Dr Timothy Hewitt



More commonly known as a “nose job”, rhinoplasty is a common cosmetic procedure that improves the proportion and appearance of your nose. The shape of your nose is generally the result of your heredity; however, an injury or prior surgery can also affect its appearance. Rhinoplasty will enhance your facial harmony and improve your self-confidence no matter what has caused your dissatisfaction with your nose. Furthermore, a nose job ican be used to correct impaired breathing resulting from structural abnormalities located in the nose.

For further information and advice from Dr Timothy Hewitt about getting a nose job in Perth call (08) 9388 9222 or visit our contact us page.

Rhinoplasty surgery can correct a wide array of nasal problems include:

  • The size of the nose in relation to your facial structures
  • The width of the nose at the bridge
  • The nose profile
  • Eliminate depressions and visible humps on the bridge
  • Fixing large, drooping, excessive upturning or bulbous nasal tips
  • Wide, upturned or large nostrils
  • Nasal deviation or asymmetry

Is rhinoplasty right for me?

A nose job in Perth is an individualized procedure that you should do only for yourself and not to please someone’s satisfaction. Good candidates for this surgery fit into the following categories:

  • You are at least 18 years of age and your facial growth is complete
  • You are mentally and physically healthy
  • You are a non-smoker
  • Your goals and expectations for the surgery are realistic

How is the procedure performed?

A nose job is generally an inpatient procedure performed in an approved surgical facility. The surgery is performed under general anesthesia and lasts about two hours. The plastic surgeon will use one of two techniques during the rhinoplasty procedure: open or closed technique. Open rhinoplasty implements an inverted V shaped incisions along the middle column of the nose as well as other incisions inside the nostrils. Closed rhinoplasty doesn’t create incisions on the outside of the nose. Your plastic surgeon will discuss with you which technique is best for your specific situation.

During the procedure, the plastic surgeon will lift the skin up, sculpting and reshaping the cartilage, tissue and bone underneath to create the desired results. Grafts, cartilage and implants can be implemented to build up nose tissue if needed. The surgeon will carefully re-drape the skin over the shaped area, securing it with fine stitches. A splint consisting of absorbent, soft material may be used to help ensure the shape of the nose while soft plastic splints or nasal packs may be inserted inside the nose to stabilize your septum.

What is the recovery after rhinoplasty?

Swelling, puffiness, headache, bruising, stuffiness and bleeding may occur after the procedure. These symptoms generally only last for a short time and within a day or two you should begin to feel like your old self. Most patients can resume daily activities and return to work within two weeks. It is not uncommon for swelling to reappear every now and again during the first year after the surgery. The swelling typically appears in the morning and fades as the day progresses.

What results should I expect?

The results from the surgery are generally noticeable immediately and will continue to improve as the swelling reduces. Patients with realistic expectations are generally pleased with their new nose. However, the exact results will vary depending on your nasal cartilage and bone structure, skin thickness, age and facial shape.

What are the risks?

The risks of Rhinoplasty are rare, however they may include nosebleeds, infection and an adverse reaction to the anesthesia.

What is revision surgery?

Secondary or revision rhinoplasty is used to correct deformities resulting from a previous operation on your nose. This surgery is generally thought to be more difficult than a primary nose job because the nose has less cartilage for the plastic surgeon to work with and scarring or tissue may be present. Most plastic surgeons recommend waiting a year between the rhinoplasty and the revision procedure.