Septo-Rhinoplasty Nose Surgery in Melbourne and Sydney
What Is Septo-Rhinoplasty Surgery?
Septo-Rhinoplasty is a combination of aesthetic and functional procedures on the nose – a combination of Septoplasty and Rhinoplasty.
This surgery is recommended when a patient has breathing difficulties caused by septal deviation, or “valving” (collapsing nostrils on sniffing), and at the same time wants to aesthetically correct the nose.
Rhinoplasty or a nose job is the name for a surgical procedure that corrects nasal shape. Nose-shortening, tip reduction, alarplasty (nostril narrowing), hump reduction, bump removal, and nose reshaping in general, are common actions performed under Rhinoplasty.
On the other hand, Septoplasty is the correction of functional tasks of the nose such as difficulties in breathing, nose bleeding, headaches, and various sinus problems by correcting the deformed septum and improving the nasal airflow. Sometimes, formal sinus surgery (Functional Endoscopic Sinus surgery, or FESS) is performed at the same time, especially for recurrent or chronic sinusitis, and for polyps, and sometimes Palate surgery for snoring.
As the name suggests, Septo-Rhinoplasty combines both surgical procedures.
Since almost 80% of people have some form of septal deviation, these two procedures are often performed together to reduce recovery time, stress, and also reduce the costs that two separate surgeries would cause.
Looking for the BEST Nose Surgeon?
Nose surgeries are considered to be one of the most complicated procedures in facial reconstructive surgery therefore should be conducted by the best surgeon, whether he/she be an ENT or Plastic Surgeon.
Septo-Rhinoplasty is a complex nose surgery that requires an experienced surgeon in order to produce the best results and reduce the possibility of a revision. Your Surgeon’s past experience, education, and technique should be the deciding factors when choosing the right option.
Mr Stephen Kleid and Dr Richard Sackelariou are top Rhinoplasty Surgeons and experts for Nose Reshaping procedures and revisions, offering patients well-balanced, natural-looking, and uplifted post-surgery results. Mr Stephen Kleid is an experienced ENT surgeon, well-trained in Rhinoplasty, and a Member of the Australian Academy of Facial Plastic Surgeons (AAFPS), and the American Academy of Facial Plastic and Reconstructive Surgeons (AAFPRS).
If you are looking for a calm, caring, and precise expert in nasal surgery it may be worth exploring your options for with Dr. Stephen Kleid, or Dr. Richard Sackelariou.
Am I A Good Candidate For Septo-Rhinoplasty?
Septo-Rhinoplasty is a surgical procedure that patients undergo due to aesthetic and functional difficulties. Deformities can be congenital, developmental, or acquired as a result of various injuries or traumas.
The most common reasons why patients choose Septo-Rhinoplasty are:
- Breathing issues
- Nose-bleeds, crusting
- Sinusitis, Post-nasal drip, Headaches
- Snoring and Apnea
- Nose too big
- Nose too small
- Dilated, thickened or droopy tip of the nose
- Hump Reduction, Bump Removal
- Nose straightening, Reshaping
- Nostril Reshaping
The nose, including the septum, develops by the age of 14-16 in girls, and 16-18 in boys.
Nowadays, with cartilage-sparing techniques, Septo-Rhinoplasty is performed mainly after that age, occasionally on younger patients with severe nasal obstructions or deformities.
Benefits Of Septo-Rhinoplasty Surgery
Septo-Rhinoplasty is an aesthetic and functional procedure that creates a much more beautiful and elegant look of the nose, and improves its function, to enhance the patient’s quality of life. The shape and size of the nose are adjusted to the proportions of the face, which gives it a much more harmonious and refined look. With improved airflow and respiration, Septo-Rhinoplasty might be the best choice for those who look for an esthetic and functional change to their nose.
Septo-Rhinoplasty Before and After Photos
These before and after surgery photographs represent typical results our patients get. Each image is conveniently categorized by an acting surgeon. Results depend on individual patient circumstances and can vary significantly.
Depending on the patient’s wishes and needs, the surgeon will assess what type of rhinoplasty will be performed as a part of Septo-Rhinoplasty will be performed: Open or Closed.
A Closed Rhinoplasty is performed through the nostrils and is useful for some minimal-change Septo-Rhinoplasties.
In an Open Rhinoplasty, a short incision is made in the columella, the bridge of skin hidden under the nose and between the nostrils. It is a zig-zagged incision, which makes it even less visible. In order to achieve nose stability and function, the patient’s septal cartilage is used as grafts. This way the function and appearance of the nose are fixed in the same procedure, in a stable, strong, supported nose that does not sag with time.
Some noses need to be made larger, particularly Revision cases and Asian noses. Cartilage grafts from the patient’s septum, ear, or donor’s rib, or synthetics, are often required,
Recovery after Septo-Rhinoplasty
After Septo-Rhinoplasty, internal packing or splinting is rarely required. This leads to much less post-operative pain and swelling. Tapes and sometimes an external plastic splint are used for a week and easily removed by the surgeon.
It is an uncomfortable operation, due to internal scabbing, crusting and blockage, but usually not painful, as the nose is a non-moving part.
The nose will take 2- 6 weeks to look better but keeps on changing for a year or so as subtle swelling subsides, sometimes aided by steroid injection.
The length of recovery and severity of the instructions depend on the general condition of the patient, and the extent of the procedure itself.
General instructions are:
- Sleeping propped up, just for the first 1-2 nights.
- Avoiding running or gym workouts for 2 weeks, and contact sports for at least 6 weeks.
- It is OK to blow your nose – in fact I advise it, to clear the crusts, aided by saline irrigations.
