Nose Surgery (Rhinoplasty)

Nose surgery or Rhinoplasty – the medical term for this procedure – is an extremely well-known form of elective surgery to reshape or modify the shape and size of the nose. Another name for nose surgery is ‘nose job’ or ‘nose reshaping’ and is not only requested for cosmetic reasons, but may also be performed to correct breathing and sinus issues.

The nose can be made smaller, larger, straighter. Nose surgery can smooth bumps, lumps and imperfections, it can modify the nasal tip, nostrils, nasal asymmetry and deviation. It can also correct a birth defect or repair any damage that may have been caused by an injury or disease (such as cancer).

There are many benefits of having this procedure, such as creating an ideal symmetry of the face and therefore improving the overall look of a person. This may help to increase one’s self confidence. The earliest recommended age for having this procedure is the mid teens because younger than this the nose may still be growing. There is generally no upper age limit providing the patient is in good health.

Why have Nose Surgery?

The most positive aspect of having rhinoplasty surgery is that you will have little or no visible scarring. Depending on what you would like done to your nose, the usual procedure begins with the plastic surgeon making small incisions inside the nose or across the underside of the nose between the nostrils and altering the structure and shape of the nose. The reason for this technique is so that after the procedure and once the swelling has gone down; the skin will shrink back and fit the new nose perfectly and naturally.

If the individual would like to alter the shape or size of the nose, the surgeon will work on the cartilage within the nose and remove or shape parts of it to create the ideal nose for the individual. Patients who have breathing problems because of irregularities in the internal structure of the nose can have this remedied at the same time as the nose alterations are being undertaken.

There is another kind of nasal surgery which is used to straighten the nose known as ‘Septro-Rhinoplasty’. This is completed by plastic surgeons to rebuild the nose and make it straighter. Both septro-rhinoplasty and rhinoplasty itself fall under the category ‘Augmentation Rhinoplasty’.

The procedure for your Rhinoplasty will vary depending on your unique needs. There are two common methods used, the Open technique and the Closed technique.

In the Closed technique, incisions are made inside the nose and the cartilage is worked from with the nostrils.

In the Open technique, in addition to internal incisions, an incision is made across your columella (the cartilage that separates your nostrils). The skin is lifted, allowing the surgeon greater access to perform the procedure.

Risks and Complications

Generally, modern day surgery is considered safe.

There are several risks and complications that are possible with procedures completed under general anaesthetic. These risks include; suppressed breathing, lowered blood pressure, heart failure and even the risk of death. These issues by law will be discussed with you by your surgeon prior to having the procedure. Approximately one-third of patients who receive an anaesthetic during surgery will experience “anaesthesia sickness” or post-operative nausea and vomiting (POVN).

The risks associated with having rhinoplasty surgery can include the following:

Post operative bleeding, which is caused by the surgery itself, this is not uncommon however it usually corrects itself over time.

Infections can occur after this surgery and can lead to an abscess forming. If it does not go away on its own, this can result in the infection being treated with antibiotics and the abscess being drained either with local anaesthetic or under general anaesthetic, as it can be uncomfortable.

Adhesions can cause the airway to become obstructed. An adhesion is scar tissue created by the immune system to heal the area, which has been damaged. One cannot control the growth of this scar tissue and it may have to be removed if it affects your airways and your breathing. This will need to be done under general anaesthetic.

If the surgeon removes too much osseo-cartilaginous framework, this can result in the end of the nose structure becoming weak and this can cause it collapse in on itself resulting in the nose looking like it has been pinched at the end.

Q. Are there any age restrictions for undergoing nasal surgery?

A. Yes, the usual age that you can start having this surgery is around 15 years old with parental consent. This is due to the fact that prior to this age, the individual’s nose may not have finished developing.

Q. Is nasal surgery painful?

A. This is relative to the individual, however it is only natural to feel discomfort after having this surgery. After the surgery, the surgeon will usually prescribe you some painkillers to control the pain.

Q. How long does this surgery last?

A. The surgery usually lasts between two to three hours however, this is again relative to the individual and what kind of nasal surgery they are having. This is an approximate time and may be increased if any complications arise.

Q. Will I like what I see straight after the surgery?

A. Straight after the procedure there will be a huge amount of discolouration, swelling and bleeding so the short answer is no. Give it time and as the swelling goes down the nose will begin to look natural. Most patients after a time suggested by their surgeon, are extremely happy with the results.

What does Rhinoplasty cost? What does a nose job cost?

It depends on the surgeon and hospital you choose and the amount of work involved in your surgery. Make sure you ask your surgeon if his price includes the hospital stay and the anaesthetist.

