Rhinoplasty Surgery in Sydney
Rhinoplasty in it’s many forms has been a major focus of Dr Roth’s training and practice for his entire career as an Otolaryngologist. Rhinoplasty can be functional (to address issues with breathing), reconstructive (to correct abnormalities from birth or trauma) or cosmetic (to change the appearance of the nose while preserving function).
There are literally hundreds of small techniques that can be applied in achieving these goals and the surgeon needs to make choices in their planning and throughout the procedure about which particular manoeuvres will achieve the most optimal outcome. Rhinoplasty techniques have changed dramatically in the past 30 years and continue to evolve. Even in the past 2-3 years preservation rhinoplasty techniques have allowed results that were simply not possible in previous years and with such a short recovery time.
Key concerns in rhinoplasty are breathing problems, asymmetries (crookedness) and cosmetic concerns regarding the size, shape and position of various parts of the nose. The appearance of the nose can also be effected by the appearance of the chin and face. A key aim of rhinoplasty is to bring your nose into balance with your face. The nose should look natural and compatible with your ethnicity and body shape. When we look at a face, we mostly look at a person’s eyes. The nose simply needs to compliment the face rather than drawing undue attention to itself.
All surgery has risks. Please read more about the risks of rhinoplasty surgery here.
Noses come in many shapes and sizes. There are also many different functional and cosmetic issues that may needed be addressed. Rhinoplasty is a very tailored procedure where the most appropriate techniques are chosen and performed as is required. Sometimes the techniques need to be varied from what is planned during the surgery depending on what is found.
Dr Roth has completed extensive training in open structure rhinoplasty, closed approach rhinoplasty and preservation rhinoplasty. Where possible depending on patient anatomy he now performs more rhinoplasty procedures using preservation rhinoplasty techniques rather than the open structured and closed approach rhinoplasty technique.
Preservation rhinoplasty is a surgical technique aimed at reshaping the nose while preserving as much of the patient’s original nasal anatomy as possible. There is less deconstruction and reconstruction of the nose compared with open structured rhinoplasty.
Preservation vs Open Structure Rhinoplasty
Some Specific Rhinoplasty Problems
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How Difficult is Rhinoplasty Surgery to Perform?
Rhinoplasty has long been recognised as one of the most challenging cosmetic surgical operations and is certainly the most challenging nasal operation. There are a multitude of techniques that may be used to achieve different functional and cosmetic outcomes. Sometimes two different techniques will achieve a very similar outcome so a choice needs to be made. It is very important to distinguish between rhinoplasty for purely cosmetic reasons and rhinoplasty that may need to address breathing, snoring or sinus problems. Unfortunately sometimes these problems can occur after purely cosmetic rhinoplasty is performed if certain preventative measures are not taken by the surgeon.
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What Surgeons Perform Rhinoplasty in Sydney?
By way of background, in Sydney, rhinoplasty is actually performed by a relatively small group of qualified surgeons whom hold the highest surgical qualification attainable in Australia – Fellowship of the Royal Australasian College of Surgeons (FRACS). Rhinoplasty is performed by both otolaryngologists (Ear, nose, throat specialists) and plastic surgeons. Within these two specialty groups only a small number of the surgeons choose to specialise in rhinoplasty surgery amongst the large number of other operations that are included in their training. -
Does Surgeon Experience and High Patient Volume Matter?
It is important for patients to have a thorough understanding of what techniques will be used as part of their surgery as well as the academic background and surgical training of their surgeon before proceeding. Surgeons develop a higher degree of skill, technical capability and confidence with the higher volume of surgery they perform, so choosing a surgeon that routinely performs a high volume of rhinoplasty surgery is critical to reduce risk, have access to the latest techniques andobtain the best outcomes. -
Specific Rhinoplasty Techniques (some now rarely used)
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Summary
I do hope that this brief introductory information about rhinoplasty is useful first step in your journey towards undertaking this surgery. During our consultation we will come up with a plan to achieve any external and functional goals. Two consultations are always necessary. Questions are very welcome all along your journey. I encourage you to look at my rhinoplasty before-and-after gallery, which features patients from Sydney and all across Australia.
About Dr Jason Roth, MBBS, FRACS
Dr Jason Roth is a Sydney Otolaryngology Specialist and Head & Neck Surgeon with Facial Plastic Surgery Fellowship training from Australia, the United States and Europe. He is an expert in Rhinoplasty, Nose and Sinus Surgery.
He consults from his clinic in Dee Why and operates at several private hospitals across Sydney. Importantly, Dr Roth performs more than 150+ rhinoplasty procedures per year and more than 300+ nasal surgery procedures per year, which makes him one of Sydney’s busiest rhinoplasty surgeons. Dr Roth has exposure to a high volume of patients with both common and rare clinical problems, allowing him to develop a depth of expertise. View his full profile here.
My Rhinoplasty Surgery Gallery
View Full Patient Photo Gallery
Your Rhinoplasty Journey
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I want a rhinoplasty, what do I do?