Complications and Risks of Septo-Rhinoplasty
Septo-Rhinoplasty, like any surgery, carries the risk of bleeding, infection, or an allergic reaction to the anaesthetic.
There is a risk of other possible complications: –
- Nasal obstruction – making the nose smaller on the outside also makes it smaller on the inside, so if the septum is not perfectly straight, or the side walls are weakened to refine the nasal shape, obstruction can occur.
- Perforation of the septum, which can cause long-term crusting and even whistling.
- Unsatisfactory nasal appearance.
Other risks and side effects include a change in the sense of smell, and a temporary feeling of numbness of the nasal tip, upper teeth and lip.
Patient Journey for a Septo-Rhinoplasty
1. Initial Consultation with your Surgeon
Before the Septo-Rhinoplasty, a consultation and medical health examination will be performed. At the consultation, you can discuss the issues caused by nasal asymmetry and deformities.
The surgeon will explain what Sept0-Rhinoplasty Nose Surgery entails, discuss the reasons for undergoing the procedure, educate the patient about the benefits and risks, show photos of previous patients, perhaps do computer-imaging to pre-plan the operation and talk about the patient’s personal expectations.
2. Surgical Procedure
Septo-Rhinoplasty nose correction is usually performed under general anaesthesia, with an overnight stay in hospital (although it can be done as a day-patient).
3. Post-Op Recovery
The patient leaves the hospital with a supply of pain-killers, spray, saline irrigation and ointment, to use 3 times a day. After a week, the cast is removed by the surgeon, and the internal nasal scabs and crusts cleaned and “vacuumed” out under local anaesthesia on the Dental chair. There is usually not much bruising, but it subsides within two weeks.
By 6 weeks, the nose is nearly at its final result, but continues to settle over 6-12 months, sometimes aided by steroid injection.
Every patient is different, therefore the prices vary.
You will be given a price quote after your first consultation. This will include a Surgeon’s fee, Anaesthetist fee, and the hospital fees, part of which will often be rebated by Medicare and your Private Health Insurance.
See more information on Medicare coverage of Nose Surgery.
FAQ’s about Septo-Rhinoplasty
Can I go out in the sun after the Septo-Rhinoplasty surgery?
Excessive exposure of the skin of the nose to the sun should be avoided, but sensible sun exposure with skin protection is allowed.
Can I wear glasses after surgery?
Please Avoid wearing spectacles or sunglasses for 6 weeks, as they can leave little divots on the sidewall of the nose. Discuss the various options with your surgeon, if you can’t use contact lenses.
Will I be able to sneeze?
Since the sneezing reflex cannot be stopped, sneezing through the mouth instead of the nose is advisable.
Can I smoke before or after surgery?
Preferably, no smoking for 2 weeks before and after surgery.
Do I need to stop drinking alcohol before the Septo-Rhinoplasty?
Please refrain from drinking alcohol for at least 48 hours before surgery.
Can I fly after the Septo-Rhinoplasty?
Flying is not a problem after nasal surgery, even the day after, but pressure-changes and air dryness can be uncomfortable.
How long will I stay at the hospital?
In most cases, patients stay overnight, but some can go home on the same day of surgery.
What food should I eat after the Septo-Rhinoplasty?
Eat whatever you want in moderation!
Download Our Guide to Nose Job Surgery – Rhinoplasty
Further Reading – Medical Resources
- What is Septo-Rhinoplasty? | Pacific Neuroscience Institute
- Septo-Rhinoplasty (Aftercare Instructions) – What You Need to Know
- Septo-Rhinoplasty | healthdirect
Always Choose a qualified, experienced Expert in Septo-Rhinoplasty
Be sure to find out if your surgeon is FRACS qualified and has proven and relevant surgical experience.
Don’t choose someone who studied a different area of medicine as they are unlikely to have the same rigorous surgical training required to become recognized as a Specialist in Plastic, Cosmetic & Reconstructive Surgery.
Coco Ruby is an Australia-wide Specialist Plastic Surgeons Group, with the appropriate qualifications and members of recognized associations. Look for members of FRACS, ASPS, ASAPS or ISAPS as some of the Qualifications of your Surgeon. Our Surgeons operate in an accredited hospital, not in the back-room of a clinic.
Proven experience and examples from real patients or recommendations from your friends, family, or GP are available.
Choosing the best Septo-Rhinoplasty Surgeon in Melbourne VIC or Sydney NSW
When choosing the right plastic surgeon for Septo-Rhinoplasty, the patient should always keep in mind that the experience, training, and credentials have greater importance than the price tag. Special deals, fixed prices, and big discounts should raise a red flag. Usually, those kinds of procedures lead to another disappointing result and in the end line cost more and produce more stress, pain, take more time, and discomfort than one procedure conducted by the professional and experienced surgeon.
Dr Stephen Kleid is an experienced Ear, Nose and Throat ENT Surgeon (Otolaryngologist). Dr Stephen Kleid consults in three Melbourne practice locations here at Coco Ruby Plastic Surgery in Hawthorn East, St Kilda East and East Melbourne. Dr Kleid has a passion for rhinoplasty and Rhinoplasty Revision.
Dr Richard Sackelariou is a Specialist Plastic Surgeon and Nose Expert operating in Melbourne and Sydney
The Next Steps – What to do Next
- Visit the FAQs pages and read patient reviews to learn more about your intended procedure.
How to Book your Initial Consultation
- Email us or call on 1300 264 811 to arrange your consultation with your surgeon
- A referral from your GP or your specialist is helpful but not essential
What to Bring to your Surgeon Consultation
- You are more than welcome to bring a friend or relative to help discuss the information and your choices
- Ensure you also take a lot of notes and thoroughly examine the documents provided
- Please be aware you may need to undress for a physical exam so wear simple clothes.