Approximately $6,000 – $12,000

The Ins and Outs of Rhinoplasty – 10 Things you should know about nose surgery March 13, 2018 - While nose surgery is one of the more popular cosmetic and plastic surgery procedures, it is also the trickiest to get right. It has the largest number of revision surgeries out of any other plastic surgery. Rhinoplasty is an art form in itself and is important to get right not just because of aesthetic reasons but because of the functional aspect too – breathing is kind of important, right?! Dr George Marcells is considered a rhinoplasty master internationally by his colleagues and is the surgeon other surgeons go to. He helped us with this list of the ins and outs of rhinoplasty – things you should know about nose surgery. 1. Rhinoplasty is one of the oldest forms of plastic surgery The first mention of any sort of nose surgery is the repair of a broken nose in an Ancient Egyptian medical text dating back to around 2,500BC. Ancient texts from Indian also describe rhinoplasty techniques from at least 800BC. It wasn’t until the 1970’s that the modern day “open rhinoplasty” approach became more widely accepted and adopted as a technique which coincided with an increase in patients requesting rhinoplasty for more cosmetic reasons as opposed to functional which created […]
Rhinoplasty Recovery Rhinoplasty Recovery – Dr George Marcells December 12, 2017 - Rhinoplasty is still one of the most popular plastic surgery procedures, and will no doubt continue to be. The nose is one of the most significant parts of the face and whether it’s due to genetics or trauma, having a shapely nose is the reason many undergo plastic surgery. One of the most popular questions we are asked is what’s involved in a rhinoplasty recovery? How long will you need off work? What can you expect? Whilst it goes without saying you should only have your rhinoplasty performed by a specialist, getting the best result possible also involves a good recovery. We chat to Dr George Marcells, a rhinoplasty specialist in Sydney, about what you should look for when choosing your rhinoplasty surgeon and how to have a great recovery and minimise your chances of having a revision. Rhinoplasty Recovery So, what’s involved in a rhinoplasty recovery? Rhinoplasty can be done as a Day Only procedure or if you would prefer, an overnight stay. It is generally agreed that you should arrange to have at least two weeks off work, perhaps more if possible. Some of the reasons for this include: Bruising – Usually disappears after 10 days Swelling – […]
Rhinoplasty with Dr Ross Farhadieh November 29, 2017 - Rhinoplasty is a very precise plastic surgery where getting the right shape and dimensions for each patient takes skill, an artistic eye and specialised training. Dr Ross Farhadieh, Plastic Surgeon based at Panthea Clinics located in Sydney and Canberra is one of the most highly trained plastic surgeons in Australia, indeed internationally, and counts rhinoplasty as one of his specialties. His work is sought after and we had a chat with him about how he knows the nose so well. Getting it right for each and every patient Having your nose sculpted so that it perfectly suits you is the ultimate goal. Patients often make the mistake of asking for a certain celebrity’s nose when in reality that nose won’t suit their individual aesthetics and will look out of place. It’s all about finding symmetry, balance and proportion for your individual face. Dr Farhadieh agrees. “The ideal nose is determined as much by personal preferences and aesthetic standards as by cultural norms. There is no standard appearance and each procedure has to be tailored to the individual patient’s needs. Any facial cosmetic surgery should ideally seek to preserve essence and character, while enhancing aesthetic form and the nature of the […]
Rhinoplasty with Dr Lisa Friederich Rhinoplasty with Dr Lisa Friederich November 24, 2017 - All cosmetic surgeries could be considered a form of art, however Rhinoplasties have got to be the most precise and artistic of all the procedures. The most obvious part of your face with very little room for error, plastic surgeons with an interest in nose surgery have got to be a little, if not a lot, artistic to have a vision and create a nose that is going to be aesthetically pleasing as well as functional. Dr Lisa Friederich is just that. Not just a plastic surgeon, she is also trained in the fine arts and sees her work as combining the two. We talk Rhinoplasty with Dr Lisa Friederich. The Rhinoplasty Artist Before becoming a plastic surgeon, Dr Friederich studied art and photography and even had her work exhibited in the Art Gallery of WA. She says, “It was this artistic drive that ultimately attracted me to plastic surgery. I find my appreciation and understanding of aesthetics is invaluable in my planning and practice of plastic surgery, especially rhinoplasty.” Dr Friederich recently spent two weeks in Istanbul with Dr Nazim Cerkes, considered a rhinoplasty expert. “I’m aiming to go back in April next year as he hosts a live […]
