'Rhinoplasty'

Sydney plastic surgeon Dr Kourosh Tavakoli’s case study shows how cosmetic procedures can be combined.

Sydney plastic surgeon Dr Kourosh Tavakoli’s patient says she had a bump high on the bridge of her nose that, while it didn’t bother her unduly, always caught her eye when she saw herself in a mirror.

She says the bump is a family feature shared by her father and aunt and as she found herself noticing it more and more in her mid-20s, she began to think about having it corrected. When she consulted Dr Tavakoli about a rhinoplasty, she mentioned during their discussion that she had always wanted a breast augmentation. At more than 180cm tall, she says she has always felt she was completely flat-chested.

Dr Tavakoli explained she could have both procedures at the same time and the convenience strongly appealed to her, so she made arrangements to take two weeks off work for her recovery time.

‘The breast augmentation is something I’d always thought about. I used to talk about it with my mum and we’d joke that we’d do it together,’ she says, adding with a laugh that her mother is envious of her now she has gone from an A to a D cup.

She said that Dr Tavakoli reassured her there wasn’t any extra risk involved with undergoing the two procedures simultaneously. Her rhinoplasty and breast augmentation operations took about three hours in total and she says she went into day surgery at 7am and was at home by 2pm. Dr Tavakoli removed the bump from the bridge of her nose and also performed a septoplasty to narrow it. She says she is very happy with the result.

Dr Tavakoli also inserted high profile, round silicone-filled implants behind the pectoral muscle to provide some forward projection and to give her fullness in the upper pole of her breasts, giving her the bustline she says she has always desired.

‘From the moment I woke up until now, which is five weeks later, I’ve had no real pain at all, just a little tenderness with my nose,’ says the patient. ‘even Dr Tavakoli has been impressed by the speed of my recovery.’

She says she took a prescription painkiller for a week and a half after the surgery and that although all the work on her nose was internal, she did have bruises over her upper eyelids, which faded in about a week.

Her breast augmentation incisions were relatively small and are healing well. overall, she is extremely pleased with the outcomes of both procedures.

‘I don’t think it’s changed me as a person; I just feel so much more comfortable when I look in the mirror – and the breast augmentation has given me a lot more confidence about wearing summer clothes,’ she says. ‘I haven’t needed to buy more clothes, the ones I have still fit, they just look better!’

Dr Tavakoli says the safety of modern procedures and technologies means patients can combine procedures for two-in-one cosmetic results. acsm

Nicole Kidman’s nose is definitely a favourite of my patients in Sydney followed by Ashlee Simpson and  Jessica Alba. The most important thing in looking at celebrity noses and rhinoplasty is that they match the individual’s facial shape and ethnicity.

As Dr Rey commented celebrities are commonly used as models in the quest for cosmetic surgery.

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A rhinoplasty procedure by Sydney plastic surgeon Dr Kourosh Tavakoli transformed this patient’s appearance and life. Caroline Selwyn reports.

Rhinoplasty is one of the most common cosmetic surgery procedures performed in Australia, and one with a high patient satisfaction rate. According to Sydney plastic surgeon Dr Kourosh Tavakoli, many people take a long time to actually decide to have the surgery, but once they do many admit they wish they had done it sooner.

At 20 years old, Dr Tavakoli’s patient says that it was the perfect time to correct her nose that she had been ‘very aware of’ throughout her life. ‘Being young, I had no big commitments and I knew the healing time would be relatively quick,’ she says. ‘I just didn’t want to wait any longer.’

The patient says she has never been happy with her nose and always wanted to change it. ‘It just didn’t look feminine and was out of place on the rest of my face.

‘I had the misfortune of inheriting my father’s masculine European nose,’ she says. ‘It just didn’t fit with the rest of my facial features. There was a prominent bump, which was especially noticeable in my profile.’

She began researching online, reading about other people’s experiences with rhinoplasty, and found Dr Tavakoli’s case studies. ‘I was also impressed with Dr Tavakoli’s qualifications and professionalism,’ she says.

In her first consultation, Dr Tavakoli discussed the surgical possibilities, techniques and her desired outcome. ‘He showed me computerised “before” and “after” pictures of what a rhinoplasty could do for my nose,’ she says.’ This was extremely beneficial as seeing the “after” shots meant I had realistic expectations of what could be achieved.’

