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					nose                                                                                                                                                                                                                         nose

                                                                                                        procedure before proceeding with surgery – a well-informed
                                                                                                        patient is a happy patient.                                        What can a rhinoplasty achieve?
                                                                                                           rhinoplasty surgery when performed on the right
                                                                                                        candidate by the right surgeon can produce a profoundly            • remove humps over the bridge of the nose
                                                                                                        positive transformation to one’s face, making the person           • Modify and refine the nasal tip
                                                                                                        more attractive and in most cases look younger. rhinoplasty        • improve a crooked nose by re-aligning the
                                                                                                        usually takes around two hours to perform, although more             nasal bones
                                                                                                        complicated procedures may take longer.                            • improve the angle between the nose and the
                                                                                                                                                                             upper lip
                                                                                                                                                                           • Shorten or lengthen the length of the nose
                                                                                                        the rhinoplasty surgeon                                            • increase or decrease nasal tip projection
                                                                                                        rhinoplasty is one of the most difficult operations in             • narrow the nostrils
                                                                                                        cosmetic surgery. in australia, rhinoplasty is performed
                                                                                                        by five groups of doctors. your decision-making process            What can a septoplasty
                                                                                                        should heavily rely on word of mouth and personal                  & turbinoplasty achieve?
                                                                                                        research. choosing a surgeon specifically for rhinoplasty          • Straighten a deviated septum and thereby


a guide                                                                                                 is highly advisable.                                                 improve breathing
                                                                                                                                                                           • reduce the bulk of air filters (turbinates),



to
                                                                                                                                                                             improving breathing further
                                                                                                        Before the rhinoplasty procedure
                                                                                                        Test required

rhinoplasty
                                                                                                                                                                              rhinoplasty surgery starts with the skin of the nose
                                                                                                        in order to get the most from the initial consultation, a        being separated from its supporting framework of the bone
                                                                                                        ct scan (not an x-ray) of your nose and sinuses should           and cartilage, which is then sculpted to the desired shape.
                                                                                                        be arranged. your gp should be able to organise this,            the skin is then re-draped over the new framework.
                                                                                                        especially if you suffer from any of these conditions:                Septoplasty is performed if needed to straighten any
Sydney plaStic Surgeon                                                                                  • breathing problems                                             deviation in the septum and/or harvest cartilage graft for
Dr Kourosh TavaKoli explainS                                                                            • previous injury to the nose                                    nasal re-shaping. turbinoplasty is performed if these air-
                                                                                                        • previous surgery of the nose                                   filtering structures are unusually enlarged.
what you can expect
                                                                                                        • hayfever or sinusitis.                                              at the end of the rhinoplasty operation, an aluminium
before, during and after a                                                                                                                                               or thermoplastic cast will be placed on your nose. the
rhinoplaSty procedure.                                                                                  Preoperative consultation                                        external splint will stay on for around a week. usually a light
                                                                                                        this is where you need to convey your aesthetic wishes           dressing/packing may be placed inside the nostrils and
                                                                                                        and goals clearly to your surgeon. a great deal of time will     removed the same day or the next day. if septoplasty is