Dr Mark Vucak Rhinoplasty Rhinoplasty by Dr Mark Vucak, Plastic and Reconstructive Surgeon November 16, 2017 - Planning for Rhinoplasty is very important because we aim for the results to be permanent and to improve the aesthetics. The aim of this surgery is both functional and cosmetic, firstly to improve the breathing and nasal airway but also to achieve a good result with aesthetic lines. One of the important contours that we are looking for is a gentle curve including the eyebrow down through the top of the nose which is the nasal dorsum, to the tip. This should be a gradual arch rather then coming out and in repetitively. These days we like to fold the upper lateral cartilages in to add a little width to the middle of the dorsum. This can be done with a spreader flap or spreader graft. The upper lateral cartilages are in turned, making this area a little wider to blend to the contour of the gradual arch we are looking for. Traditional surgery cuts across these cartilages creating an inverted V deformity and breathing problems. When we retain the upper lateral cartilages and fold them in the breathing is better and the contour is much improved. Having the slight increase in width across the middle of the nose adds […]
Yvonne's rhinoplasty and otoplasty Yvonne’s Rhinoplasty and Otoplasty (Ear and Nose Surgery) with Dr William Mooney October 5, 2017 - For any of you considering ear surgery or nose surgery you’ve got to read Yvonne’s story. Yvonne had always been insecure about her ears, and after suffering a trauma to her nose also wanted a rhinoplasty. She chose Dr William Mooney from Bondi Junction in Sydney and couldn’t be happier with her results. My ears have always been an insecurity of mine. What I felt were protruding ears seriously affected my confidence from my teen years till my current age. I disliked the shape and appearance of my overall face due to my ears. I also chose to have a closed rhinoplasty because of a past trauma to my nose which created an obvious bump to the side of my nose. Following the trauma I found the bump was getting bigger as time went by. Yvonne’s Consultation with Dr Mooney Dr Mooney was the only surgeon I wanted to see for my procedure as I had heard and seen his amazing results and work ethic. He is an expert in this area an ENT and Facial Plastic Surgeon. I knew that going to him I would gain a natural and complementary result. Word of mouth was really important to me […]
Dr William Mooney Rhinoplasty Nose Surgery Success – Danielle’s Rhinoplasty August 31, 2017 - Danielle has some really awesome results from her nose surgery and she was happy to share them with us. We asked her some questions about her rhinoplasty surgery, her surgeon Dr William Mooney, and what advice she’d give anyone looking to have a nose job. PSH: What prompted you, or was your motivation to have plastic surgery? Danielle: I had always been self-conscious about the size of my nose, particularly the side profile. I also had restricted breathing due to a deviated septum. After my consultation with Dr Mooney I knew it was the right decision for me and I couldn’t be happier with the result, both functionally and aesthetically. PSH: What plastic surgery procedures did you have? Did they all run smoothly, and was there any unexpected trials along the way? Danielle: Rhinoplasty and septoplasty. I have also had some injectable fillers in my lips, cheeks and chin to further enhance and create balance and proportion to my features. This was all done at Dr Mooney’s clinic and was performed very conservatively. I experienced an extremely smooth recovery. I did have residual swelling that lasted for almost 6 months, but Dr Mooney was able to administer a few rounds […]
Beautiful face A Beautiful Face – It’s All In the Balance June 29, 2017 - Preferences for what is more beautiful changes as often as the tides. One minute it’s the natural, blonde, beachy look – the next it’s a more exotic, darker complexion. While these are just fads, it can be argued that beauty generally has a formula. No matter what part of the world you come from – Europe, Africa, Russia, Australia or anywhere else, we are all generally more attracted to faces that are proportional and symmetrical, no matter what the colour, race or shoe size. We take a look at what makes a beautiful face – it’s all in the balance. There’s no one better to ask about what makes a face more beautiful than Dr George Marcells, ENT and Cosmetic Surgeon based in Bondi Junction. He is considered a master of rhinoplasty and one of Australia’s premier facial plastic surgeons. He believes facial cosmetic surgery should be all about tailoring natural looking and well-proportioned results to the individual. Why are proportions, symmetry and balance so significant? Human nature generally makes us attracted to someone based on our subconscious (or conscious) evaluation of a potential mate to provide us with healthy, fit, offspring. This process is called “natural selection” and it […]
Fat transfer to the breasts Tamara has Rhinoplasty and Fat Transfer to the Breasts in the one operation time! June 27, 2017 - Get up close and personal with Tamara from Victoria – she just recently (8 weeks ago) had a rhinoplasty, and fat transfer to the breasts procedure with Dr Allan Kalus from Avenue Plastic Surgery in Victoria. Tamara gives us a rundown of the procedure, and explains why she is delighted with her outcome. Trish Hammond: Great, well I’m really excited. I’m here today with Tamara. Tamara lives in Melbourne and she’s just recently had the fat transfer to the breast procedure done with Dr. Allan Kalus from Avenue Plastic Surgery in Victoria. Welcome Tamara. Tamara: Thank you so much for having me. Trish Hammond: Yeah, it’s a pleasure. I’ve been dying to speak to you. Tamara, when did you actually have your surgery? Tamara: I think we’re going onto about eight weeks now, eight/nine weeks. Yeah, just a couple of months, yeah. Trish Hammond: Okay, so nearly two months. Why did you decide, like what was the catalyst to make you decide that this is the procedure that you wanted to have done? Tamara: Well, to be honest I wasn’t even looking to have my breasts done. I mean, it was just one of those things that, I guess I […]