Dr Tavakoli also detected some breathing problems in the patient’s nasal passages. ‘It turned out my left nasal cavity was completely blocked off, so the procedure wasn’t just cosmetic after all,’ she says.

‘Before rhinoplasty, my nose just didn’t fit with the rest of my facial features and looked out of place’

The patient says her recovery was relatively slow but Dr Tavakoli and his staff were very helpful with post-surgery care. ‘I was one of the small percentage of people who was still experiencing bruising and swelling at my one week follow-up appointment,’ she says. ‘I had lymphatic massage to drain the build-up in my face, which cleared it up quite quickly.’

The patient says once the swelling subsided, she was ‘absolutely delighted’ with the result and her breathing had improved. ‘It was exactly what I expected and hoped for,’ she says.

The patient says she experienced a ‘very dramatic’ change. ‘It altered the entire look of my face,’ she says. ‘My nose has always been out of proportion to the rest of my
face and now it fits.’ acsm

Gail is a 51-year-old operating theatre nurse with two small children. She decided some time ago that she was unhappy with the overall appearance of her face. After careful reflection and much research she went to see Sydney plastic surgeon Dr Kourosh Tavakoli.

‘I’d been thinking about getting something done for some time,’ says Gail. ‘I didn’t get married until I was 40 years old and so had my first child at 40 and my second at 43. Even though people used to tell me that I looked quite young for my age, I still felt that time had taken its toll. There were a few things about my face that I just didn’t like, especially around the mouth – the jowls were sagging a bit – and I’ve always hated my nose,’ she explains.

Many patients opt to undergo one procedure at a time but as a veteran theatre nurse Gail was experienced enough to know how to do her research and confident enough to undergo all the procedures she wanted at once.

‘I thought, if I’m having an operation on my face I might as well have everything I want done at the same time,’ she says.

Gail began her search for the right doctor by asking her colleagues for advice. ‘I knew a few doctors and I asked around for their recommendations,’ she says.

‘Then I looked up each doctor’s website and narrowed it down to just two, then saw both for a consultation. I chose Dr Tavakoli because he has a very good reputation.’

Nine months after her initial consultation, she returned to Dr Tavakoli and booked herself in for the surgery.
Dr Tavakoli perfomed a six-hour operation to rejuvenate her face and refine her nose, comprising a short scar facelift, upper and lower blepharoplasty, rhinoplasty, lip augmentation and finishing with Botox injections in her forehead.

Gail says she was very bruised immediately after the procedures but her profession had prepared her to expect this as a first result.

It’s now been five months since her surgery. She says an operation of this scope was bound to take some time to recover from and, though the recovery process has been a gradual one, it was well worth it.

‘When I look at myself now I’m really pleased with the result,’ she says.

However, it wasn’t until she saw Dr Tavakoli’s final set of ‘after’ photos that she realised the full extent of the dramatic changes to her appearance.

‘People I haven’t seen in a long time know there’s something different but can’t quite put their finger on what’s changed. That’s a good thing! I didn’t want to look like someone else – I still wanted to look like me but maybe better, or younger and healthier,’ Gail says.

‘Dr Tavakoli’s work on my nose was very subtle, but I really like the result. I have no regrets, I’d do it all over again!’

A key aspect of rhinoplasty is simply making the decision to have the procedure, says Sydney plastic surgeon Dr Kourosh Tavakoli.

Brenda McCormick reports.

Rhinoplasty is one of the most common cosmetic surgery procedures performed in Australia, although many people take a long time to actually decide to have the surgery, according to Sydney plastic surgeon Dr Kourosh Tavakoli. He says prospective patients often postpone the decision because of self-consciousness, anxiety or a lack of confidence. However, once they have taken the plunge and had the procedure done, many admit they wish they had done it sooner.

One of Dr Tavakoli’s patients is a typical case; she considered rhinoplasty for many years before finally deciding to undergo the procedure. ‘I’ve just always hated my nose’ she says, ‘I was going get a rhinoplasty done when I was 21 and then decided to go overseas instead, so when I was turning 30 I thought, well, I’ve always wanted it done so I started to really look into it.’

