Answer

An initial consultation for rhinoplasty with Dr Imani is $350. 

The $350 is a pre-payment and is processed at the point of booking (with a credit card over the phone or direct deposit, we accept Mastercard, Visa, Amex). You are required to bring a referral from your GP to the consultation. If you do not bring a GP referral and a valid Medicare card, or if you do not have an Australian Medicare card, there will be an additional $105 charge on the day of the appointment. 

The $350 is a non-refundable payment and if you would like to reschedule your appointment you would be required to give us at least two working days' notice. If you bring a GP referral and your Medicare card to the consultation you will then receive a rebate of $73.85 from Medicare. 

Prior to the consultation you will need to fill out our new patient questionnaire. You will also need to email us inspirational photos of faces/noses that you find attractive or aspire to.  The idea behind this is NOT for you to shop around for a nose that you could attach to your face! Instead the idea is for Dr Imani to see what your aesthetic ideals are.  This will aid the discussion during your consult for rhinoplasty with Dr Imani.

Answer

Yes, Dr Imani frequently consults and operates with regional, interstate and international patients.  A teleconference is held with Dr Imani usually via Skype®

An initial teleconference consultation for rhinoplasty with Dr Imani is $350. 

The $350 is a pre-payment and is processed at the point of booking (with a credit card over the phone or direct deposit, we accept Mastercard, Visa, Amex). You are required to email us a referral from your GP for the consultation. If you do not obtain a GP referral and a valid Medicare card, or if you do not have an Australian Medicare card, you will not be eligible for a rebate of $73.85 from Medicare.

The $350 is a non-refundable payment and if you would like to reschedule your appointment you would be required to give us at least two working days' notice. 

Prior to the teleconference consultation you will need to fill out our new patient questionnaire and email us clear photos of your entire head and neck with the following views (front on, 45 degree or oblique angle, and side profile or 90-degree view).  You will also need to email us inspirational photos of faces/noses that you find attractive or aspire to.  The idea behind this is NOT for you to shop around for a nose that you could attach to your face! Instead the idea is for Dr Imani to see what your aesthetic ideals are.  This will aid the discussion during your consult for rhinoplasty with Dr Imani.

In general, if you decide to have the procedure, you will be required to travel to Perth, Western Australia a day or two prior to the surgery, at which time you will need to consult in person with Dr Imani.  During this consult a follow up fee ($150 with a rebate of $37 from Medicare) and internal endoscopic nasal examination fee will apply ($150 fee with a $105 rebate from Medicare). Please note that to be eligible for the Medicare rebates you will need a valid referral from your GP.  

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Wednesdays from 0900-1700

Two Monday mornings a month 0900-1145

One Thursday 0900-1700 each month

Two Fridays a month depending on which cycle of the week Dr Imani’s schedule falls on.

Please understand that we will try and fit you in on a time and date suitable to your needs, however, this is not always possible.  

Dr Imani is usually on time and we ask you to arrive 10 minutes prior to your appointment. There are however occasions that patients prior to you have needed more time for various reasons and Dr Imani may well be running behind in answering their questions or attending to their needs.  We ask you to be patient in waiting.  Please let our receptionist know if you are needing to be elsewhere at a certain time or are pressed for time.  

Answer

You will need to obtain your GP referral. If you cannot see your GP, there is a GP practice close by to our office that you can visit prior to the consult to obtain a referral.  

You will need to complete the new patient questionnaire and email it back to us prior to the appointment.  You will need to read the appointment letter carefully.  Bring with you any CT scans that were done in the past of your face/sinuses.

You also are asked to think carefully about what it is about your face/nose that is causing you concern and what you like if all options were open to you.  This will facilitate the consultation and discussion with Dr Imani about what it is that you desire.  You are also asked to bring with you, pictures (prints or electronic format) of faces and noses that you find attractive.  This will aid the discussion and is not meant to present a clip and paste approach to your surgery.  

For your consultation you are very welcome and encouraged to bring a friend or family member.  Please understand that any more than one accompanying person makes the consultation room crowded and its best to keep it to one significant person accompanying you.  You may have both parents present if you are less than 18 years of age. 

