Cost of Rhinoplasty (Nose Surgery)

Nose Surgery Cost

The cost of performing Nose Surgery is approximately $7,000-$8,000 for the surgeon fee. Revision nose surgery can cost around $9,000 to $11,000. Ask whether the quote includes any assistant surgeon fees, anaesthetist fees, accommodation, bed, hospital and theatre fees and all follow up visits.

These Melbourne Nose Surgery prices are a general guideline and vary based on your surgery expectations and the type of nose surgery (tip, narrowing, open, closed, septum). Your health fund may cover part of the costs involved, especially if you’ve had trauma through injury or have difficulty breathing through the nose. Ask your surgeon for further information about any rebates.

Nose Surgery Options

The operation requires the surgeon to make small incisions in your nose. After shaving some bone and cartilage, the surgeon breaks the bone and reshapes the cartilage. There are variations to the surgery including closed and open rhinoplasty.

With closed nose surgery, there are no external incisions. The cuts are made inside the nostrils and the skin is lifted over the nose exposing the cartilage. The bone is filed with a chisel and may need to be fractured in order to attain overall narrowing. An uneven septum can also be straightened using this technique. The surgeon then reshapes or removes the tip cartilage and the wound is closed with absorbable stitches. The skin is then taped and a splint is used to limit swelling.  Nasal packs are sometimes used to prevent dripping of blood.

Open rhinoplasty also requires incisions inside the nostrils. However, an additional cut is made across the columella joining the two inner nostril incisions. This allows the skin to be lifted completely from the cartilage, giving the surgeon a better view and more opportunity to perform delicate alterations.

Tip nose surgery concerns only the tip of the nose. Generally the surgeon is only required to shape the cartilage, without altering the bone structure. Another form of rhinoplasty is reducing the alar base. This is essentially narrowing the base of the nose. It is appropriate for patients with extremely large nostrils or those who have had their nasal tip reduced.

Nose Surgery Recovery Process

Post-surgery is not very pleasant for rhinoplasty patients. You will wake up wearing a cast to support your new nose, which will be stuffed with packing to stem any bleeding. The nasal packs are usually removed before you leave the hospital. Breathing through your nose will be difficult and should be avoided. Also, you will have two black eyes and your face begins the swelling process. The swelling peaks two days after surgery.

At home, you need to lie in bed with your head propped up for the next few days. Don’t try to remove or peek under the cast. Not only will you dislike what you see (since the nose looks considerably worse in the initial stages) but you could devastate the results. Depending on the type of rhinoplasty surgery, the cast can be removed after about 3 to 10 days.

In the first few weeks following a nose job you need to avoid sneezing, blowing your nose, hot baths, hot food or drinks, alcohol, bending and lifting. As long as the plaster remains on your nose, do not try to clean any crusting. Wait until your surgeon removes the cast. Then you may clean your nose with cotton buds. Always follow your surgeon’s advice in this regard.

Cold compresses will help to reduce the swelling and bruising. Most of the swelling disappears after 3 weeks. Residual swelling may last for up to 6 months. Bruising stops after around 10 days. In most cases the stitches are dissolvable and do not require removal.  You may take pain killers as advised by your surgeon. The instructions will advise you to avoid aspirin and vitamin E supplements.

Nose Surgery Risks

Disparate results – rhinoplasty is not an exact science. The surgeon can only predict the outcome on a general level using computer imaging. The outcome hinges on your nose’s reaction to the operation. If corrective surgery is required, this cannot be performed until at least one year after the original surgery.

Bleeding – this is prevented using a nasal pack.

Breathing difficulties – this is standard following surgery but should ease after a while. If the problem persists, you may need a revision operation. This usually happens if the nostrils have been narrowed or scar tissue blocks part or all of the air passage.

Scars – if you had a closed rhinoplasty, then the scars are hidden inside the nostrils. Open nose surgery leaves a small scar under the tip of your nose. Often, this is unnoticeable. However, if you are prone to problem scarring you should discuss this with your surgeon prior to surgery.

Grafts – if the graft is taken from your body, there’s a chance of your body absorbing it. If this happens, your nose will appear warped, requiring further surgery.

Infection – the small size of the cuts makes infection a small risk, which can be treated with antibiotics. If the grafts are synthetic and the body rejects the material, they may become infected. This requires revision surgery.

Nose peel – generally this is temporary and healed with moisturizing cream.

Broken capillaries – this occurs where the skin has been thinned out. Called ‘pink nose’ this after effect can be treated with laser.

Numbness – mostly this is temporary.