Nasal Shape and Function

Revision Rhinoplasty in Perth

Comprehensive assessment and tailored care for complex nasal concerns

What is Revision Rhinoplasty?

Revision rhinoplasty is a procedure that may be considered when concerns remain after an initial (primary) nasal surgery. These concerns may include issues with the appearance of the nose, nasal obstruction, or both. In some cases, breathing difficulties may have developed or worsened following previous surgery, or there may be unresolved structural problems.

Every nose is unique, and revision procedures often require a more detailed assessment and careful planning due to changes from previous surgery. Complex cartilage grafting or other functional procedures—such as septoplasty or endoscopic sinus surgery—may be recommended depending on your needs.

Who is Revision Rhinoplasty For?

Revision rhinoplasty may be appropriate if you are experiencing:

• Ongoing breathing difficulties following nasal surgery

• Dissatisfaction with nasal shape or symmetry

• Structural complications such as collapse or scarring

• Aesthetic or functional changes that developed over time

A consultation with a qualified surgeon is essential to determine whether revision surgery is suitable for your individual circumstances.

Dr Imani’s Approach

Dr Imani is a Specialist Ear, Nose and Throat (ENT) Surgeon with advanced fellowship training in Facial Plastic Surgery. His approach to revision rhinoplasty balances both the functional and aesthetic aspects of nasal surgery.

He performs a detailed nasal and facial analysis to identify areas for correction, with a focus on:

• Preserving nasal structure

• Supporting long-term function

• Creating facial harmony

• Individualised surgical planning based on anatomy and goals

Where appropriate, he may also discuss complementary procedures (such as chin or cheek augmentation) that can help achieve overall balance. These options are considered carefully and tailored to each patient.

What to Expect at Your Consultation

At your initial appointment, Dr Imani will:

• Discuss your concerns and goals

• Examine your nose and surrounding facial features

• Review your medical and surgical history

• Take photographs for assessment and planning

• Provide a realistic overview of what may be achievable

Every patient is different. It may not be possible to exactly replicate a particular appearance, as nasal structure, skin thickness, and previous surgical changes all play a role in shaping outcomes.

Risks and Considerations

As with any surgical procedure, revision rhinoplasty involves risks. These may include:

• Bleeding or infection

• Scarring or poor wound healing

• Persistent nasal obstruction

• Need for additional surgery

Dr Imani will explain these risks in detail and ensure that you are fully informed before proceeding. You are encouraged to seek a second opinion from another appropriately qualified health practitioner.

Specific risks are discussed below:

1. General anaesthesia and its inherent risks, including death, allergic reactions, airway compromise, dental injury, DVT/PE, AMI, CVA.

2. Bleeding :1% risk of serious bleeding requiring packing or surgery, 100% risk of slight to small bleed in the immediate and medium post-operative period

3. Bruising/Ecchymosis – 10-20% of the patients bruise under/around the eyes

4. Infection - Acute and Chronic/Recurrent – less than 1%

5. Swelling in the short, medium and long term/Steroid injection and risk of dermal atrophy

6. Recurrent long term swelling

7. Contour irregularities – 100% to palpation

8. Septal Perforation - rare

9. Anosmia/Hyposmia/Dysosmia: sense of smell can be interrupted, transient usually return to normal

10. Over correction and under correction - rare

11. Recurrence of the problems which were present initially – 100% risk of some recurrence

12. Nasal tip numbness 6-12 months and oedema up to 5 years

13. Nasal asymmetry both in airway and contour – 100%

14. Nasal obstruction/Vasomotor rhinitis/Rhinorrhoea/Gustatory Rhinorrhoea – Transient 6/12

15. Smile and lip position variation/change – 100% with a preexisting droopy tip

16. Columella scar – hypertrophic and or keloid, Columella loss – very rare

17. Skin damage and scarring/Pigment changes – very rare

18. Revision surgery/Reconstructive Surgery less than 1 %

19. Eye injury/Orbital injury/tear duct injury/Blindness/Corneal injury – very rare

20. Patient dissatisfaction/Suboptimal result – short term 5%, long term less than 1%

21. Rib graft: scar-related problems (2.9%), pleural tear (0.6%), infection (0.6%), seroma (0.6%), severe donor site pain (0.2%), and pneumothorax (0.1%). Warping (5.2%), infection (2.5%), graft resorption (0.9%), displacement/extrusion (0.6%), and graft fracture (0.2%)