Answer

Dr Imani will ask you about your medical history and then Dr Imani will examine you. You will discuss with Dr Imani what you don't like about your face/nose both aesthetically and functionally. You will also discuss what you are wanting to achieve and what your goals are. Dr Imani will then perform a comprehensive examination of your head and neck and your nose in detail using an endoscope inside your nose. Then Dr Imani will provide you with more information on how the operation is performed, risks, benefits and alternatives will be discussed and what you should expect before and after surgery.  Dr Imani will also discuss with you what after care is required and how much time off work is required.  

You will then be shown a number of REAL before and after photos of patients that Dr Imani has performed surgery on.  Dr Imani will then take some photos of you in the photography room using a SLR real 1:1 lens camera.  

Dr Imani does not perform 3D or morphing imaging as these modalities set up false expectations and are computer generated and not surgeon generated. They by no means determine what a surgeon can do, it’s the computer doing the changes which does not take into account human factors such as tissue quality and healing, which is very individual.  You however can download various apps on the iTunes app store (Pixlemator, Face & Body editor, FaceTouchUp, FaceTune 2) and morph your images to see what you would like to achieve and bring these in to the consult.  

It is best if you see images of REAL people that Dr Imani has operated on (he will show you many before and afters during the consultation) to understand what changes are possible.  Dr Imani can go through morphing on a computer app with you if that is what your preference is.

If you require surgery, a quote will be prepared at the time of your visit. This often takes approximately ten minutes for the secretaries to do as they need to select the item numbers for your particular surgery and often check the rebate from your health fund. Please be patient as we calculate this for you. Each fund pays different amounts and even within funds certain plans pay at different rates. You will be provided with a written quotation that shows you an accurate estimate of what Medicare and your health fund will pay and any out of pocket expenses. The surgery quote will be for Dr Imani’s services only and will be all inclusive.

When surgery is required you will also receive a bill from the anaesthetist and possibly from the hospital. If you have private health care often there is no out of pocket cost for the hospital component. We can give you a guide as to what these other fees will be (hospital and anaesthetist) but you will need to check with the anaesthetist themselves and your health fund and the hospital as well.

Answer

Dr Imani is an accredited specialist ENT Facial plastic surgeon who works from the hospitals listed below.  All consultations for private patients are done at our rooms in Dr Imani's Office In Claremont

All private patients should download the admission forms or complete them online prior to their surgery.  Further information is listed in the links below:

For Bethesda Health Care:  bethesda.org.au

For Subiaco Private Hospital: curagroup.com.au/subiaco

For South Perth Hospital: sph.org.au

For Sir Charles Gairdner Hospital: scgh.health.wa.gov.au

For Bentley Health Service: https://www.bhs.health.wa.gov.au

For Karratha Health Campus: wacountry.health.wa.gov.au

Answer

Dr Imani is an Australian trained Otolaryngologist Head & Neck Surgeon who subspecialises in Facial Plastic & Reconstructive surgery.  

His surgical interests include:

Cosmetic Rhinoplasty

Reconstructive Rhinoplasty 

Revision rhinoplasty

Asian rhinoplasty

Functional Rhinoplasty 

Otoplasty or prominent ear reshaping

Blepharoplasty or Eyelid lift

Facelift

Browlift

Necklift

Double chin surgery or submentoplasty

Adult and Paediatric ENT surgery

Tonsillectomy

Adenotonsillectomy

Endoscopic sinus surgery

Grommet surgery

Sleep apnoea surgery

Facial skin cancer surgery and reconstruction

Facial reanimation surgery

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Dr Imani offers a full complement of non-surgical procedures and cosmetic injection treatments. These include:

Wrinkle relaxers

Dermal fillers

Facial transformation

Asian facial transformation

Cheek Augmentation

Lip augmentation

Facial rejuvenation

Forehead rejuvenation

Frown line treatments

Jawline slimming/Jawline reduction

Jowl reduction

Non-surgical chin augmentation

Non-surgical facelift

Liquid facelift

Temple rejuvenation

Laser therapy

Laser skin resurfacing

Acne scar treatment

Fractional laser

Laser facial peel

Laser scar treatment

Skin tightening

Asian non-surgical rhinoplasty

Non-surgical rhinoplasty

Eyelid rejuvenation

Tear trough treatment

Eye bag treatment

Xanthelasma reduction

Non-surgical brow lift

Brow rejuvenation

Upper lip line reduction

Smokers lip treatment

Double chin reduction

Hand rejuvenation

Excessive sweating reduction

Male facial rejuvenation

Facial Feminisation 

Facial masculinisation

Answer

All surgical procedures carry some level of risk. To reduce your chances of complications, be sure to choose an appropriately qualified surgeon.  In Australia, the Royal Australasian College of Surgeons trains and accredits specialist surgeons who are recognised by the Medical Board of Australia, AHPRA, Medicare and accredited Hospitals.  These surgeons are recognised by the letters they carry “FRACS” Fellow of the Royal Australasian College of Surgeons. You should also make sure that your surgeon discusses all risks involved, alternatives and benefits of each procedure.   There is no one type of specialist surgeon when it comes to the plastic surgery of the face.  Qualified specialists that operate on the face include: ENT facial plastic surgeons, general plastic surgeons, oculoplastic surgeons, maxillofacial surgeons, orthodontists, prosthodontists and craniofacial surgeons.  Each specialist further specialises in an area of the face that is relevant to their speciality, further attesting to the complexity of facial plastic surgery.  

Although in general, complications are rare, Dr Imani will advise of all particular risks involved in your procedure, and you must follow Dr Imani’s pre and post-operative instructions to gain the most benefit.

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Cosmetic surgery is not covered by Medicare or private health insurance.  If the surgery is performed to treat medical problems, the fees are partially subsidised by Medicare and your private health insurance.  Some plastic surgery procedures attract a Medicare benefit. The specifics of each case need to be assessed by Dr Imani and you will be informed if there is a Medicare/Health insurance rebate applicable to your operation. 

Answer

The answer is any age, provided there is a good reason. Some procedures can be performed on children. Correction of prominent ears, otoplasty or ear pinning is commonly performed in children. This is not usually undertaken until children’s ears have matured at about the age of five, occasionally it can be performed earlier. Rhinoplasty or nose reshaping surgery can be performed at any age, but generally only major deformities and nasal obstruction problems are addressed before the age of 16.

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Dr Imani and his staff would have given you all the necessary documents and important information about your pre and post-operative care after your initial consultation.  They will also email you instructions closer to the time of your surgery.  Further information can be found on our website under each procedure.

If anything requires clarification, please do not hesitate to contact our office via phone or email.

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Waiting times vary depending on many factors, its best to contact our office and we will do our best to fit you in. 

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The cost of surgery varies for each operation and for each individual need. For further information on costing please call us on 08 9383 3309 or send us an enquiry on our enquiries page.

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There are many reasons why rhinoplasty, septorhinoplasty or rhinoseptoplasty is performed for medical reasons.  Dr Imani will assess your individual case and determine if you meet certain criteria for any possible application of Medicare numbers to your procedures.  If the MBS numbers are applied, then your insurance may partially cover your surgical and hospital admission fees.  You will be supplied with a detailed quote after the surgery and you can then check your eligibility with Medicare and your insurance.

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Yes, Dr Imani only operates in accredited hospitals.  Dr Imani operates at the following private hospitals:

Bethesda Health Care on Tuesdays:  bethesda.org.au

Subiaco Private Hospital on Mondays, Tuesdays, and Fridays: curagroup.com.au/subiaco

South Perth Hospital on Mondays and Tuesdays: sph.org.au

Dr Imani operates in the following public hospitals:

Sir Charles Gairdner Hospital on Fridays: scgh.health.wa.gov.au

Bentley Health Service on Mondays: https://www.bhs.health.wa.gov.au

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Not always. Most of our operations are performed under general anaesthetic (where you are totally asleep) in accredited hospitals.  On certain occasions Dr Imani will operate under local anaesthesia with sedation or local anaesthesia.  Dr Imani always utilises the services of his specialist anaesthetic colleagues during his operations, unless the surgery is performed under local anaesthesia alone.  Your suitability for either type of anaesthesia will be assessed by Dr Imani.

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Most patients having rhinoplasty, rhinoseptoplasty, facelift or other major operations elect to stay overnight.  You can however elect to go home after a period of observation in the hospital recovery ward.  Dr Imani will determine if you are fit to go home on the day of the surgery or if you need stay overnight.  In general, you need a responsible adult with you for the first 24 hours after surgery and you may not drive home after a general anaesthetic.  These decisions will be made pre operatively with you.