Difference between open & closed rhinoplasty The Difference Between Open and Closed Rhinoplasty May 30, 2017 - There are two established ways to go about a rhinoplasty procedure – the open and closed methods. The main difference between each quite simply is the location in which the incision to access the nasal bones and cartilages to be modified is made. In the older, open method the incision was made on the outside of the nose, while in the newer, now more popular method called a closed rhinoplasty, the incision is made inside the nostrils. Dr Allan Kalus, from Avenue Plastic Surgery in Victoria, performs many rhinoplasty ops each year and we asked him to help us learn more about each. Which one then is better for most cases? It depends on who you ask. Some surgeons exclusively use one method; some are capable of doing both and will choose depending on the patient/client’s needs. Each method has their pros and cons and the surgeons have their own reasons for their preference based on their training and experience. This difference of where the incision is made dictates how the rhinoplasty procedure is done. With the external incision of the open method, the surgeon is able to lift the nose skin up to directly see the internal areas of […]
Chloe's Breast Augmentation and Rhinoplasty Chloe’s New Nose and Breasts with Dr Jeremy Hunt April 24, 2017 - Chloe recently had a rhinoplasty and breast augmentation with Dr Jeremy Hunt in Edgecliff, NSW. Her journey was ultimately successful, however Chloe has some awesome insights that might help others looking at similar procedures. Having a highly regarded surgeon such as Dr Jeremy Hunt played no small part in ensuring Chloe had the outcome she had dreamed of. We asked Chloe some questions about her experience. PSH: What prompted you, or was your motivation to have plastic surgery? Chloe: My nose is something which has bothered me ever since I was in primary school. It was hooked and lacked femininity. I have always been self conscious about it and this sounds very cliche, but I would daydream a lot about what it must be like to be a girl with, not even a perfect nose, just one that wasn’t so overpowering on my face. My breasts were less of a worry for me. I had always thought if I had the chance, I would make them larger, and adjust the asymmetry. They weren’t the driver for having the surgery – my nose was; but since I would be going under the knife anyway, I thought why not. Did your plastic […]
Facelift Surgery Looking in the Mirror Ten Years Ago… March 28, 2017 - We’ve all done it. We’ve all looked in the mirror and realised that age is catching up with us. We still feel full of energy, life and vitality on the inside and are living lives that are busy and full, but our reflections bring us back to earth, sometimes with a thud! Facial ageing is an inevitable part of growing old. No matter how well you take care of your skin, ageing signs will appear. They can also be aggravated by numerous factors including gravity, toxins, sun exposure the environment, lifestyle and stress. Some of the earliest ageing signs appear in the face, and this is where people begin to see a gap between their appearance and still youthful energy. Dr George Marcells, Facial Plastic Surgeon based in Edgecliff, NSW, is known for his natural looking facelifts that rejuvenates you in such a way that it’s like you’re looking in the mirror ten years ago, and reflects the way we still feel on the inside. You Can’t Stop Time A facelift does not stop time and the ageing process. What they can do is turn back time a little to give you that refreshed, natural and youthful appearance. Your facial […]
Emily's Rhinoplasty Emily Prepares for Her Wedding with a Rhinoplasty and Aesthetic Treatments February 21, 2017 - Emily shares her story with us about her aesthetic treatments in the lead up to her wedding. She saw Dr William Mooney from FacePlus Medispa in Bondi Junction and she says it’s the best thing she’s ever done. I had always disliked the size and shape of my nose since about the age of 15. The tip of my nose was bulbous and asymmetrical and the bump on the bridge also really bothered me. I was always extremely self-conscious about the way it looked and this affected my self-esteem on a daily basis, especially when I was having photos taken. I was 27 when I decided to have rhino/septoplasty with Dr William Mooney and it was honestly the best decision I have ever made. My new nose looks so natural and suits my facial features so well that it looks like I was born with it. Rhinoplasty was something I had always wanted to undergo, particularly because I was getting married and wanted to look and feel great on the day, especially in all the profile wedding pictures. Non-Surgical Treatments During my early 20s I had also suffered from cystic acne on my lower face which left me with scarring […]
