Nasal Airway & Sinus Surgery

Nasal Airway Blockage / Functional Septorthinoplasty

Nasal limitation (blocked nose) is a common problem and can be due to a number of reasons such as -

  • Deviation of the nasal septum inside the nose.
  • A crooked external nasal bone.
  • Collapse of the external nasal sidewall / nasal valve
  • Swelling of the mucosa or lining from allergies.
  • Turbinate hypertrophy / enlargement
  • Polyps or Tumours
  • Enlarged adenoids in children.

A blocked nose can contribute to snoring, Obstructive Breathing Disorder and Sinusitis.

Surgery to correct or improve the nasal airway due to deviation of the septum is called Septoplasty or Septal Reconstruction.

Surgery to correct a crooked or collapsed nose is called Rhinoplasty. The procedure is called functional rhinoplasty if the aim is to improve breathing and cosmetic rhinoplasty to improve the appearance.

Quite often these two procedures are performed together - Septorhinoplasty.

There are few facial features that have greater impact on how a person looks and feels than the size and shape of the nose and the ability to breathe. Because the nose is the most defining characteristic of the face, a slight alteration can greatly improve one's appearance. Dr Pham frequently performs cosmetic rhinoplasty and functional septoplasty together to give the optimum outcome.

Septoplasty Techniques

Usually straightening the septum involve an incision inside the nose. When there is severe septum deviation or dislocation an external incision is made in the columella or base of the nose.

Rhinoplasty Techniques

Dr Pham specialises in Rhinoplasty using well proven up to date techniques. Dr Pham is recognised as one of the most experienced nasal aesthetic and reconstructive surgeons in Western Australia. This procedure can:

  • Change the size or shape of your nose
  • Remove an unwanted hump
  • Alter the shape of the tip or bridge of your nose
  • Narrow or expand the width of your nostrils.
  • Improve symmetry
  • Change the angle between your nose and upper lip
  • Improve breathing

If you have ever wondered how nose surgery could improve your looks, self-confidence, or health, you need to know how rhinoplasty is performed and what you can realistically expect. The goal is to improve your nose aesthetically and create a harmonious effect with your other facial features.

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Understanding the Procedure

Incisions are frequently made on the inside of the nose, although external excisions may be required to make the nostrils smaller, or for added exposure. Nasal operations are usually performed under general anaesthesia. A small cast will be applied to the nose for the first week and most of the swelling will be gone by the time the cast is removed. 80% of the swelling has improved at 6 weeks, 90% at 3 months and 95% at 6 months. The final cosmetic result is not achieved until 12 months to two years after the operation when the skin has reformed to its new framework.

The definition of rhinoplasty is, literally, shaping the nose. First the nose is carefully assessed and a surgical plan is formulated to achieve the desired outcome. Incisions are made and the bone and cartilage support system of the nose is accessed. The majority of incisions are made inside the nose, where they are invisible. In some cases, an incision is made in the columella (area of skin separating the nostrils) or the ala if reduction of flared nostrils is required. These scars heal very well and are hardly visible after a few months. Next, certain amounts of underlying bone and cartilage are removed, added to, or rearranged to provide a newly shaped structure. For example, when the tip of the nose is too large, the surgeon can sculpt the cartilage in this area to reduce it in size. The angle of the nose in relation to the upper lip can be altered for a more youthful look or to correct a distortion.

The tissues are then redraped over the new frame and the incisions are closed. A splint is applied to the outside of the nose to help retain the new shape while the nose heals. Soft, absorbent material may be used inside the nose to maintain stability along the dividing wall of the air passages (the septum). Alternatively, soft nasal supports that permit nasal breathing post-operatively can be placed. The majority of rhinoplasty procedures last for one to two hours. Some complex cases take longer.

Before deciding on rhinoplasty, Dr Pham may advise if any additional surgery is recommended to enhance the appearance of your face. Many patients have a chin augmentation in conjunction with rhinoplasty to create better balanced features. Rhinoplasty can be combined with other types of rejuvenation surgery such as blepharoplasty, brow liftor facelift.

Rhinoplasty in Teenager

Skin type, ethnic background, and age are important factors to be considered in discussions with Dr Pham prior to surgery. Before your nose is altered, you must have reached full growth, which is usually around fifteen to sixteen years for females and sixteen to seventeen years for males. Exceptions are made in cases where breathing is severely impaired.