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Everyone is different and your recovery is dependent on your occupation. We provide you with a medical certificate for 2-6 weeks depending on your line of work. You will have your plaster removed one week after surgery, and most patients are ready to return to work after about 10-14 days. You may have some slight bruising which make up can cover. Following the surgery Dr Imani will review you about 3 weeks later, then 6 weeks later, and 3 months later, then 6 months, and 12 months until your nose has fully settled.  From there on, you will see Dr Imani every 12 months. 

You may not exercise in the first week post rhinoplasty.  You can begin light exercise 2 weeks after surgery, but you cannot run or jump.  Any activity that leads to your face moving is not permissible. You can keep fit by walking in the meanwhile.

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Dr Imani specialises in all forms of Rhinoplasty. He mostly performs open rhinoplasty.  Dr Imani has mastered this technique through his fellowship training in Holland, Germany and the USA.  For specific cases, Dr Imani performs endonasal or closed rhinoplasty a technique that Dr Imani mastered in fellowship training in Brazil.  

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Call our clinic on 08 9383 3309 and chat to our friendly staff or email us at pm@facial-plasticsurgery.com.au for further details.

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We highly recommend it. Dr Imani will then have a comprehensive view of your medical history and can keep your doctor informed of your progress. You will also be eligible for a Medicare rebate for the consultation and possibly the surgery if you have a medical condition which requires surgery.

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You will need to call us on 089383 3309 or email our office pm@facial-plasticsurgery.com.au to organise a Teleconference with Dr Imani.  Please email us clear well lit pictures from all directions of your face (full face and neck and a set of face only): Front on view, face down, face up, 45 degrees (oblique side view), and 90 degrees (profile view) clear shots preferably taken with a 1:1 ratio lens, about 1 meter (arms length) away from the camera.  

Please also indicate if you have any breathing problems or have had any prior injury to your face.  It will also be very helpful if you can organise your thoughts about what it is that you dislke about your face or nose and what it is that you want to achieve.  You should think that anything is possible and not hold back in what it is that you want.  Dr Imani will then discuss the limitations with you.  Further you should email us inspirational pictures that you have of others faces/noses, this will aid in the discussion.

You will need to complete our new patient questionnaire and we can then set up a Skype® (skype name is drimani) interview between you and Dr Imani.  Following this, it is possible to organise a surgery date and then see Dr Imani in person a day or two prior to the surgery.  In either case you will need to be assessed in person in Perth prior to surgery and will need to stay in Perth for up to two weeks after surgery).  Follow up appointments are also recommended at 3 weeks, 6 weeks, 3 months, 6 months and 12 months after surgery.  

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No, Dr Imani himself does not offer any payment plans. However, there are many Medical financing companies that can be found online that provide patients with loans to fund their surgery. You can find their details online and you should also compare these companies with different banks and finance institutions.

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Yes. Dr Imani's fee is due two weeks prior to the surgery date. We require a 10% deposit (of the total surgical fee) to secure a surgery date, then 2 weeks prior to surgery the remaining amount of Dr Imani's fee is due. The Anaesthetic fee is also payable (you will be given the contact details of our anaesthetists when the surgery quote is given to you). Then on the day of surgery the hospital fee is due.  After surgery you will receive a receipt which you can take to your insurer and Medicare for rebates (if applicable).

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Dr Imani specialises in revision rhinoplasty or secondary rhinoplasty. About 10% of rhinoplasties that Dr Imani performs are revision rhinoplasties that were originally performed by other surgeons.  You will need to contact us on 089383 3309  or email us on pm@facial-plasticsurgery.com.au to make an appointment.

Answer

You should obtain a referral from your GP and call our clinic on 089383 3309 or email us on pm@facial-plasticsurgery.com.au to make an appointment as soon as you can, so our team can ask you some questions about your injury and provide you with the best information and timeframes for your case.

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Not usually, only in certain rare cases will Dr Imani participate in Gap Cover.

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Yes. Dr Imani is a Consultant Specialist Surgeon at Sir Charles Gairdner QEII Medical Centre in Nedlands and sees and operates on public patients.  Please be aware that the wait lists to see Dr Imani in Public are very long and that the option of seeing Dr Imani in his private rooms in Claremont is still available to public patients.  

Dr Imani operates in the following public hospitals:

Sir Charles Gairdner Hospital on Fridays: scgh.health.wa.gov.au

Bentley Health Service on Mondays: https://www.bhs.health.wa.gov.au

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Yes, Dr Imani see workers compensation cases.

