What is rhinoplasty?

Rhinoplasty is an operation on the nose that changes its structure and appearance, and in some cases may be combined with procedures to address functional issues such as nasal obstruction.

The procedure can involve modifying the nasal bones, cartilage and soft tissues to achieve more balanced proportions with the rest of the face, while also considering breathing and airway support.

Rhinoplasty is considered cosmetic surgery when the primary aim is to change the appearance of a normal nose, and reconstructive when it seeks to restore normal form and function after trauma, cancer surgery or congenital deformity.

For an overview of other procedures offered, you can also visit the plastic surgery procedures page.

How is rhinoplasty performed?

The surgical approach and techniques used in rhinoplasty are tailored to each person, based on nasal anatomy, facial proportions, functional concerns and the aims discussed in consultation.

Rhinoplasty may be performed using an open (external) or closed (endonasal) approach, or a combination of both, depending on the complexity of the surgery.

Open (external) rhinoplasty

In an open rhinoplasty, a small incision is made across the strip of skin between the nostrils (the columella), in addition to incisions inside the nose.

This allows the nasal skin to be gently lifted and the underlying structures to be directly visualised, which can assist with precise modification of the cartilage and bone, particularly in complex or revision cases.

Closed (endonasal) rhinoplasty

In a closed rhinoplasty, all incisions are placed inside the nostrils so there is no external incision on the columella.

This approach may be appropriate for selected patients and can be associated with shorter operating times and less early swelling in some cases; however, suitability depends on the changes required and nasal anatomy.

Cartilage grafts and structural support

In primary rhinoplasty, the surgeon may work mainly with existing nasal structures, while preserving or reinforcing support to maintain long‑term shape and airway function.

In revision or more complex rhinoplasty, additional cartilage grafts may be required from the nasal septum, ear or rib to rebuild or support parts of the nose where tissue is weak, missing or scarred.

More details on related facial procedures are available on the face procedures page.

What can rhinoplasty address?

Rhinoplasty may be considered by adults who are concerned about the appearance of their nose, have functional breathing issues related to nasal structure, or require reconstruction after injury or disease; suitability is assessed individually.

Cosmetic nasal concerns

Depending on your anatomy and goals, rhinoplasty may be used to address specific appearance‑related concerns, such as:

• A prominent hump or depression on the nasal bridge.
• A drooping, bulbous, under‑rotated or over‑projected nasal tip.
• A nose that appears disproportionately large or small in relation to other facial features.
• Asymmetry in nasal shape, noting that perfect symmetry is uncommon in nature.
• A visibly crooked or twisted nose, often related to underlying deviation of the nasal framework.
• Flattening or loss of height of the bridge (sometimes called saddle nose) due to trauma, previous surgery or other causes.
• Wide or flared nostrils, when reduction is appropriate and safe for airway function.

Functional and reconstructive indications

Rhinoplasty and related nasal procedures can also be considered where there is a functional or reconstructive indication:

• Breathing difficulties related to a deviated septum or other internal structural narrowing (often treated with septoplasty and associated procedures).
• Defects of the nose following skin cancer surgery or other cancer treatments.
• Nasal deformities after facial trauma, such as fractures or lacerations.
• Congenital nasal deformities or developmental irregularities.

It is important to note that not every concern can be fully corrected and that individual outcomes vary based on anatomy, tissue healing and other personal factors.

Who may be a candidate for rhinoplasty in Sydney?

Adults considering rhinoplasty in Sydney will undergo a comprehensive assessment to determine whether the procedure is appropriate and whether expectations are realistic.

This assessment typically includes a medical history, physical examination of the nose and face, discussion of goals, and screening for psychological conditions such as body dysmorphic disorder using a validated tool, as required by current cosmetic surgery guidelines.

Rhinoplasty is not suitable for everyone; alternative options, or no surgery, may be recommended where surgery is unlikely to provide a meaningful or safe benefit.

For an overview of how rhinoplasty sits among other offerings, see the face procedures by Dr Mohaghegh page.

What does the rhinoplasty procedure involve?

Rhinoplasty is usually performed in an accredited hospital or day surgery facility under general anaesthesia, with monitoring by a specialist anaesthetist.

Incisions are made either inside the nostrils (closed approach) or across the columella combined with internal incisions (open approach), and the underlying nasal framework is adjusted to achieve the agreed surgical plan.

The operation duration varies depending on the complexity of the case, whether it is a primary or revision rhinoplasty, and whether functional procedures such as septoplasty or turbinate surgery are performed at the same time.

At the end of the procedure, internal splints or packs may be used in some cases, and a small external splint is often placed to support the nose during early healing.

You can also read the dedicated rhinoplasty procedure page for more focused information.