o
         riginating from the greek Rhinos meaning ‘nose’                                                be needed to establish a rapport so that all aspects of          also performed for airway correction, a plastic tube may be
         and Plassein meaning ‘to shape’, rhinoplasty refers                                            rhinoplasty surgery can be thoroughly discussed. i prefer a      inserted in the nostrils for up to three days post-procedure.
         to cosmetic surgery of the nose and is one of the                                              minimum of two consultations prior to surgery and in some
most common of all plastic surgery operations. in fact,                                                 special cases three or four visits may be needed.
rhinoplasty was among the first cosmetic plastic surgery                                                   My practice has the latest digital imaging system             recovery from rhinoplasty
operations ever performed, way back in 1898.                                                            available, and together we can communicate to each other         during the first two to three days after rhinoplasty surgery,
   the current australian trend in rhinoplasty is all about                                             about your desired cosmetic goals via a large computer           your face will feel puffy, your nose may ache and you may
the ‘natural’ look. however, it is highly individualised surgery                                        screen. although useful, the imaging system should be            experience a dull headache. you should plan on resting
and you should discuss your individual desires with your                                                used only as a guide and not a guarantee of outcome.             with your head elevated for the first couple of days. there
chosen surgeon during consultation.                                                                                                                                      will be swelling and bruising around the eyes, reaching a
                                                                                                                                                                         peak after around four days.
                                                                                                        the rhinoplasty operation                                            by the end of week one all nasal packing, dressings,
Who is a suitable candidate?                                                                            cosmetic and functional surgery (rhino-septoplasty) of the       internal and external splints and stitches should be
the best candidates for rhinoplasty are those people who                                                nose usually takes approximately two hours and, for your         removed. you will feel substantially better in your second
are looking for an improvement in the way they look, not                                                safety, it is performed under a general anaesthetic in a fully   week of recovery.
those searching for absolute perfection. in fact, patients                                              accredited day surgery or major hospital.                            the most uncomfortable part of the recovery after the
who are completely obsessed with the appearance of                                                         Most incisions are placed inside the nostrils (known as       rhinoplasty operation is typically the inability to breathe
their nose to the extent that it interferes with their daily                                            a ‘closed’ rhinoplasty), but a small incision may be made        through your nose for several days due to the swelling.
living should perhaps seek counselling prior to consulting                                              in the columella (known as an ‘open’ rhinoplasty). the           this usually improves within around four weeks. you should
a plastic surgeon.                                                                                      columella is the skin dividing the nostrils. in my experience    also expect some swelling around your eyes for several
    well-meaning friends and family members are not a good                                              these incisions tend to heal quickly and leave scars that are    weeks. as the swelling subsides, you will start to see the
source of information. you should thoroughly research the                                               nearly invisible.                                                improvements from your surgery. csbm

90                                                                 www.cosmeticsurgerymagazine.com.au   www.cosmeticsurgerymagazine.com.au                                                                                           9 1
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case
study 1
a rhinoplaSty procedure
by Sydney plaStic Surgeon
Dr Kourosh TavaKoli tranSforMed thiS
patient’S appearance and life. caroline
Selwyn reportS.
                                                                                                                                 BEFORE                               AFTER rhinoplasty by Dr Tavakoli




r
         hinoplasty is one of the most common cosmetic           ‘he showed me computerised “before” and “after” pictures
         surgery procedures performed in australia, and one      of what a rhinoplasty could do for my nose,’ she says. ‘this
         with a high patient satisfaction rate. according to     was extremely beneficial as seeing the “after” shots meant
Sydney plastic surgeon dr Kourosh tavakoli, many people          i had realistic expectations of what could be achieved.’
take a long time to actually decide to have the surgery,            dr tavakoli also detected some breathing problems in
but once they do many admit they wish they had done              the patient’s nasal passages. ‘it turned out my left nasal
it sooner.                                                       cavity was completely blocked off, so the procedure wasn’t
    at 20 years old, dr tavakoli’s patient says that it was      just cosmetic after all,’ she says.
the perfect time to correct her nose that she had been
‘very aware of’ throughout her life. ‘being young, i had
no big commitments and i knew the healing time would
                                                                  Before rhinoplasty, my nose just                               BEFORE                               AFTER rhinoplasty by Dr Tavakoli