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Yes, all surgical operations both functional and aesthetic are performed by Dr Imani.  

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There is no minimum age for rhinoplasty provided there is a good reason to perform the surgery.  Rhinoplasty in children is only performed for severe deformities which restrict the nasal airway which cause significant disturbance to the child’s sleep and daily living.

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The surgical cost of rhinoplasty ranges from $3,500.00 - $30,000.00, depending on the complexity of the surgery. For example, if there is a medical element to your surgery, we encourage you to obtain a referral from your GP. Our fees will then be partially refunded to you by Medicare and if surgery is performed, by your private health insurance (combined rebate up to $1900). If there is a valid medical reason for your surgery and there are Medicare items applied to your surgery, insurances may also pay for your hospital admission which will save you anywhere between $2,000.00 - $5,500.00. 

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The surgical cost of revision rhinoplasty ranges from $5,000.00 - $20,000.00, depending on the complexity of the surgery. For example, if there is a medical element to your surgery, we encourage you to obtain a referral from your GP. Our fees will then be partially refunded to you by Medicare and if surgery is performed, by your private health insurance (combined rebate up to $1900). If there is a valid medical reason for your surgery and there are Medicare items applied to your surgery, insurances may also pay for your hospital admission which will save you anywhere between $2,000.00 - $3,500.00. 

Revision rhinoplasty cases often tend to be on the higher end of that cost scale but that does not mean that this is always the case.

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The cost of Botulinum toxin/wrinkle relaxer injection is $18-$10/unit with Dr Imani injecting. The cost of Botulinum toxin/wrinkle relaxer declines as the units used increases. The usual average cost per facial area starts at $250-$350. 

Dr Imani uses either  Onabotulinumtoxin A) or Incobotulinumtoxin A.  

Answer

No, private health insurance only covers “inpatient” fees for services rendered by a specialist in Australia. There will be rebates applicable from Medicare only where there is a valid referral. 

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You can fly two weeks after your nose surgery. During the flight you can spray your nose with saline sprays and nasal decongestant sprays. 

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The consultation for rhinoplasty in Perth with Dr Imani takes about 30 - 40 minutes.

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Non-surgical rhinoplasty costs from $850 - $950.

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Each filler type has a different life span, some dermal fillers last for 3 months, others for 6 and some for 18-24 months.  There are also dermal fillers that induce collagen induction and their effects is longer lasting. Another variable in the longevity of fillers is the biology of the person.  Each person has a different metabolic rate for each type of filler.  Some people digest the filler quicker than others.

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Technically there is no difference between the Asian non-surgical rhinoplasty and Caucasian nonsurgical rhinoplasty.  In Asian nonsurgical rhinoplasty the aim is to increase the height of the nose, hence most of the filling is performed along the dorsum and the nasal tip is elongated and projected.  In Caucasian nonsurgical rhinoplasty, the aim is usually to create a straight dorsum or bridge to hide the nasal hump or to hide irregularities. 

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Rhinoplasty and nasal surgery is generally not painful, at most you will feel mild discomfort in and around the nose for about 3-5 days after surgery.  Dr Imani utilises advanced local anaesthetic techniques using a combination of nerve blocks, topical intranasal medication, and local anaesthetic injection prior to commencing your surgery under general anaesthesia. This effectively means that even though you are totally asleep under general anaesthesia, your nose and face will be made numb prior to any surgery, and this will ensure that pain is not registered in the first instance by your pain receptors.  This will in turn reduce any post-operative pain. 

Answer

No, your nose will not be packed.  Instead, you will have a gel in the nose (which will resemble a blood clot) that will assist in stopping the bleeding.  There will be no need for pack removal which is usually painful.  Instead the next day after surgery, you will wash your nose and wash the gel out (do not be alarmed on the first day as a large clot will come out the nose). Continue the washes until only blood stained salt water come out the nose. 

Answer

Rest with your head up at a 45-degree angle (use 2-3 pillows) for 14 days post procedure, whilst sleeping.

Usually, no packing is used inside your nose – however rarely if non-absorbable packing is used this will be removed the day after your procedure (by your nurse).  If absorbable materials are used, these do no need to be removed.  A gel like material will come out with the salt-water washes that you will be using to clean your nose (post procedure).

