Rhinoplasty Johannesburg | Dr Brian Wolfowitz Saxonwold

Rhinoplasty Johannesburg | Dr Brian Wolfowitz – Saxonwold

About Dr Brian Wolfowitz

Dr Brian Wolfowitz is a highly experienced specialist in cosmetic and functional rhinoplasty, as well as septoplasty. Over the course of three decades, he has successfully performed thousands of rhinoplasty procedures for patients from five continents. In addition to rhinoplasty, he is skilled in functional endoscopic sinus surgery.

His approach to nasal surgery focuses on enhancing natural beauty while preserving ethnic and individual characteristics. The nose is not only a defining feature of the face but also a vital organ for breathing. Each procedure he performs maintains a balance between aesthetics and functionality, ensuring optimal airflow and sinus health.

Dr Wolfowitz primarily performs nasal surgery using an endonasal (internal) approach, which eliminates the need for external incisions. Most procedures take approximately one hour and fifteen minutes, conducted under either general or local anaesthetic.

Medical Services and Procedures

Nasal Reconstruction & Septoplasty

Septoplasty is a procedure designed to correct a deviated nasal septum—the partition between the two nasal cavities. When the septum is misaligned, it can cause breathing difficulties. This surgery improves nasal airflow and enhances overall function.

In rhinoplasty and nasal reconstruction, the objective is enhancement, not perfection. While significant improvements can be achieved, absolute symmetry or an idealised image may not always be possible due to factors such as:

• The natural contours and shape of the face
• Skin texture and thickness
• The alignment of the chin, lips, and forehead
• The depth and angle between the forehead and nose
• The individual’s height and facial proportions
• The natural healing process of the tissue

Anaesthetic

Rhinoplasty and septoplasty are performed under general anaesthesia, ensuring a comfortable and painless procedure. The operation typically lasts around one hour.

Post-Procedure Care

Recovery plays a crucial role in achieving the best results. Following surgery, patients should follow specific aftercare instructions to aid healing and reduce discomfort.

What to Expect Immediately After Surgery

• Breathing through the nose should be avoided initially.
• Medications prescribed by the doctor must be taken as directed.
• Patients may get out of bed to visit the bathroom but should have assistance.
• A light nasal pack will be placed inside the nostrils and removed after 24 hours.
• Cold gauze pads applied to the eyes will help minimise swelling.
• Moderate nasal bleeding is normal, and a gauze dressing will absorb any blood.
• The exterior of the nostrils can be gently cleaned using cotton buds soaked in water or Vaseline.

Follow-Up Care

Proper post-operative care ensures minimal complications and promotes a smooth recovery. Key guidelines include:

• Once the nasal packs are removed, breathing through the nose is permitted, but blowing the nose or sneezing forcefully should be avoided for at least five days.
• Rest is essential for one week following surgery. Activities such as excessive talking, smiling, chewing hard foods, and strenuous exercise should be minimised.
• A nasal splint will be applied to protect the nose and will be removed after one week.
• The nose should remain dry, and some light, blood-stained drainage may occur for several days.
• If bleeding occurs, inserting a small piece of cotton wool into the nostril and resting should help.

Additional Information

Dr Brian Wolfowitz takes great care in ensuring each patient receives individualised treatment tailored to their needs. His expertise in both cosmetic and functional nasal surgery allows for beautiful, natural results while maintaining optimal nasal function.