Rhinoplasty

A/Prof Mark Gianoutsos performs open rhinoplasty from his Randwick practice at Prince of Wales Private Hospital, using a stepped columellar incision combined with hidden nasal incisions for direct access to the full cartilaginous and bony nasal framework. The procedure addresses aesthetic concerns including dorsal hump reduction, tip refinement, alar base width, and nasal asymmetry, as well as functional concerns such as septal deviation and turbinate hypertrophy that affect breathing. Both male and female rhinoplasty patients are accommodated with technique planning tailored to gender-appropriate proportions and facial balance.

Rhinoplasty at A/Prof Mark Gianoutsos's Randwick practice at Prince of Wales Private Hospital is performed using an open technique — the gold standard approach for cases requiring structural modification of the nasal framework. A small stepped incision across the columella connects to bilateral marginal incisions, allowing the nasal skin to be elevated and the entire cartilaginous and bony skeleton to be visualised under binocular magnification. This direct exposure enables precise modification of the upper lateral cartilages, lower lateral alar cartilages, and nasal bones, with cartilage grafting from the septum, ear, or rib used where additional structural support or volume is required. Common aesthetic modifications performed at the Randwick location include rasping or osteotomy for dorsal hump reduction, medial and lateral osteotomies for narrowing an excessively wide bony pyramid, suture techniques and cartilage resection for tip refinement and rotation, and alar base resection to reduce wide or flaring nostrils. Concurrent septoplasty to correct a deviated nasal septum, and inferior turbinate reduction to address nasal obstruction, are performed where functional improvement is required. A/Prof Gianoutsos runs a dedicated male rhinoplasty page on his practice website, acknowledging the anatomically and aesthetically distinct requirements of male patients — including preservation of a straight or slightly convex dorsal profile, avoidance of excessive tip rotation, and maintenance of nasal masculinity. All rhinoplasty procedures are performed under general anaesthesia with a specialist anaesthetist, either as day surgery or with an overnight hospital stay at Prince of Wales Private Hospital. Patients can typically return to daily activities within three days and to work within two weeks, with a nasal splint removed at approximately one week. Follow-up appointments are scheduled at a few days post-operatively, then at six weeks, six months, and twelve months. Sydney and NSW patients benefit from A/Prof Gianoutsos's academic affiliation with UNSW and his senior examining role with the Royal Australasian College of Surgeons, underpinning a rigorous standard of surgical training and technique applied at every consultation.