Use ‘Flo-Rapid Relief/Drixine/Otrivin to decongest your nose or to stop any bleeding.  You may use these sprays for 5 days ONLY as required (1-3 sprays up to 3 times a day).

It is very important for you to clean your nose starting the next day after surgery with saline douches.  Salt water/Saline douches (FLO-CRS/Sinus rinse/Netti Pot/FESS), are to be used the day after your surgery.  These should be used at least 6 times a day for 2-6 weeks.  Read the instructions on how to use the douches on the packet. You can also watch the following videos on YouTube to help you understand how to use the douches to keep the nose clear.  

The following links are useful in learning how to perform saline irrigation in the nose.

https://youtu.be/xodfPieoUZU

https://youtu.be/b8CyStARLiQ

https://youtu.be/tt1Kk6RBtIk

https://youtu.be/UixdsD1lJNY

https://youtu.be/SSWi6Y4c_ac

Nasal bolsters could be used (sitting under your nose) and are changed as needed.  You don’t have to use these (they are used for trapping any bloody fluid coming out of the nose post procedure). These will be provided by the hospital and you can also get some from the chemist.  

You must only have a cool diet and plenty of cold fluids (room temperature) for 7 days after surgery. Drink lots of water and rest lots.  The cold drinks will help stop any bleeding.  

You will be on oral antibiotics for 7-10 days after surgery, Dr Imani will give you a script after the surgery, please let him know if you have any allergies.

Apply Kenacomb/Otocomb/Bactroban ointment (medicated antibiotic steroid emollient) to the inside of your nostrils and stitches 2 times a day for 2 weeks.  Use a clean index finger or cotton tip and gently rub the ointment over the stitches and just inside your nostrils.

You can purchase a 3% hydrogen peroxide solution from the chemist/Woolworths/Coles to clean the suture lines under your nose and inside your nostrils using a clean cotton tip once to twice a day. Be gentle with cleaning the suture line, you just want to lift the scabs off and not scrub the sutures out.  The sutures/stitches are self-dissolving, and will all disappear in 10-14 days after surgery.  You will see small sutures pig tail out starting on day 5 after surgery.

DO NOT remove the plaster/splint from your nose.  It will be removed in Dr Imani’s room at your first review appointment in 7-10 days after surgery.  Keep the splint dry in the meantime. You will need to wet the plaster on the first visit back for cast removal

Our rooms will contact you to make this appointment a day after your procedure or you could make the appointment when you first book your surgery.

DO NOT blow your nose.  Please use the salt water douches instead and blow out the salt water wash.  Do not pinch and blow your nose for at least 6 weeks after surgery.

Please limit activity.  NO heavy lifting, bending over, excess straining on the toilet.  NO working in the sun, NO hot showers or baths.  NO heaving exercise and stay out of the sun for six weeks.

DO NOT take any anti-inflammatories such as Aspirin, Disprin, Voltaren, Nurofen, Naprosyn, Fish Oils or Herbal medications for two weeks post-surgery. Discuss your intake of normal medications with Dr Imani prior to the surgery.

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The silicone cast and tapes will be on for 7-14 days, you must keep the cast dry and you can wet it (in the shower) on the day of the cast removal, this will aid in the removal. 

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No, all sutures used on the outside of nose/ear are self-absorbing and will dissolve in around 2 weeks.  

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No, scars are extremely rare, as the wounds will be closed meticulously. If you follow the instructions for wound care using 3% hydrogen peroxide to clean the suture lines, applying the antibiotic ointment and keeping out of the sun, you will practically heal with near invisible scarring.

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This depends on what you do for a living. Office and desk jobs can be commenced in two weeks, hard manual labour can recommence in 4 to 6 weeks after surgery.

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Light exercises like walking can be commenced within 5-7 days, but listen to your body, if you feel tired or your nose/face throbs then stop.  Prolonged walking and gentle exercises can begin 2 weeks after surgery.  You may sit on a treadmill or gym bike in 3 weeks and commence full exercise in 6 weeks.  You should not do any exercise that moves your facial bones such as jumping, boxing, or jogging.

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No, you cannot wear any spectacles for 6 weeks after rhinoplasty.  You can ask Dr Imani if you can wear them earlier, and if you have had a specific type of rhinoplasty then you may be able to wear your spectacles sooner.

