngologist and Head and Neck Surgeon with a focused practice in nose and sinus surgery and facial plastic surgery. He completed an American Rhinologic Society-accredited fellowship in Advanced Rhinology and Facial Plastic Surgery at Rush University Medical Center in Chicago — one of the most prestigious rhinology training programmes in the world — and has published peer-reviewed research in both rhinology and functional rhinoplasty. He performs over 300 nasal surgery procedures per year across both functional and cosmetic indications.

Dr Roth sees paediatric and adult patients with general ENT conditions and operates at North Shore Private Hospital, Castlecrag Private Hospital, Pittwater Day Surgery, and Wyvern Private Hospital in Sydney. He consults from Dee Why on Sydney’s Northern Beaches.

Use the sections below to navigate to the condition or procedure most relevant to you. If you are unsure which category applies, contact the practice to arrange a consultation.

Rhinoplasty — Cosmetic & Functional Nose Surgery

Rhinoplasty addresses the shape, size, structure, and function of the nose. It is one of the most technically demanding operations in surgery and has been a central focus of Dr Roth’s training and practice throughout his career. He is one of Sydney’s highest-volume rhinoplasty surgeons, with particular expertise in preservation rhinoplasty and complex revision cases.

Rhinoplasty — Overview	Types of rhinoplasty, the consultation process, recovery, costs and insurance
Preservation Rhinoplasty	The most significant evolution in rhinoplasty technique in recent decades — reshaping the nose while preserving the original anatomy
Open Structure Rhinoplasty	Maximum surgical access for complex tip work, significant structural reconstruction, and revision cases
Closed Rhinoplasty	All incisions inside the nostrils — no external scar — appropriate for selected cases
Preservation vs Open Structure Rhinoplasty	A detailed comparison of the two main contemporary approaches — indications and trade-offs
Functional Rhinoplasty	Rhinoplasty performed primarily to improve nasal breathing — Medicare eligibility, indications, and approach
Revision Rhinoplasty	Addressing problems remaining after, or caused by, a previous rhinoplasty — cartilage grafting, soft tissue management, and realistic expectations
Non-European Rhinoplasty	Rhinoplasty in patients of non-European background — anatomical considerations and aesthetic goals
Primary Rhinoplasty	Information for patients considering their first rhinoplasty procedure
Am I a Candidate for Rhinoplasty?	Assessing suitability — health, anatomy, skin type, age, and realistic expectations
Rhinoplasty Cost	Fee information, Medicare eligibility, and private health insurance
Will My Insurance Pay for Rhinoplasty?	Medicare and private health fund coverage — what is and is not eligible
Rhinoplasty Risks	A comprehensive account of the risks of rhinoplasty surgery — general and procedure-specific
Rhinoplasty Pre-Operative Information	What to do and avoid before your rhinoplasty
Rhinoplasty Post-Operative Care	Recovery instructions, wound care, activity restrictions, and what to expect at each stage
Rhinoplasty FAQs	Answers to the most common questions about rhinoplasty

Rhinoplasty Techniques

Dr Roth has training and experience in all major contemporary rhinoplasty techniques, including the following specialised approaches. The technique used is selected based on each patient’s individual anatomy and goals.

Dorsal Preservation Rhinoplasty	A preservation approach that maintains the native dorsal anatomy — avoiding dorsal resection and reconstruction
SPQR Rhinoplasty	The Sequential Preservation Quantified Rhinoplasty — a systematic preservation rhinoplasty approach
Finocchi SPQR Rhinoplasty	Dr Finocchi’s specific SPQR technique for preservation rhinoplasty
High Dorsal Strip Rhinoplasty	A preservation technique using a high strip approach to maintain dorsal integrity
Intermediate Strip Rhinoplasty	An intermediate strip preservation approach
Low Dorsal Strip Rhinoplasty	A low strip preservation approach to the nasal dorsum
Open Approach Rhinoplasty	The open rhinoplasty approach — indications and technique
Ultrasonic (Piezoelectric) Rhinoplasty	An assessment of ultrasonic rhinoplasty — advantages, limitations, and when it is and is not indicated
Allograft vs Own Rib Rhinoplasty	Comparing donor rib cartilage (allograft) against the patient’s own rib — when each is appropriate
Rib Grafts for Rhinoplasty	When rib cartilage is needed, how it is harvested, and what to expect