Please contact us for your consultation on Rhinoplasty / Nasal Reshaping or other cosmetic surgery and non surgical cosmetic procedures

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FEES AND INSURANCE

After conducting a thorough medical history, Dr Pham and his staff will offer information regarding anaesthesia, the surgical facility to be used, and the costs for the procedure. Every procedure is individual and unique to each patient. Because of this, determining your specific needs and the fees associated relies upon a variety of factors, such as the complexity of the operation, where the surgery will take place and type of anaesthetic to be administered.

Your Quote

A quote will be provided and is usually an estimate as the actual surgery may differ from the proposed treatment due to an unexpected finding. Dr Pham will never compromise your health or surgical outcome to conform to previously anticipated or communicated anaesthesia and facility time. Accordingly, if further treatment is required (either through complexity, unforeseen complications or additional procedures you request) then extra costs are likely to apply.

Total Fee

The total fee will comprise of

    • Surgeon Fee (Dr Pham)- this will be provided in the quote
    • Anaesthetist Fee- you will need to consult the Doctor / Anaesthetist involve for a quote
    • Hospital or Day Surgery Fee- you will need to contact the hospital involve for a quote

Consultation Fee

The fee for the initial consultation with Dr Pham is $190.00. Please remember that a referral letter from your General Practitioner will be required for a Medicare Rebate of $70.

Your first cosmetic consultation is free with a Nurse Coordinator.

Fees for cosmetic plastic surgery are paid prior to surgery.

Deposits

A non-refundable deposit of 10% or $500 is required once surgery has been scheduled. This deposit reserves the surgery date and is credited towards the balance due.

The balance of fees due is to be paid in full at the pre-operative appointment or three weeks prior to the scheduled surgery, whichever is first. Perth Facial Plastic & Cosmetic Surgery generally does not provide refunds. Once a procedure is scheduled and the fee collected, and you cancel or reschedule the surgery within 2 weeks, there will be a fee of 25% of the total cost. Of course, exceptions are made for life threatening emergencies or medical illnesses prior to the procedure. In these instances, the rescheduling fee does not apply.

Payment

Acceptable forms of payment include:

  • Cash
  • Bank Cheques
  • Visa or MasterCard

We do not offer payment plans

Health Insurance

As a rule, cosmetic plastic surgery is considered “elective surgery” and is not covered by most health insurance funds or Medicare. Some operations that have a significant functional aspect may be considered reconstructive rather than cosmetic and, as such, may attract a small rebate. These include Rhinoplasty for deformity or nasal obstruction, and breast reduction if the weight of your breasts causes pain or interferes with normal activities. Dr Pham will advise you to contact your health fund and Medicare if this is the case.

Because Facial Plastic & Cosmetic Surgery is artistic, on occasion, revisions may be necessary. Such revisions are performed within one year of the original surgery, and although there is generally a minimum charge for the surgery, facility and anaesthesia fees still apply for such procedures. Perth Facial Plastic & Cosmetic Surgery reserves the right to determine whether a revision is appropriate and what the procedure will entail. If you have any questions regarding this policy, please ask Dr Pham.

TABLE OF FEES

These prices are approximate only. You will be provided with a firm quote after consultation with Dr Pham. Most cosmetic surgery’s fee will attract a GST.

ProcedureDr Pham’s FeeAnaesthetist FeeHospital fee (Private Health Insurance may apply)Churchill Day Surgery fee
Rhinoplasty (Nose Reshaping / Nose Job / Nose Surgery)7000-7500

 

8000-9500  (costal/rib cartilage)