1. Office consultation
All new patients will have a private consultation with Dr Roth at his Sydney clinic. The time allowed will depend on the reason for the consultation and the possible surgery required. Our reception staff will ask you the reason you are seeing Dr Roth beforehand and attempt to allocate an appropriate consultation length. Sometimes more than one consultation is necessary. Not every patient is a good candidate for every surgery or procedure. Click here to learn more… -
What do I need to do to prepare for the day of the Surgery?
On the day of your surgery you will arrive at the hospital you have selected. You will have fasted for eight hours prior to your scheduled surgery time. The hospital will contact you the day before surgery to advise you what time to come to the hospital. Click here to learn more… -
What is Rhinoplasty anaesthesia?
People are often more nervous about the anaesthesia used during the surgery than the surgery itself. It can be quite confusing when trying to understand what anaesthesia is used for what procedures. Rhinoplasty can be performed under many levels of anaesthesia. Click here to learn more… -
How is the recovery after the rhinoplasty?
You will have an external splint on the outside of your nose. Please keep it dry. It will be removed with any external stitches 1 week after your surgery. Click here to learn more…
Frequently Asked Questions
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What do I need to Plan for my Rhinoplasty?
People seek nasal surgery for a variety of reasons. In addition to enhancing their appearance, rhinoplasty can provide patients with relief from functional problems such as nasal obstruction and sinus infections. This connection between nasal form and function means that cosmetic alterations Click here to learn more… -
Are there any Benefits?
What are the benefits of a rhinoplasty?
A nose should ideally breathe well and naturally compliment the appearance of the face. Many people put up with nasal problems for many years and are amazed at the improvement in their quality of life after the procedure. Click here to learn more… -
Should I get a nose job?
What is a “nose job?”
A nose job is actually a general term that covers a whole range of different smaller procedures and options to address problems with the nose. It may include treatment to address breathing problems, sinusitis, ear pain, facial pain, headaches or snoring. Click here to learn more… -
What are the different types?
There are many types of rhinoplasty procedures. A rhinoplasty may be purely functional, cosmetic or a combined procedure.A rhinoplasty can also be performed entirely from within the nose without any outside scars, a “closed approach rhinoplasty”. Click here to learn more…
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What is a “functional” rhinoplasty and how can that help me?
A “functional” rhinoplasty is a type of reconstructive rhinoplasty where the primary aim of the surgery is to improve breathing (the “function” of the nose). There are a number of causes for breathing problems in the nose that are best addressed through a functional rhinoplasty. Click here to learn more… -
Is rhinoplasty right for me?
Before embarking on any facial plastic surgery procedure it is important to take some time to thoroughly understand the procedure itself. This includes an appreciation of what can and cannot be achieved in your particular case and the development of realistic expectations. Click here to learn more… -
How do I choose a rhinoplasty surgeon?
Rhinoplasty in Sydney is performed for the large part by surgeons from two different training backgrounds – Ear, Nose and Throat Specialists and Plastic Surgeons. Click here to learn more… -
Revision Rhinoplasty
The emotional impact of a failed rhinoplasty can be very severe. Patients have often waited many years for their rhinoplasty and have invested much hope in their initial surgery and surgeon. Rather than the improvement they sought they can be left with a disappointing outcome. The impact on self-esteem and self-confidence can affect nearly every aspect of every day life leading to embarrassment, insecurity and depression. Click here to learn more… -
How much does a rhinoplasty cost?
Out of pocket expenses to have rhinoplasty surgery depend on whether the surgery is for cosmetic or functional/reconstructive purposes. Medicare has specific rules about what it will cover. http://www9.health.gov.au/mbs/search.cfm?q=45641&Submit=&sopt=S
The out of pocket cost will also depend on whether or not you hold private insurance or if you are seeking to pay for the operation directly. The cost of the hospital is often a significant part of the overall fee. Private health insurance can cover this cost if you have the correct cover. Revision rhinoplasty and the use of rib or ear grafts can increase the fees.
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Will my insurance company help pay for my rhinoplasty?
In many cases the answer is yes.Private health insurance companies are required to pay for medical services that fall under the guidelines of the Medicare Benefits Schedule (the MBS) if a patient is covered for those services as part of their policy. Click here to learn more…
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Rhinoplasty Frequently Asked Questions
How much does a Rhinoplasty cost?
The cost of a Rhinoplasty is dependent on whether the surgery is for functional or cosmetic reasons. Other factors include whether you have private health cover and what level of cover this is. Click here to learn more…
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Rhinoplasty pre-operative information
Rhinoplasty is a complex procedure whether it is performed for the first time or as a revision procedure. In many cases a graft is used to create stability and balance in the new nose shape. Using the patient’s own cartilage, either from the nose itself or a donor site, Click here to learn more… -
Rib graft rhinoplasty pre-operative information
Rhinoplasty is a complex procedure whether it is performed for the first time or as a revision procedure. In many cases a graft is used to create stability and balance in the new nose shape. Using the patient’s own cartilage, either from the nose itself or a donor site, Click here to learn more… -
Rhinoplasty post-operative information
You will have an external splint on the outside of your nose. Please keep it dry. It will be removed with any external stitches 1 week after your surgery. Click here to learn more…