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15 minutes, 4 x per day, for the first 6-8 weeks.  Start with a clean set of hands, massage from tip of the nose upwards towards the glabella (area between the eye brows) applying relatively firm pressure, then from the tip to the sides of the cheeks.  If the nose looks as if it is starting to bend in a certain direction, then stand in front of the mirror and apply a firm constant pressure opposing the direction of towards which the nose is bending to. 

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Kenacomb ointment should be sufficient for the first two weeks and there should be next to no scarring, but you can use a scar therapy gel after that if you want to.  Silicone gels work, however, consult with Dr Imani prior to using them.

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For 2 weeks after surgery. In the first week, you can use Kenacomb twice a day.  Apply a thin smear on the wound after cleaning it with a cotton wool tip soaked in 3% hydrogen peroxide. You may use it once a day in the second week. Apply a thin smear and keep the wound covered with the oily ointment.

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Yes, however you should not get direct prolonged sun light for 3-6 months to avoid hyper pigmentation. Use IMANI Specialised Skin Care TiO2 physical sun barrier moisturising cream when out and about in the sun and wear a hat to protect your face and nose.  

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Not really, just avoid pulling down motions on your upper lip and smiling with a real wide-open mouth smile for 6 weeks after rhinoplasty or facial surgery.

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No. Celebrex is prescribed for pain relief, it does not affect the inflammation in the nose. Only take it for aching pain in the nose or face.

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Do not blow your nose in the first week after nose surgery/rhinoplasty. You can blow your nose after 1 week whilst doing the saline/salt water douches, meaning blow the saline out, however you should not touch or twist or pinch the nose for 6 weeks after rhinoplasty.

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Use clean scissors to trim the nostril hairs or specifically designed electric nasal hair shaver. Plucking and waxing is quite painful and can result in infection.

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Salt water washes, followed by 3% hydrogen peroxide dipped cotton wool tips. Use the tips and gently wipe away any crusts until they are cleaned off.  In the first two weeks, be gentle with the suture line and do not force the sutures off. 

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Depending on what type of rhinoplasty you had you may wear your glasses straight after rhinoplasty or you may have to wait 6 weeks.  Check with Dr Imani’s office first.  In general, if you have had crooked nasal bones which have been reshaped, then you have to wait 6 weeks prior to wearing spectacles. Snorkelling and diving is off the limits for 6 weeks after rhinoplasty and nose surgery.

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The risk is that you may cause bleeding if you do heavy exercise in the first two weeks after surgery.  You may also move the nasal bones altering the shape of your face if you run or jog in the first 6 weeks. 

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Very important.  Think of your nose as a living changing organ not just a static solid structure especially as it is healing. It is the lymphatic massage and directional massage that makes the nose heal straight, if you ignore it you may end up with irregularities or internal scars that can resemble a dorsal hump. 

Answer

You must wait at least 4-6 weeks prior to getting dental treatment after rhinoplasty.

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The price for facelift surgery varies widely depending what is required.  For example cost of mini facelift surgery starts at $15,000.00

A comprehensive facelift operation would include many other procedures such as:

1. Forehead lift/Brow lift

2. Upper eyelid lift 

3. Lower eyelid blepharoplasty/eye-bag removal

4. CO2 Laser resurfacing

5. Neck lift

6. Lip lift

7. Submentoplasty or double chin surgery

The addition of the above surgical procedures will increase the cost of facelift surgery.  

Dr Imani will tailor the surgery based on your needs and facial anatomy.  This will be thoroughly discussed with you during the facelift consult.  

Answer

Yes.  Dr Imani is a Board certified Specialist Otolaryngologist Head and Neck Surgeon (AHPRA Specialist Surgeon, Registration No.1541340)

https://www.ahpra.gov.au/Registration/Registers-of-Practitioners.aspx

Dr Imani has further sub specialised in Facial Plastic Surgery and is a Member of the Australian Academy of Facial Plastic Surgery.  

https://www.aafps.com.au/member/pedram-imani/

Dr Imani is a member of the Australian Society of Otolaryngology Head and Neck Surgery. 

Dr Imani is supervisor of surgical training in Head and Neck surgery and Facial plastic surgery at Sir Charles Gairdner Hospital QEII Perth Western Australia

https://asohns.org.au/Training-and-Education/SET-Program/Regional-Training-Subcommittees