22. Ear pain and paraesthesia/deformity, scarring, numbness, if conchal graft is used

23. Intracranial injury/infection/CSF leak/Carotid-cavernous fistula – very rare

24. Acute or chronic sinusitis/Silent sinus syndrome - rare

25. Contact dermatitis - rare

26. Nasopalatine nerve injury- Incisor numbness: transient, can last up to 3 months

27. Reassurance demand – very common

28. Psychological disturbance-short and long term/Adjustment disorder – moderately rare

29. Intranasal scarring/Intranasal packing/Splints - rare

30. External nasal deformities – Polly beak, inverted V - rare

31. Nasal valve collapse - rare

32. Nasal stenosis – very rare

33. Recurrent meningitis – extremely rare

34. Olegranuloma – extremely rare

35. Dorsal cyst – extremely rare

36. Change in voice – transient, rare

37. Empty nose syndrome – extremely rare

38. If used, a silicone implant could move position, become infected and need surgical removal if simple antibiotics don't resolve the infection. It may also cause skin injury.  These risks are rare.

Cost of Revision Rhinoplasty in Perth

Understanding the Costs of Your Surgery

The total cost of your surgery depends on several factors and includes fees from different providers who are involved in your care. Here’s what you need to know:

1. Surgical Fee

• This is the fee for Specialist surgeon’s services and is based on the complexity of your surgery and the surgeon’s expertise and experience.

• You will receive a detailed surgical fee estimate after your consultation outlining the possible inclusion of any Medicare and Private health insurance rebates . The surgical cost of revision rhinoplasty varies between $5000-$45,000.00

2. Hospital Fees

• These include costs for your hospital admission and operating room use, charged on an hourly basis.

• Quotes are provided directly by the accredited hospitals where your surgeon operates at.

• If your procedure meets certain clinical criteria, private health insurance may cover some or all of these fees, especially if the surgery qualifies under the Medicare Benefits Schedule (MBS).

• Our staff will guide you through obtaining this quote.

3. Anaesthetist Fees

• If general anaesthesia is required, a specialist anaesthetist (FRANZCA-accredited) will be involved.

• They charge separately and will provide their own hourly rate quote.

• Again, we’ll assist you in connecting with them to obtain the necessary details.

• You do not have to source an anaesthetist; we have set specialist anaesthetist who work with your surgeon on designated dates.

4. Other Incidental Costs

• These may include:

o Medications

o Post-surgery garments

o Travel or hotel stays (especially if you're coming from outside the Perth metropolitan area)

Important Notes

• We are only able to provide the quote for the surgical fee. Hospital and anaesthetist fees are separate and managed independently.

• Our team is here to support and guide you through obtaining all the necessary quotes.

• Medicare and private health insurance rebates may apply if your surgery is deemed medically necessary and includes an eligible MBS item number.  

If you have any questions or need help at any stage, please don’t hesitate to reach out—our friendly staff are here to assist you.

Preparing for Surgery

You’ll receive a personalised pre-operative guide from our team. As a general rule, avoid the following for two weeks before surgery:

• Aspirin or anti-inflammatory medications (e.g., Nurofen)

• Herbal supplements

• Vitamin E and fish oil

Please inform Dr Imani about any regular medications during your pre-operative appointment.

Post-Operative Care and Recovery

Recovery timelines vary depending on the extent of surgery and individual healing. Most patients experience swelling and bruising that gradually improves over a few weeks. Full recovery and final results may take several months.

You’ll be given clear post-operative instructions to follow, and our team will support you through each stage of your recovery.

Considering Revision Rhinoplasty?

To find out whether revision rhinoplasty may be appropriate for you, contact IMANI Facial Plastic Surgery to schedule a consultation. If you live outside the Perth metro area, we recommend contacting the clinic in advance so that you can receive relevant information before your visit.

Important Information and Disclaimers:

• Any surgical or non-surgical procedure carries risks.

•  Individual outcomes, results, experience and recovery times vary based on individual’s genetics, environmental factors, diet, exercise, sun protection, smoking and general health. Individual’s outcomes are only relevant for that individual and they do not necessarily reflect or guarantee the same outcome for another individual given the same treatment.

•  The information provided is general and educational in nature.

•  It does not constitute medical advice nor replace consultation with a qualified health professional.

•  We encourage all patients to seek a second opinion and consult their general practitioner for a referral before engaging in a surgical and non-surgical consultation with us.

Still have questions?

Contact us to arrange your consultation with Dr Imani.