All I Want For Christmas All I Want For Christmas is to look awesome December 20, 2016 - You might have heard about the over the top American parents gifting a rhinoplasty to a daughter as a graduation present. Increasingly, there are also husbands who offer their wives a “Mummy Makeover” as a reward for having their children. Mmmmmm not really appropriate? For me, all I want for christmas is to look awesome. So, how would you feel if someone offered you an aesthetic procedure or treatment as a gift? While this trend is increasing, the answer depends – on a lot of things. Dr George Marcells, FRACS, gives his take on the topic and in the lead up to Christmas we thought it was a very interesting subject for discussion! Is giving surgery as a gift ok? Firstly, surgery is as personal as it is serious. It is not something to be lightly considered and is absolutely a decision that the person having the surgery should be making themselves. Being forced into, or encouraged, to undergo any cosmetic or plastic surgery or treatment (such as a nose job) by anyone is definitely not ok. A husband making his wife get a facelift or he’ll divorce her should be divorced. But what if the person receiving the gift has been […]
Revision Rhinoplasty Revision Rhinoplasty October 26, 2016 - We’ve all heard of Rhinoplasty, or a nose job, and it’s an extremely common plastic surgery procedure. But what happens when it goes wrong? Unfortunately, this is an all too common occurrence and many patients end up going back for a second operation. This is called a Revision Rhinoplasty. We talk to Dr George Marcells, one of the foremost experts in Rhinoplasty in Australia about what is involved in a Revision Rhinoplasty procedure. Why have a Revision? Whether it was for financial or personal reasons you went to your initial surgeon; if you just don’t like your new nose; or if the functionality of your nose has been compromised by the initial rhinoplasty surgery; all of these are reasons as to why you might head back to the operating theatre a second time. Dr Marcells says, “Aesthetic concerns, functional issues or, in many instances, both, drive the need for a revision rhinoplasty. The more common issues from primary rhinoplasty have to do with having too much removed from the nose structure or having too little taken off. Symmetry is another common issue. Unusually, excessive scarring may also lead to problems requiring a revision procedure.” Your nose is right in the […]
Woman dreaming Asian VS Western Plastic Surgery October 13, 2016 - Imagine a culture where plastic surgery was actually encouraged, expected, passed on through generations, and even given as graduation gifts.  Whilst you might automatically think of Hollywood (Hollywood is it’s own little bubble, so we don’t count it!) – there is a society where this is happening on an even grander scale!  One in five South Korean women have had plastic surgery, compared with one in 20 American women.  And, according to the latest figures, Australians spend more on cosmetic procedures per capita than Americans.  But we still don’t compare to South Korea, or the Asians in general.  Why? Does being beautiful mean you’re successful? More than any other ethnic group, Koreans and Asians see being beautiful as being successful.  And their beautiful is not necessarily to look more “western” but to better fit the “universal beauty” look.  What is universally considered beautiful?  It is generally agreed by cultures all over the world that open eyes, a perfectly shaped nose, full lips and a slim, oval shaped face are the characteristics that help to make someone appear more “beautiful”.  Whether this is because of the bombardment of Western media or not, it remains a fact.  And in Asia, or especially […]
Zita's Rhinoplasty Dr Jeremy Hunt – Rhinoplasty to Improve Appearance and Airway August 30, 2016 - Zita: People don’t recognise me. I walk down the street and I go, “Hello.” They look at me. If it wasn’t for my hair, they wouldn’t know. My old nose was like a hook nose. I had this very big, prominent hook nose. I was very self conscious, yes. Very, very self conscious of this very big, prominent nose that I had. Yes. It also affected my breathing because it was so big. When I used to breathe in, it used to collapse in and it used to shut my breathing. I couldn’t get a full breath of air into my lungs. Dr. Jeremy Hunt: A rhinoplasty is a procedure that is performed on the nose and it’s going to be primarily for two reasons. To change the appearance of the nose and then to improve the passage of air through the nose. People will come to me considering a rhinoplasty if they are born with a particularly big nose or they have a hook on their nose. They’ll come to me if they have had injury to their nose, such as a broken nose on the sporting field, and there is now deviation or bend, or if the nose […]
