small girlAre you unhappy with the shape and/or contour of your nose?  Or do you have difficulty breathing well after a traumatic event or perhaps you were born this way. If so, then you may be considering a rhinoplasty procedure.

Rhinoplasty or Nose Job as it’s commonly termed has a long, long history with evidence of Nose Job surgery going as far back as 800BC.

Rhinoplasty is performed for cosmetic, reconstructive and functional reasons and is normally done under general anaesthesia. If you are unhappy with the shape or size of your nose, or if you have functional / breathing problems, you may wish to consider a Rhinoplasty procedure through our Malvern, Melbourne or Deakin, Canberra clinics. View examples of our successful procedures in our Rhinoplasty Gallery and discover why patients across Victoria and the ACT from Curtin to Hawthorn choose to work with Dr Milovic.

There are two techniques or options which may be considered: the closed technique or the open technique.  Both will involve incisions in the nose but with open Rhinoplasty, a second incision will be necessary between the nostrils.

Ethnic rhinoplasty

When Dr Milovic assesses you for the rhinoplasty procedure, he will take your ethnicity into consideration. Not everyone should have a Caucasian nose, or what is commonly referred to as the “ski jump” nose. So, Dr Milovic does not use the same surgical approach on every patient. Rather, your facial anatomy, ethnicity and aesthetic goals will be discussed during your pre- op consultations with Dr Milovic.

“Racial incongruity” occurs when there is an imbalance between the physical traits of an individual and their ethnic background. Such an obvious disproportion between the nasal and facial anatomy can appear awkward and “over operated”. The over operated look can be avoided with an experienced plastic surgeon, like Dr Milovic, whose patients are ethnically diverse. Also, proper pre-operative evaluation and precise technical execution is necessary.

You may want a “dramatic” difference without close attention to keeping your “ethnic” nose, or you may the type of patient who wants a subtle refinement without loss of their ethnic traits.

Natural look rhinoplasty

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Whilst Dr Milovic advocates a natural approach to ethnic rhinoplasty, he will discuss your cosmetic goals and wishes with you and present the best way forward to achieve the look you want. He will also detail his reasons for or against a particular approach and ultimately, it will be up to you to make the final decision.

Dr Milovic is well experienced and trusted to operate on ethnic noses including African, Asian, Middle Eastern and Eastern European patients. While each ethnic group share a range of nasal characteristics, there are classical features which are commonly present and recognised by Dr Milovic.

Under normal circumstances the nose surgery takes 1-2 hours and is usually a day surgery case, but can sometimes require an overnight hospital stay.

Frequently Asked Questions

  • Is it right for me?

    Rhinoplasty is a very personal decision and you should have realistic goals and expectations before undergoing surgery. Generally Rhinoplasty is performed on patients older than 16 or when the nose has developed fully and there is no age limit on the surgery. If you are unhappy with the shape and size of your nose or you have breathing problems and you are considering surgery, Dr Vlad will examine your nose during your initial consultation and discuss how Rhinoplasty can achieve an improvement and meet your goals and expectations. If you are in good health and you are a non-smoker (or you are prepared to give up smoking for at least 6 weeks prior and after surgery) you may be suitable for Rhinoplasty surgery.

  • Will I need anaesthesia?

    Rhinoplasty is generally performed as a day procedure under general anaesthesia.

    Modern anaesthesia is safe and effective, but does have some risks. Ask Dr Vlad and your Anaesthetist for more information. You can be assured that Dr Vlad will engage the services of a qualified Anaesthetist who is a Fellow of the Royal Australian and NZ College of Anaesthetists (ANZCA) to perform your sedation or general anaesthesia.

    Dr Vlad and/or anaesthetist will ask you about all the medications you are taking or have taken, and any allergies you may have. Please make sure you have an up-to-date list before the surgery.

  • What can I expect after surgery?

    Support surgical packing will be placed in the nose during the surgical procedure and will generally be removed within 24-48 hours post-surgery. The bandaging and splint will be removed usually within 10 days. Your face will be swollen and bruised for at least 10 days after surgery and Dr Vlad may also recommend mild pain medication to alleviate any discomfort. Cold compresses will also help to minimise the swelling and bruising.

  • Where will the surgery take place?

    Depending upon your general health and the extent of the procedure, Rhinoplasty surgery is typically performed as a day procedure or alternatively with an overnight hospital stay.Dr Vlad will only perform your Rhinoplasty surgery in safe, accredited operating facilities. You can read more here.

  • What is the recovery period after Rhinoplasty surgery?

    Recovery time will vary from patient to patient, but expect to take off at least 2 weeks and it may be several weeks before you can resume any strenuous exercise. You will be given post-surgery instructions to follow and if you have any questions, please speak to Dr Vlad and/or his Practice Nurse.

  • What are the costs?

    Cost is always a consideration in elective surgery, but it should not be the only consideration. You have the right to be informed about the costs you can expect, before you have your surgery.  This is called ‘informed financial consent’.

    Costs associated with the procedure may include:

    • Dr Vlad’s surgical  fee
    • Accredited hospital or surgical facility costs
    • Anaesthesia fees
    • Prescriptions for medication
    • Post-surgery garments
    • Medical tests

    After your initial consultation with Dr Vlad, you will receive a written estimate of fees and an information pack to read before your second pre-surgery appointment.  The second appointment is free of charge.   Once you book your surgery, you will also see our Practice Nurse who will take your pre-operative photos.

    We welcome any questions you may have regarding fees.