After doing a lot of research online, she narrowed her choice of surgeons down to a shortlist of three, but she says that after meeting with Dr Tavakoli her mind was made up. ‘During my first consultation with him he showed me computerised before and after pictures of what a rhinoplasty could do for my nose.’ She also felt comfortable with Dr Tavakoli and his staff, which sealed her decision. ‘They had an opening available so I said, “book me in!”‘

The surgery took about two hours and altogether she spent only six hours in the clinic. She says she felt ‘completely fine’ when she woke up after surgery and suffered minimal swelling. ‘For about three days I had really bad black eyes and some swelling, but I was back at work two weeks later and no one even knew.’

Dr Tavakoli’s patient says she feels very lucky to have had such a positive experience and straightforward procedure. She says having the opportunity to see the digital ‘after’ shots at the consultation stage meant she had realistic expectations of what the surgery could achieve and that she is very happy with the result.

One of the most commonly performed cosmetic surgery procedures is the rhinoplasty. This procedure represents the greatest fusions between art and science. Sculpting a new nose requires an in depth knowledge of nasal anatomy and function as well as a true sense of the patient’s sense of beauty and ethnicity. The nose you end up with should fit
easily into the shape of your face and in fact should not be distinguishable from any other feature.

A well recognized successful rhinoplasty is that of Ashley Simpson, American Pop star. Her new nose was so right for her face that it really accentuates its true beauty.

Rhinoplasty can improve the tip of the nose and its projection and the removal of the hump on a nose can change the length as well as the shape of that nose. Most Rhinoplasty procedures can be performed as day only cases requiring a week off work.

Successful rhinoplasty is a combination of careful patient selection and planning, accurate operative technique and thorough postoperative care.

Sydney plastic surgeon Dr Kourosh Tavakoli’s case study shows how cosmetic procedures can be combined to reduce costs, anaesthesia and recovery times. Gillian Samuel reports.

Sydney plastic surgeon Dr Kourosh Tavakoli’s patient says she had a bump high on the bridge of her nose that, while it didn’t bother her unduly, always caught her eye when she saw herself in a mirror.

She says the bump is a family feature shared by her father and aunt and as she found herself noticing it more and more in her mid-twenties, she began to think about having it corrected. When she consulted Dr Tavakoli about a rhinoplasty, she mentioned during their discussion that she had always wanted a breast augmentation. At more than 180cm tall, she says she has always felt she was completely flat-chested.

Dr Tavakoli explained she could have both procedures at the same time and the convenience strongly appealed to
her, so she made arrangements to take two weeks off work in August this year.

‘The breast augmentation is something I’d always thought about. I used to talk about it with my mum and we’d joke that we’d do it together,’ she says, adding with a laugh that her mother is jealous of her now she has gone from an A to a D cup.

She said that Dr Tavakoli reassured her there wasn’t any extra risk involved with undergoing the two procedures simultaneously. Her rhinoplasty and breast augmentation operations took about three hours and she says she went into day surgery at 7am and was at home by 2pm.

Dr Tavakoli removed the bump from the bridge of her nose and also performed a septoplasty to narrow it. She says she is very happy with the result.

He also inserted high profile, round silicone-filled implants behind the pectoral muscle to provide some forward projection and to give her fullness in the upper pole of her breasts, giving her the bustline she had always dreamed of having.

She says that even Dr Tavakoli has been impressed by the speed of her recovery. ‘From the moment I woke up and he was holding my hand and telling me that everything had gone very well until now, which is five weeks later, I’ve had no pain at all, just a little tenderness with my nose.’

She says she took a prescription painkiller for a week and a half after the surgery and that although all the work on her nose was internal, she did have bruises over her upper eyelids, which faded in a week.

Her breast augmentation incisions were relatively small and are healing very nicely. Overall she is extremely pleased with the outcomes of both procedures.

‘I don’t think it’s changed me as a person, I just feel so much more comfortable when I look in the mirror and the breast augmentation has given me a lot more confidence about wearing summer clothes,’ she says. ‘I haven’t needed to buy more clothes, the ones I have still fit, they just look better!’

Dr Tavakoli says the safety of modern procedures and technologies means patients can combine procedures for two-in-one cosmetic results.