Functional Rhinoplasty Breathe Easy – Functional Rhinoplasty August 22, 2016 - Dr George Marcells from About Face in Edgecliff, Sydney, is one of Australia’s leading plastic surgeons. He is especially known for his excellent Face and Rhinoplasty work. Rhinoplasty, or nose jobs, are often not just to improve the aesthetic appearance of the nose, but to improve breathing issues. There are several things that cause breathing difficulties due to nasal airway obstruction. With Dr Marcells’ help we list some of the main ones below. Deviated septum The septum is cartilage in the nose separating your nostrils. In the “perfect” nose it divides your nostrils evenly in order to allow the free flow of air and easy breathing. When this cartilage is misshapen or uneven, it means one or both nostrils make breathing difficult, even forcing the patient to breathe through their mouth. This can be congenital, or caused due to compression of the nose during childbirth or from accidents or trauma to the nose. Accidents or trauma to the nose A car accident, physical abuse, sports injuries or a fall where the nose is impacted could impact, whether it be mild or severe, your ability to breathe through your nose. It could cause a deviated septum or a range of other […]
Interview with Dr Lionel Chang Dr Chang – 30 years experience in Asian Blepharoplasty & Rhinoplasty July 18, 2016 - Trish Hammond: I’m here today with Dr Lionel Chang, and he’s a specialist plastic surgeon based in Burwood, Sydney. Thank you so much for taking the time to talk to us today. We’re just going to have a bit of a chat about Asian blepharoplasty and asian rhinoplasty, and why is it a bit different, because Dr Chang is a specialist in this area. He’s been doing it for many, many years, so thank you. First of all, how long have you been doing Asian rhinoplasty and Asian blepharoplasty? Lionel: Well, more than 30 years let’s say. A long time, yes. Trish Hammond: You’ve done a lot in your time? Lionel: Yes, I have because my training is based… All my teachers… Caucasians. Whereas I’m ethnically Chinese. When I started my practice, a lot of Asian patients approached me to do all these things. I never had training, and I didn’t know how to do it. Nobody was doing it in Australia, so I started off by reading the textbooks, and taught myself how to do it. In the early days, the patients are very forgiving. I made some mistakes, but I learn from my mistakes. Out of that, I […]
Dr John Newton on the Rhinoplasty Conference Dr John Newton on the 2016 AAPSW Rhinoplasty Conference March 1, 2016 - Dr John Newton: Trish, I think this has been traditionally the best conference that I ever get to go to. I’ve been to all but one. Graham puts on a wonderful, wonderful show; gets fantastic speakers, and we get all the blood out of these guys. It’s like they’re on the stage all the time. We get every drip of information. I think that’s what’s made this such a traditionally wonderful conference to come to. It’s been really good in that respect. Really, good. I think there are a lot of key messages I’m going to take home that relate largely to how I talk to a person before their surgery that; relate a lot to how I implement techniques which I already know, but which will how I might manipulate those techniques and use them in different ways. So, really good. Great stuff. You never ever, you can’t stop learning. You just can’t stop learning. I think there’s plastic surgeons all over the world who, in their own work, develop individual little styles and techniques. You come to a meeting like this, you hear the speakers present their individual styles and techniques and you talk to the other members […]
Dr Allan Kalus on Rhinoplasty Dr Allan Kalus talks about Rhinoplasty (Nose Job) Surgery February 26, 2016 - PSH: I’m here today at the rhinoplasty conference in Melbourne. I’m here with Dr. Allan Kalus, who’s from Avenue Plastic Surgery in Windsor, in Melbourne. I’m just going to have a chat about rhinoplasty and any new, interesting things that have been discovered and talked about during the conference. Thank you for taking the time today. Dr Kalus: Thanks, Trish. It’s a real pleasure to speak with you. PSH: Lovely. Tell us all about it. It’s been so exciting. Dr Kalus: Trish, as you know, rhinoplasty is one of the commonest operations that a plastic surgeon would do. Of course, it’s not surprising, because the nose is situated right in the middle of the face, so if someone’s nose is large or bent; it’s very easy to understand how a person can become self conscious about their nose. Indeed, when we do rhinoplasty operation, what we try to do is to make the nose blend into the face, to make it look natural so that the other facial features, the main features of the face, such as the eyes and the lips, really can stand out. What has been discussed at the conference today is the increased use amongst young […]
Perfect Nose IS THERE A PERFECT NOSE? We ask the excellent Dr George Marcells, Facial Plastic Surgeon November 25, 2015 - Rhinoplasty (more commonly referred to as a ‘nose job’) is a surgical procedure that reshapes or resizes the nose. It’s performed for a variety of reasons, which might include removing a visible bump on the nasal bridge, reshaping a nasal tip that’s droopy or enlarged, or re-aligning a nose that is off-centre or crooked through genetics or an injury. It might also be necessary to correct breathing issues. Dr George Marcells, a highly respected and talented Facial Plastic Surgeon based in Bondi Junction in NSW, recently convened the AAFPS Rhinoplasty Symposium in Sydney and is well known for his excellence in facial plastic surgery. We asked Dr Marcells to give us some insight into what can be achieved by having a quality Rhinoplasty procedure done by a qualified and suitably experience Australian practitioner. “Rhinoplasty is a complex surgery that combines both art and science, making it one of the most difficult surgeries to master. Even the slightest change in shape or structure can cause breathing problems and other functional issues. This is why rhinoplasty has a very high revision rates compared to other types of cosmetic surgeries.” Getting a nose reshaped is one of the most common cosmetic surgery procedures. […]