be relatively quick,’ she says. ‘i just didn’t want to wait      didn’t fit with the rest of my face
any longer.’
    the patient says she has never been happy with her
                                                                 and looked out of place
nose and always wanted to change it. ‘it just didn’t look
feminine and was out of place on the rest of my face.               the patient says her recovery was relatively slow but dr
    ‘i had the misfortune of inheriting my father’s masculine    tavakoli and his staff were very helpful with post-surgery
european nose,’ she says. ‘it just didn’t fit with the rest of   care. ‘i was one of the small percentage of people who
my facial features. there was a prominent bump, which            was still experiencing bruising and swelling at my one-
was especially noticeable in my profile.’                        week follow-up appointment,’ she says. ‘i had lymphatic
    She began researching rhinoplasty procedures, reading        massage to drain the build-up in my face, which cleared it
about other people’s experiences online, and found dr            up quite quickly.’
tavakoli’s case studies. although she spoke to other                the patient says once the swelling subsided, she was
doctors, ‘i was impressed with dr tavakoli’s qualifications      ‘absolutely delighted’ with the result and her breathing had
and professionalism,’ she says. She also spoke to some of        improved. ‘it was exactly what i expected and hoped for,’
his former patients.                                             she says, ‘a very dramatic change. it altered the entire look
    in her first consultation, dr tavakoli discussed the         of my face. My nose has always been out of proportion to
surgical possibilities, techniques and her desired outcome.      the rest of my face and now it fits.’
                                                                                                                                  BEFORE                              AFTER rhinoplasty by Dr Tavakoli




92                                                               www.cosmeticsurgerymagazine.com.au                              www.cosmeticsurgerymagazine.com.au                                        9 3
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case study 2
a patient ShareS her experience before, during and after her
rhinoplaSty procedure perforMed by Sydney plaStic Surgeon Dr
Kourosh TavaKoli. geMMa garKut reportS.




a
         melia had been thinking about undergoing cosmetic        says. ‘he showed me mock digital images of what my nose
         surgery to change the appearance of her nose for a       would most likely look like after surgery and explained to
         while but wanted the result to be subtle and perfectly   me exactly what needed to be done to achieve it. it was
suited to her face. ‘My nose always bothered me,’ she says.       very important to me that my surgeon and i were on the
‘i used to look at photos of myself and wish i could get          same page.’                                                       BEFORE                               AFTER rhinoplasty by Dr Tavakoli

rid of a specific bump and make a part of the bridge                  amelia says she felt comfortable asking all kinds of
narrower but i didn’t think a surgeon would be receptive          questions during the entire process, from consultation to
to such small changes.’                                           recovery. ‘dr tavakoli and his staff were so happy to answer
    after thoroughly researching the risks, recovery and          all my questions – no matter how silly they seemed.’
operation itself, amelia and her best friend spent time going
to consultations with different surgeons to receive several
opinions. ‘it was extremely helpful to sit with a number of
                                                                    people don’t usually
surgeons and discuss my options, and it allowed me to             pinpoint i’ve had a rhinoplasty
refine the criteria of what i was looking for in a doctor,’
she says.                                                         but they do comment on how
    the initial research process was made easier with
the support of her best friend, who was also interested
                                                                  refreshed i look
in undergoing a rhinoplasty procedure. together they
discussed their individual concerns in depth and were able            because she had thoroughly researched what to expect
to clearly define their desired results.                          post-procedure, she was prepared for what the recovery
    ‘My nose was quite asymmetrical because my septum             period involved. ‘it went really well. when i first woke up
was deviated, which not only looked crooked on the                after the operation i felt quite drowsy and had to take lots of   BEFORE                               AFTER rhinoplasty by Dr Tavakoli
outside but also made breathing out of my right nostril quite     short naps. dr tavakoli and his nurses kept checking on me
difficult,’ amelia explains. ‘i also wanted the bridge of my      and at times i felt a bit confused as a result of the general
                                                                  anaesthetic, but this passed and i was moved into a big
                                                                  comfy chair in the recovery area. Someone was with me
  i used to look at photos of                                     every step of the way, so i felt really cared for and in safe
 myself and wish i could get rid of                               hands,’ she says.
                                                                      ‘dr tavakoli also gave me information sheets that clearly
 a specific bump and make my                                      described what i would go through on day one and week
                                                                  one after the procedure,’ she continues. ‘My eyes were
 nasal bridge narrower                                            swollen for two days and i was bruised under one eye. after
                                                                  this i was able to walk around and do normal things, but
nose near my eyes to be narrower, my nostrils to be slightly      i still had some pain left over so i took it easy for about a
smaller and the tip of my nose to be less rounded. i wanted       week. it’s now been six weeks since the operation and i’m
all of these changes but for them to look natural and subtle      back to normal life – it’s great!’
– something i was scared wouldn’t be possible.’                       her results? ‘i couldn’t be happier with my new nose!
    amelia chose to follow through with dr tavakoli, who she      people don’t usually pinpoint i’ve had a rhinoplasty but
says was very understanding of her concerns and made it           they do comment on how refreshed i look. a common
                                                                                                                                    BEFORE                               AFTER rhinoplasty by Dr Tavakoli
clear to her that he understood what she wanted. ‘i was           compliment is that my eyes look more open and vibrant,
confident dr tavakoli knew exactly what i was after,’ she         which is exactly what i wanted,’ she concludes.