Cosmetic Nose Concerns — Shape & Appearance

Each of the following pages discusses a specific cosmetic concern that patients commonly bring to rhinoplasty consultation. Clicking through to the relevant page provides a detailed account of the anatomy involved, what surgery can achieve, and what realistic outcomes look like.

Dorsal Hump (Bridge Bump)	Reduction or refinement of a bony or cartilaginous hump on the nasal bridge
Wide Nasal Bridge	Narrowing of the nasal bones and upper third of the nose
Wide Nasal Tip	Refinement of a wide or boxy nasal tip through cartilage reshaping techniques
Bent or Crooked Nose	Correction of nasal deviation — often involving both the bony and cartilaginous components
Uneven Nostrils	Asymmetry in nostril size, shape, or position
Hanging Columella	Correction of a columella that hangs excessively below the nostril rim on profile view
Over-Projected Nose	Reduction of a nasal tip that protrudes excessively from the face on profile
Under-Projected Nose	Augmentation of a tip that lacks adequate projection
Short Nose	Lengthening procedures for an overly short nose — among the most technically demanding rhinoplasty concerns
Narrow Nose	Widening a nose that is overly narrow — often also involves functional nasal airway concerns

Structural & Revision Rhinoplasty Concerns

Nasal Valve Collapse	One of the most common causes of nasal obstruction — internal and external valve anatomy, diagnosis, and surgical correction
Broken Nose	Nasal fractures — timing of treatment, manipulation under anaesthesia, septoplasty, and rhinoplasty for residual deformity
Saddle Nose Deformity	Depression of the nasal dorsum — causes including septal perforation, trauma, and previous rhinoplasty
Inverted V Deformity	A post-rhinoplasty deformity involving collapse of the upper lateral cartilages — prevention and correction
Pollybeak Deformity	Post-rhinoplasty fullness above the nasal tip — causes and revision approaches
Pinched Tip	Over-narrowed nasal tip — common after previous rhinoplasty, requiring cartilage grafting to restore lateral support
Nasoseptal Reconstruction	Reconstruction of the nasal septum following perforation, trauma, or extensive prior surgery

Cartilage Grafting Techniques

Cartilage grafts are fundamental to both primary and revision rhinoplasty. The following pages describe the specific grafts used in Dr Roth’s practice.

Alar Batten Grafts	Used to support and stiffen the lateral nasal wall — preventing and treating external nasal valve collapse
Lateral Crural Strut Grafts	Straightening and supporting the lateral crura of the lower lateral cartilage — a key technique in functional and cosmetic tip surgery
Spreader Grafts	Grafts placed between the upper lateral cartilages and the septum — widening the internal nasal valve and straightening the middle vault
Rib Cartilage Grafts	Costal cartilage harvesting and use in rhinoplasty — indications, technique, and what to expect
Allograft vs Own Rib	A comparison of donor rib cartilage and the patient’s own rib in rhinoplasty

Nasal Breathing & Septum

Blocked Nose	Causes of nasal obstruction — deviated septum, turbinate hypertrophy, polyps, allergy, valve collapse — and how each is assessed and treated
Septoplasty (Deviated Septum Surgery)	Surgical correction of a deviated septum — indications, the procedure, recovery, and Medicare eligibility
Enlarged Nasal Turbinates	Turbinate hypertrophy — causes, medical management, and turbinate reduction surgery
Nasal Turbinate Surgery	Surgical turbinate reduction — techniques including submucosal diathermy, microdebrider, and inferior turbinoplasty
Nasal Valve Collapse	Internal and external nasal valve anatomy, diagnosis, and surgical correction — one of the most commonly missed causes of nasal obstruction
Surgical Breathe Right Strips	Surgical correction of the nasal alar wall for patients who find external nasal dilator strips helpful
Functional Rhinoplasty	Rhinoplasty performed to improve nasal breathing — often combining septoplasty, turbinate surgery, and valve correction