Dr George Marcells Interview Interview with Dr George Marcells, Facial Plastic Surgeon November 19, 2015 - Trish: Now we’re here today with Dr Marcells. Dr Marcells is an ear, nose and throat specialist and he’s also a facial plastic surgeon. He is the current President of the Australasian Academy of Facial Plastic Surgeons. He is the Medical Director of Bondi Junction Private Hospital and he also consults at About Face Clinic which is located in Bondi. Thank you so much for taking time to talk to us today Dr Marcells. Dr Marcells: Thanks for having me Trish. Trish: You’ve got a reputation as the guru on the deep plane facelift, can you just give is quick run down of the procedure and who can actually benefit from this procedure? Dr Marcells: Ok, well Trish, I think the deep plane facelift is the best facial and neck rejuvenation surgery available. I think it gives the most natural results; it doesn’t give that telltale sign of a pulled look. It’s not a new surgery; it’s been around for 20 years, even since the 1990s so it’s very tried and tested. In fact, when it came into vogue, it was touted as the new facelift to give natural results. A lot of doctors started to do it and they […]
Cocaine and Nose Surgery Reconstructive Nose Surgery From Excessive Cocaine Use October 21, 2015 - One of the topics discussed at the recent AAFPS Masters Symposium on Functional and Aesthetic Rhinoplasty that was really interesting and a little left of centre (which I always love!) was the harmful effects of cocaine usage to the nose. Whilst we consider drug usage bad for our mind and bodies in general (including the skin, hair, internal organs, cancer, etc.), this was an insight into a side effect of cocaine use not everyone thinks about and is more common than it should be. There are several consequences of snorting drugs through your nose. They can include: Epistaxis (nosebleeds) Chronic Infections (congestion/discharge) Perforated Septum (hole in the nasal septum) Nasal Collapse Anosmia (Loss of Smell) Nasal Deformity Nasal Obstruction Nose Whistling Snoring Septal perforation (where there is a hole in the nasal septum) can cause bleeding, discharge and “whistling” during breathing. It can only be fixed with surgery and reconstruction of the nose. Excessive cocaine use is a major cause of septum perforation due to the snorting of the drug triggering the blood vessels in the nose to constrict; meaning supply of blood (and therefore oxygen) to the inner lining of the nose is reduced. When the blood is unable […]
Rhinoplasty Masters Symposium 2015 Who Nose What There Is To Nose About The Nose – The Rhinoplasty Symposium Wrap Up October 13, 2015 - You know I just love the industry that is all about quality plastic and cosmetic surgery. Last weekend The Australasian Academy of Facial Plastic Surgery (AAFPS) combined with the Australian Society of Plastic Surgeons (ASPS) to put on a spectacular and informative conference and Rhinoplasty Masters’ Symposium in Sydney. The focus this year was on the nose, and the latest techniques and issues surrounding the specialty today. Some of the best Plastic Surgeons & ENT’s (ear nose & throat) gathered from all over Australia & NZ to hear world-class plastic surgeons and ENT surgeons speak about some fascinating topics. One of my personal favourites was Dr Dean Toriumi from Chicago USA presenting on Ethnic Rhinoplasty and how to preserve one’s ethnicity while creating a pleasing aesthetic result. He said, “it’s all about balancing the nose with the surrounding facial features.” Whilst there are differing opinions on what makes a perfect nose, it is agreed that a natural, un-operated look is obviously desirable. Dr Toriumi made it clear to his audience that “I wouldn’t do anything to a patient that I wouldn’t do to myself, my wife or my children.” However, it must be remembered that the nose has a function […]
Dr Yong Ju Yang Dr Yong-ju Yang – Rhinoplasty Master! October 9, 2015 - Dr Yong-ju Jang, MD, PhD is Professor at the Department of Otolaryngology at the Asan Medical Center located in the University of Ulsan College of Medicine in Seoul, Korea. Immediate past president of the Korean Academy of Facial Plastic and Reconstructive Surgery and also serving as the Vice-president of Pan-Asian Academy of Facial Plastic and Reconstructive Surgery, Dr Jang has written two textbooks on rhinoplasty, and contributed chapters to various rhinoplasty textbooks. He has published 43 scientific papers on rhinoplasty in a number of international journals and was an invited speaker on rhinoplasty in 61 international conferences held in more than 20 countries. He is therefore, an extremely knowledgeable industry heavyweight on the subject of Rhinoplasty. Dr Jang is also one of the keynote speakers at the AAFPS Conference on in Sydney at the moment. I was lucky enough to be able to ask Dr Jang a few questions. Questions: PSH: How does Rhinoplasty differ in Asian societies as opposed to Western societies? Is there a different ideal of beauty and the type of nose that is requested? Also, are there any structural differences and considerations when performing rhinoplasty surgery? Dr Jang: In Asian rhinoplasty, making the nose bigger and […]
