Rhinoplasty (Nose Reshaping Surgery)

Rhinoplasty by Dr Joshua Berkowitz in Sydney offers surgical reshaping of the nose for both cosmetic and functional goals. Procedures address nasal humps, tip definition, width, asymmetry, and deviated septum correction. Performed under general anaesthesia, rhinoplasty is a highly individualised procedure with results assessed after full healing at twelve months. Both open and closed approaches are available depending on the degree of reshaping required.

Rhinoplasty — surgical nose reshaping — is one of the most technically demanding procedures in plastic surgery, requiring precise planning and an understanding of nasal anatomy, proportional aesthetics, and the interplay between form and airway function. Dr Joshua Berkowitz offers rhinoplasty in Sydney, NSW, Australia, addressing a broad range of nasal concerns for patients seeking both cosmetic improvement and functional correction. Cosmetic goals commonly addressed include reduction or refinement of a dorsal hump on the nasal bridge, improvement of nasal tip shape and definition (projection, rotation, and width), narrowing of a wide nasal base, correction of nasal asymmetry, and improvement of profile balance in relation to the chin and forehead. Functional concerns — including nasal airway obstruction from a deviated nasal septum, enlarged inferior turbinates, or internal nasal valve collapse — can be addressed simultaneously with cosmetic changes, with potential Medicare rebate eligibility for functional components subject to specialist assessment and clinical criteria. Dr Berkowitz offers both open and closed rhinoplasty approaches. The closed (endonasal) approach places all incisions inside the nostrils, leaving no external scarring and affording a shorter recovery, suitable for patients requiring more limited changes. The open approach involves a small transcolumellar incision connecting the internal incisions, which allows the nasal skin to be elevated for direct visualisation and access to the underlying cartilage and bone framework — preferred for complex reshaping, significant tip work, or revision cases. Surgery is performed under general anaesthesia at an accredited Sydney hospital or day surgery facility. Post-operatively, a nasal splint is worn for seven to ten days; bruising and swelling around the eyes and nose are expected for two weeks, with most social swelling resolved at four to six weeks; final tip refinement and nasal contour emerge gradually over a full twelve months. A personalised consultation with Dr Berkowitz at his Sydney practice is the starting point, where nasal photographs, dimensional analysis, and computer imaging are used to align surgical goals with achievable outcomes before proceeding.