Sinus Problems & Sinus Surgery

Sinus Problems — Overview	Understanding sinus symptoms — distinguishing sinusitis from allergy, migraine, and other conditions causing facial pressure and headache
Sinusitis (Sinus Infection)	Acute and chronic sinusitis — causes, symptoms, diagnosis, and treatment including antibiotics, steroids, and surgery
Chronic Sinusitis	When sinusitis becomes persistent — diagnosis of chronic rhinosinusitis and the role of sinus surgery
Sinus Surgery (FESS)	Functional endoscopic sinus surgery — how the procedure works, what conditions it addresses, recovery, and outcomes
Nasal Polyps	Benign growths within the nose and sinuses — causes, medical management, and surgical removal
Sinus Headaches	Distinguishing true sinus headache from migraine and other causes — an important diagnostic consideration
Nasal Irrigation Instructions	How to perform nasal saline irrigation — an important part of sinus surgery recovery and ongoing sinus health
Nose & Sinus Surgery Post-Operative Care	Recovery instructions following nose and sinus surgery

Nasal Allergy, Post-Nasal Drip & Smell

Nasal Allergy (Allergic Rhinitis / Hayfever)	Allergic rhinitis — triggers, symptoms, medical management, and when specialist assessment is warranted
Post-Nasal Drip	A common and frequently troublesome symptom — causes including allergy, sinusitis, and anatomical factors, and how it is managed
Loss of Sense of Smell (Anosmia)	Causes of anosmia and hyposmia — including sinonasal disease, post-viral smell loss, and when specialist assessment is indicated

Nosebleeds

Nosebleeds (Epistaxis)

Anterior and posterior epistaxis — causes, first aid, cauterisation, and when specialist treatment is required

Before & After Gallery — Nose Surgery

Dr Roth’s patient photo gallery includes results for rhinoplasty, revision rhinoplasty, and Asian rhinoplasty. All surgery performed by Dr Jason Roth (MED0001185485). Results vary from person to person.

Why See a Specialist Otolaryngologist for Nose & Sinus Problems?

Many nose and sinus conditions are initially managed by a GP — and appropriately so. However, when symptoms are persistent, recurrent, or significantly affecting quality of life, specialist assessment is warranted. As a Specialist Otolaryngologist with subspecialty rhinology fellowship training, Dr Roth brings both surgical expertise and a thorough understanding of the medical management of these conditions.

For patients considering cosmetic rhinoplasty, the distinction between a cosmetic surgeon and a fellowship-trained rhinoplasty specialist matters. The nose is a functional organ as well as an aesthetic structure, and rhinoplasty performed without thorough assessment of the nasal airway can inadvertently worsen breathing. Dr Roth’s training encompasses both the functional and cosmetic dimensions of nasal surgery — ensuring that the airway is protected and, where possible, improved alongside any cosmetic changes.

Further information about Dr Roth’s training and approach is available on the Why Choose Dr Roth page and the About Me page. His published peer-reviewed research in rhinology is listed on the Published Research page.

To arrange a consultation, please contact the practice. A GP referral is recommended but not always required. Information about consulting locations and hospital affiliations is available in the About Us section.

Dr Jason Roth | MBBS, FRACS (ORL-HNS) | MED0001185485
Specialist Otolaryngologist & Head and Neck Surgeon
Specialist registration — Otorhinolaryngology, Head & Neck Surgery
View full profile | Request a consultation | Published Research