AAFPS Masters Symposium 2015 Rhinoplasty Master Symposium: Sydney Nose Best October 8, 2015 - The nose takes centre stage as over 150 of Australia’s top Facial Plastic Surgeons and Plastic Surgeons meet in Sydney this week for the inaugural combined conference of the AAFPS and ASPS – focusing on Functional and Aesthetic Rhinoplasty. Better breathing, less snoring and marital facial harmony are all more achievable when rhinoplasty is performed at its best. “Nobody knows more about noses than the keynote speakers we have attracted to this meeting,” says Australasian Academy of Facial Plastic Surgery (AAFPS) President and Symposium Co-Convenor, Dr George Marcells. “If this meeting was held anywhere else in the world, there would be 1,000 surgeons attending,” says Symposium Co-Convenor, Mr Peter Callan, a Plastic Surgeon and member of the Australian Society of Plastic Surgeons (ASPS). The intimate nature of this meeting being held at the National Maritime Museum in Sydney from 8-10 October 2015 provides an opportunity for sharing close to 1,500 years of combined knowledge and hands-on experience with what is regarded as one of the most difficult procedures to perform. “What makes a good nose job?” “Who has the most desirable looking nose?” “What techniques provide the best, most predictable, & long lasting results for patients?” …These are just some […]
Plastic Surgery Cost Pricey Procedures – What does Plastic Surgery Cost? January 28, 2015 - What does it cost? This is one of the first questions anyone usually asks when it comes to looking at plastic surgery. The answer is it greatly varies. We have done the research for you and come up with a general price guide for each procedure. These are an approximate guide only; each doctor, surgery and clinic can vary dramatically in their pricing. It can also depend on how much work is involved in your particular procedure, which hospital you choose and how much after care is required. Whether you are insured or not can also make a big difference. It pays to note that just because a particular surgeon charges less, does not by any means make them a less competent surgeon. In fact, quite a few of the leading surgeons actually have very competitive prices. When asking for an estimate on a particular procedure make sure you ask the surgeon if that includes your hospital stay, the anesthetist and the pre and post op consultation fees. The prices we have listed below are inclusive of all charges involved in the procedures and are in Australian Dollars. Breast Augmentation $7,000 – $15,000 Abdominoplasty $6,000 – $16,000 Rhinoplasty $8,000 – […]
Dr George Marcells Dr George Marcells – An Interview November 6, 2014 - Dr George Marcells is undisputedly considered a leader in the field of Rhinoplasty and is often consulted by other top plastic surgeons looking to tap into his expertise. President of the AAFPS, he presents regularly at Facial Plastic Surgery conferences both in Australia and overseas, and was recently one of the key players at the Australasian Academy of Facial Plastic Surgery’s (AAFPS) The Triennial Masters’ Symposium, focusing on Blepharoplasty and Upper Facial Rejuvenation held in Sydney in September. We were lucky enough to be able to ask Dr Marcells a few questions. You are the leader in the Deep Plane Facelift. Can you give us a brief description of what that is? The deep plane facelift is a highly anatomical lift that places an emphasis on structure to give long lasting, natural results. My aim is to re-contour the neck, jawline and mid-face into a natural, more youthful position. This deep fixation takes the tension off the skin so as not to get a pulled appearance. While the Deep Plane Facelift is heralded as a much more successful and natural looking facelift, are there any candidates for the procedure you would not recommend for this kind of lift? Are there […]
Michael’s Rhinoplasty almost a year ago - great nose job! Michael’s Rhinoplasty almost a year ago – great nose job! May 29, 2014 - Michael had rhinoplasty last year. He sent us a couple of photos this week and made the comment of how different it actually is when you look at the photos. After first having it done he didn’t really feel there was a great difference. What with the swelling and complication that he had after the surgery, he felt it was still the same. Now we all know that the body can take a while to heal, and sometimes we forget that we may just need to let nature take it’s course. So this is when the waiting game begins. Surgery is a big decision to make, and a big step to take, so it’s vital to let the body heal afterwards and equally important to keep your expectations real. If you have a Barbara Streisand kind of nose, it’s probably going to be unrealistic to expect that you will end up with a little Angelina Jolie kind of nose – and you really want your nose to fit your face – so what you’re after is a better or smaller version of your own nose. I love Michael’s new look. He still looks the same, just kind of different? I […]

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3 Comments

  1. What’s up, all is going fine here and ofcourse every one is sharing facts, that’s genuinely good,
    keep up writing.

  2. Want information on rhinoplasty.

    • Trish

      where are you located?

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