94                                                                www.cosmeticsurgerymagazine.com.au                                www.cosmeticsurgerymagazine.com.au                                        9 5
nose                                                                                                                                                                                                                       feature




case study 3
Jodie viSited Sydney plaStic Surgeon Dr Kourosh TavaKoli to iMprove
the profile and proMinence of her noSe. JeSSica rule reportS.



J
      odie had always been dissatisfied with the bump          ‘once the swelling and bruising began to go down my new
      on the bridge of her nose and its hooked profile. ‘i     nose started to emerge and i could see it was exactly what
      was extremely self-conscious, especially camera shy      i wanted.’
as i hated my nose being captured in profile,’ she says. ‘i        dr tavakoli removed the bump on the bridge of Jodie’s
didn’t like the look of my nose and felt it didn’t match or    nose, shorted the tip and reshaped the nostrils. ‘it is now
complement the rest of my face.’                               what i would describe as a button nose – it’s more feminine
    Jodie felt apprehensive during her first consultation,     and enhances my face and other features so everything
but says dr tavakoli was reassuring and made her feel at       looks in proportion,’ says Jodie. ‘what dr tavakoli did with
ease. ‘it is a big deal putting your trust in someone else’s   my nose was amazing. he’s a talented surgeon and i would
hands, but dr tavakoli calmed my nerves by answering all       go back to him for future procedures.’
my questions and explaining the procedure carefully,’ she          Jodie took a month’s holiday after her procedure but
says. ‘we had a talk about my concerns, then after he did      says after five to seven days she was feeling well enough to
an examination we looked through pictures of his previous      leave the house. ‘with the painkillers and antibiotics it was
work and mocked up digital images of how my new nose           a very manageable recovery,’ she says.
would look.’                                                       and the results? ‘i love my results! it was the best decision
    waking up after the procedure Jodie says dr tavakoli       i’ve ever made and i can’t believe i didn’t do it sooner,’ she
visited her and reassured her that everything had gone well.   says. ‘My friends and family can see my confidence has
‘i hadn’t seen my nose because of the splint you have to       grown. i feel it has improved how i feel about myself – i’m
wear for several days following the procedure,’ she says.      not even camera shy anymore!’




        BEFORE                                                 AFTER rhinoplasty by Dr Tavakoli



                                                                                                                                                                                                                    Actual patient of Dr Tavakoli
                                                                                                                                                 RHINOPLASTY SPECIALIST
                                                                                                                                                 MBBS, BSc (MED), MS (UNSW), FRACS (PLAST)
                                                                                                                                                 Dr Tavakoli is a renowned cosmetic plastic surgeon who is
                                                                                                                                                 a Fellow of the Royal Australasian College of Surgeons and
                                                                                                                                                 a Member of the Australian Society of Plastic Surgeons.
                                                                                                                                                 He specialises in all aspects of facial cosmetic surgery, with a
                                                                                                                                                 particular interest in cosmetic rhinoplasty and facelift.



        BEFORE                                                 AFTER rhinoplasty by Dr Tavakoli
                                                                                                                                   Darling Point | The Hills District | 1300 368 107 | www.drtavakoli.com.au
96                                                             www.cosmeticsurgerymagazine.com.au                                    www.cosmeticsurgerymagazine.com.au                                                                  9 7

				
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