Understanding Dorsal Preservation Rhinoplasty
A patient-friendly guide by Dr Chris Oosthuizen — Form & Function Rhinoplasty & Sinus Surgery, Brisbane
If you’re beginning your research into rhinoplasty in Brisbane, you may have heard of a newer approach called dorsal preservation rhinoplasty. As a surgeon who manages both the appearance and function of the nose, Dr Chris Oosthuizen often discusses this technique with patients who want natural-looking changes while maintaining healthy nasal breathing.
This guide explains what dorsal preservation rhinoplasty involves, who it may suit, and the important safety steps required for anyone considering cosmetic nose surgery in Australia.
What Is Dorsal Preservation Rhinoplasty?
Many people are interested in smoothing a dorsal hump — the small bump on the nasal bridge.
In traditional rhinoplasty, this bump is removed, and the bridge is rebuilt.
Dorsal preservation rhinoplasty works differently.
Rather than removing the hump from above, the surgeon reshapes the structures underneath and gently lowers the bridge while preserving more of the patient’s natural tissues and support.
For suitable patients, this approach may:
- maintain the natural profile of the nose
- produce subtle, balanced results
- reduce the need for added grafts
- support long-term nasal stability
Dr Oosthuizen uses both preservation and traditional structural rhinoplasty techniques, selecting the approach that best matches the patient’s anatomy, breathing function, and goals.
Who Might This Approach Suit?
Dorsal preservation rhinoplasty may be considered for patients who have:
- a small to moderate dorsal hump
- a relatively straight nasal structure
- no major previous nasal surgery
- a preference for subtle, natural changes
It may not be appropriate for:
- noses with significant deviation or twist
- complex breathing issues requiring major reconstruction
- very thin or very thick skin
- revision rhinoplasty after previous surgery
During consultation, Dr Oosthuizen assesses both form and function — ensuring decisions are guided not just by cosmetic goals, but also by how the nose works.
Safety Requirements for Rhinoplasty in Australia
If you are considering nose surgery in Brisbane, it’s important to be aware of Australia’s strict cosmetic-surgery regulations. These rules are designed to support safe decision-making.
1. A GP referral is mandatory
Before seeing a practitioner for cosmetic rhinoplasty, patients must have a referral from their GP or another medical doctor.
This ensures the surgeon receives your medical history and gives you time to consider the procedure.
2. Choose a surgeon with recognised specialist training
Rhinoplasty is one of the most technically complex facial procedures.
In Australia, it should be performed by doctors who hold specialist qualifications such as:
- FRACS (ENT) — Specialist Ear, Nose and Throat Surgeon with training in nasal form and function
- FRACS (Plast) — Specialist Plastic & Reconstructive Surgeon
Dr Chris Oosthuizen is an ENT surgeon with a focus on form and function rhinoplasty and functional sinus surgery.
3. Procedures must occur in accredited, licensed facilities
Accredited hospitals and day-surgery facilities meet national safety and emergency standards.
Always ask where your surgery is performed and confirm the facility’s accreditation.
4. Comprehensive suitability and psychological assessments are required
Every patient must undergo:
- a detailed medical assessment
- a mental-health screening (required for all cosmetic surgery)
- a full explanation of risks, recovery, and alternatives
This ensures the decision is informed, considered, and aligned with your needs.
Potential Benefits of Dorsal Preservation
For the right patient, potential benefits may include:
- a smoother, naturally shaped bridge
- preservation of structural support
- less need for grafting
- balanced form with maintained or improved function
These potential benefits vary depending on the individual’s anatomy and goals.
Limitations to Keep in Mind
Dorsal preservation rhinoplasty is not a universal solution.
Sometimes, a traditional structural rhinoplasty is more appropriate—particularly when major reshaping or correction of significant deviation is required.
Your surgeon will guide you through these options based on a detailed assessment of your nose inside and out.
A Helpful Checklist for Patients Seeking Rhinoplasty in Brisbane
Before you move forward, make sure you:
- Obtain a GP referral
- Confirm your surgeon holds FRACS specialist qualifications
- Ask about the specific approach recommended for your anatomy
- Confirm your procedure is performed at an accredited facility
- Understand all risks, alternatives, and recovery expectations
- Avoid any setting that pressures you or makes unrealistic claims
These steps help ensure safe, informed decision-making for anyone exploring rhinoplasty or sinus surgery in Brisbane.
Recovery: What to Expect
Recovery varies, but many patients can expect:
- swelling and bruising for the first 1–2 weeks
- a nasal splint initially
- avoiding strenuous activity for several weeks
- gradual refinement of the nose over 6–12 months as swelling settles
Clear follow-up plans and accessible communication are part of safe surgical care. Always confirm who to contact if you have questions during recovery.