1500-20003500-45002500-3000 (selected case)
Mini Face Lift, Minimum Incision Facelift6000-7000 +GST2000-25004500-55004000-4500
Face and Neck lift9000-10,000 +GST2500-30006000-80005500-6000
Neck lift6000-7000 +GST2000-25004000-45003500-4000
Brow lift3500-4000 +GST1200-15002500-30002000
Eyelid Upper2500-3500800-10002000-25001800
Eyelid Lower2500-3500800-10002000-25001800
Eyelid Upper and Lower5000-60001500-18003000-40002800-3000
Mini-Face lift, upper & lower blepharoplasty10000-12,000 + GST2500-30006000-80005000-6000
Face Neck lift, upper lower blepharoplasty12000-14000 + GST3500-40007000-90006000-7000
Face Neck Brow lifts, upper lower blepharoplasty15000-16000 + GST4000-45008500-95007500-8000
Otoplasty / Ear Pinning / Prominent Ear5000-60001200-15002500-35002500-2800
Chin implant / Augmentation2500-3500 + GST Implant 700 +GST800-10002000-25001800
Cheek Implant / Augmentation3000- 3500 + GST Implant 700 +GST800-10002000-25001800
Breast Augmentation / Breast Enhancement5000-6000 +GST Implant 2000 +GST1200-15002500-35001800-2000
Breast Reduction / Breast Lift8000-90001500-22003500-4500NOT Available
Gynaecomastia – Male Breast Reduction4000-50001200-15003000-35002000-2500
Tummy Tuck (Lipectomy / Abdominoplasty)8000-90002000-35004000-5000NOT Available
Mini Tummy Tuck (Lipectomy /Abdominoplasty)4500-60001200-18002500-30002000-2500
LiposculptureDepends on area. Approximately 1000-1500 per area +GSTNeed quoteNeed quote. Each area include: Upper abdomen, Lower abdomen, Flanks, Medial thigh, Lateral thigh, Buttock, Axillae, Back, Upper armNeed quote
Chemical Peel2000-2500 +GST Depend on areaIf required sedation or general anaestheticNeed quote1000
Dermabrasion2000-2500 +GSTIf required sedation or general anaestheticNeed quote1000
Wrinkle Relaxer550-600 for 25-30 units or 300 per area +GST
Fillers – temporary- Juvederm650/ampoule +GST
Fillers – semi permanent1200/cc +GST
Platelet-Rich Plasma800-1000 + GST

 

YOUR AREAS of CONCERN

 

Brow and Forehead: lines, angry or tired, sad look
  • Wrinkle Relaxer
  • Wrinkle Fillers
  • Blepharoplasty / Eye lift / Eye lid surgery
  • Endoscopic Brow Lift /Forehead Lift
Eyes: hooded, droopy, puffy, fullness, block vision
  • Blepharoplasty / Eye lift (upper and lower eyelid reshaping)
  • Endoscopic Brow Lift / Forehead Lift
Eyes- crow feet
  • Wrinkle relaxers
Ears: protruding, batty, large, prominent ear
  • Otoplasty (Ear Pinning)
Jowls and Sagging Cheeks & neck
  • Face lift (Rhytidectomy)
  • Mini Facelift, S-lift, MACS lift
  • Face Neck lift
Neck: sagging, excess skin, bands, fullness
  • Neck Surgery (Neck Lift and Liposuction / Liposculpture)
Wrinkles and Lines
  • Wrinkle Relaxer
  • Wrinkle Fillers
  • Laser & Chemical Resurfacing
  • Dermabrasion
  • Platelet Rich Plasma
  • Skin Care Products

 

Nose: prominent, large, twisted, too small, nasal hump, too long
  • Rhinoplasty (Nose Surgery)
Blocked nose, crooked nose, fractured nose
  • Septoplasty / Septo-rhinoplasty (Nasal Surgery for breathing and deformity)
Cheeks: hollow
  • Implants – Cheek implant
  • Wrinkle Fillers
  • Fat transfer
Chin: small, protruding
  • Chin Surgery – Chin implant, Genioplasty / Mentoplasty
  • Wrinkle Fillers
  • Fat transfer

 

Cosmetic Breast Surgery: breast enhancement / implant, sagging breast, heavy breast, male breast
  • Breast implant / Breast enhancement / Breast Augmentation (Augmentation Mammoplasty
  • Breast Lift (Mastopexy)
  • Breast Reduction (Reduction Mammoplasty)
  • Correction of Enlarged Male Breasts (Gynaecomastia)
Body Contouring: sagging tummy, too much fat
·         Tummy Tuck (Abdominoplasty)

·         Mini Tummy Tuck (Lipectomy)

·         Liposuction / Liposculpture

 

Facial Reconstructive: scars, skin cancer, moles
·         Skin Cancer of the Face, Head & Neck

·         Mole Removal