Nose Job Procedures
Professor Ashton is a Melbourne based plastic surgeon who specialises in rhinoplasty procedures. He is a Clinical Professor of Surgery, Honorary Professor of Anatomy at the University of Melbourne, and chair of Plastic Surgery at Epworth Freemasons Hospital. He is the former Head of Plastic Surgery at Royal Melbourne Hospital (2001 – 2016) and Royal Women’s Hospital (2000 – 2016).
What is Rhinoplasty Surgery?
Rhinoplasty surgery is an extremely effective and safe way of altering the shape of your nose and improving your nasal breathing. The decision to undergo rhinoplasty is an extremely personal one. You may have suffered nasal trauma or may not be happy with the way your nose has developed. Additionally you may also be experiencing problems with your breathing.
What is involved with rhinoplasty surgery?
Rhinoplasty surgery is conducted under a general anaesthetic and involves coming into Epworth Freemasons Hospital in East Melbourne as an overnight stay.
Professor Ashton usually uses an “open” technique in which a small incision is made at the base of the columella or the junction where your lip meets your nose and then a number of small incisions which are made inside the nostril.
At the end of the surgery these wounds are sewn up with a small number of non-dissolving nylon sutures which need to be removed. This would occur at one week after surgery. All sutures inside your nostril are dissolving and do not need to be removed.
Recovery from rhinoplasty surgery
This operation is performed under a general anaesthetic. The surgery usually takes about two hours. We admit all patients to Epworth Freemasons Hospital for one or two nights postoperatively.
In general the rhinoplasty surgery is not painful. At the time of surgery we use local anaesthetic to numb your nose and hence when you first wake up after surgery you will not experience any pain. Over the next eight to twelve hours, the local anaesthetic will slowly wear off and we will therefore ensure that you have appropriate pain relief. It is important in this early postoperative period that you allow your body time to rest and recover and hence, you should refrain from heavy exercise or strenuous activity. You should also avoid strongly heated rooms and activities such as steam or sauna baths.
Things you must know about this surgical procedure:
A thermoplastic splint is applied to your nose and it is critically important that this is left intact and is not removed until we see you ten days to two weeks postoperatively when we will remove the splint for you. During this period, it is important that you keep the splint and your nose clean and dry. This means that we would strongly advise you not to shower but rather to bathe in shallow bath or to seek assistance in washing your hair and shaving.
You should allow ten days to two weeks to recover from this surgery. Occasionally you may find that you get some minor bruising or swelling around the eyes and if this was to occur, it would be worse at Day 4 and is usually completely resolved by Day 10. Whilst this is an extremely uncommon and unlikely event, none the less, you should plan for this in the early postoperative period.
It means therefore, that you would be able to work from home via a computer linked in to work but you should not expect to be able to continue to see clients or work in an office environment for a minimum of two weeks after surgery.
You should avoid heavy running, exercise or strenuous activity for a minimum of two and a half to three weeks after surgery, and it is important that you avoid contact sports for a minimum of six weeks after surgery.
Results from rhinoplasty surgery
After rhinoplasty surgery, you will notice that your nose, as a direct result of the operation, undergoes a significant amount of swelling and on average it takes between six and eight weeks for the swelling to subside. You therefore should not expect to be able to gauge your postoperative result after rhinoplasty surgery for a minimum of six weeks after surgery. It is also commonly seen that the swelling in your nose will continue to resolve over the next six to twelve months and hence, it is impossible to gauge the final result after your surgery until one year after your operation.
Often people have a preconceived ideal shape for their nose. A key part in achieving the ideal result for you is the capacity for this ideal shape to be conveyed to your surgeon. There are a lot of different ways that this can be done. One of the most accurate techniques is for you to select, prior to your initial consultation, photographs of noses which you think best represent your ideal nose in terms of size, tip and projection. By bringing these photographs along to your initial consultation, we can realistically discuss whether or not this result is able to be achieved at surgery.
During your initial consultation Professor Ashton will discuss the techniques which may be employed to achieve the result for which you are aiming and also discuss the operation and the technique used in detail. You will have ample opportunity to ask questions and to clarify any aspect of the operation, hospital stay or recovery. We will also provide written information for you to take home.
If you would like to make an appointment with Prof Mark Ashton to discuss Rhinoplasty please give our rooms a call.