Risks and possible complications of rhinoplasty

All surgery, including rhinoplasty and septoplasty, involves risks and potential complications, even when performed by a specialist plastic surgeon in an accredited facility.

General surgical and anaesthetic risks can include, but are not limited to, bleeding, infection, pain, delayed healing, adverse reactions to anaesthesia, blood clots, and issues related to scarring.

Risks more specific to nasal surgery may include persistent swelling, numbness, asymmetry, septal perforation, breathing difficulties, altered sense of smell, dissatisfaction with the cosmetic appearance, or the need for further surgery (revision) in some cases.

During your consultations, the surgeon will provide more detailed information about the risks relevant to you, and you will have the opportunity to ask questions before deciding whether to proceed.

Rhinoplasty recovery in Sydney

Recovery after rhinoplasty varies between individuals and depends on the extent of surgery, overall health and personal healing responses.

Common early experiences can include swelling, bruising around the eyes, nasal congestion, mild discomfort and a feeling of tightness or pressure in the nose and midface.

Most patients gradually return to light daily activities over the first one to two weeks, with more strenuous exercise and contact activities delayed for a longer period, as advised by the surgeon.

The final shape of the nose can take many months to become apparent as deeper swelling settles, and minor changes may continue beyond the first year.

You will receive post‑operative instructions, including information on medications, head elevation, nasal care, follow‑up appointments, and when you can safely return to work, exercise and travel.

Rhinoplasty results and expectations

Rhinoplasty aims to create a nose that is in better harmony with your facial features and, where appropriate, supports nasal function; however, results are not the same for everyone.

It is important to understand that individual outcomes vary due to anatomy, tissue quality, scarring, healing patterns and other factors beyond the surgeon’s control, and that no specific result can be guaranteed.

During consultation, realistic goals, limitations and potential trade‑offs will be discussed to help you make an informed decision.

To explore other face‑related procedures that may be discussed alongside rhinoplasty, you can review the facial procedures section.

Rhinoplasty gallery and further education

For patients considering nose surgery in Sydney, the practice provides a gallery of facial procedures to illustrate the types of changes that may be achieved in selected cases, along with clear information that individual results vary.

View the facial procedure image gallery

The practice blog also offers educational articles on rhinoplasty, including information on procedure types, factors that influence pricing, potential side effects, and recovery considerations; these resources are intended to supplement, not replace, a face‑to‑face consultation.

If you are exploring multiple treatments, you may also wish to visit the main Dr Mohaghegh home page for general information about the practice and services available.

Frequently asked questions about rhinoplasty in Sydney

Is rhinoplasty right for me?

Whether rhinoplasty is appropriate for you depends on your nasal anatomy, overall health, expectations, and psychological suitability, which will be assessed during at least two pre‑operative consultations in line with current cosmetic surgery guidelines.

What is the difference between cosmetic and functional rhinoplasty?

Cosmetic rhinoplasty focuses on changing nasal appearance, while functional rhinoplasty and septoplasty address structural issues that affect breathing; in many cases, both aspects may be considered together.

How long is the recovery after nose surgery?

Most people plan at least one to two weeks off work or study for early recovery, but restrictions on strenuous activity and contact sports last longer; your individual plan will be discussed with you before surgery.

Are there non‑surgical alternatives to rhinoplasty?

In some situations, non‑surgical options such as dermal fillers can temporarily modify aspects of nasal contour; however, they do not reduce nasal size, do not address structural or breathing issues, and also carry risks that will be discussed in consultation if relevant.

How do I choose a rhinoplasty surgeon in Sydney?

In Australia, AHPRA guidelines recommend that patients considering cosmetic surgery check that their doctor is a registered medical practitioner and understand their type of registration and specialty.

Dr Mohammad Hassan Mohaghegh is a Specialist Plastic Surgeon (specialist registration in Surgery – Plastic Surgery) with experience in cosmetic and reconstructive procedures, including rhinoplasty.

You can learn more about the range of procedures via the procedures overview page.

Rhinoplasty consultation with Dr Mohammad Hassan Mohaghegh

If you are considering rhinoplasty in Sydney, a consultation with Dr Mohammad Hassan Mohaghegh is the first step to discussing your concerns, medical history and treatment options.

Current cosmetic surgery regulations require at least two pre‑operative consultations, including at least one in‑person consultation with the surgeon who will perform the procedure, and a minimum cooling‑off period of seven days after providing informed consent before surgery can be booked or a deposit paid.

During your appointments, you will have the opportunity to ask questions, review educational materials, and consider whether rhinoplasty is the right choice for you.

The information on this page is general in nature and does not constitute personal medical advice.
A face‑to‑face consultation is required to determine whether rhinoplasty is appropriate for you and to discuss the potential benefits, risks, costs and alternatives in your situation.