Rhinoplasty and facial implant surgery are often undertaken to correct the appearance of the nose, chin and cheeks. Rhinoplasty surgery encompasses a broad range of situations and techniques that aim to improve the nose both functionally and aesthetically. In all cases of nasal surgery it is important to ascertain both the functional and cosmetic issues that are present – many patients presenting for rhinoplasty have a degree of airway obstruction and this needs careful consideration as part of planning any operation. These are bespoke operations and I use digital photography planning tools to calculate the various dimensional changes required in any individual case.
Functional nasal surgery is typically the domain of ENT surgeons, but when septal problems (such as a crooked nose or nasal obstruction) are combined with a dislike of nasal appearance then septorhinoplasty surgery may be suitable. Having travelled widely to learn rhinoplasty techniques in UK, Europe, North America and Australasia, I combine numerous techniques and a wealth of world class experience to give durable results in this challenging area.
Particular problems of septal deviation, alar retraction and tip droop (the polly beak nose) are minimised by use of septorhinoplasty techniques and cartilage grafts in various configurations. For primary cases (where surgery has not previously been undertaken) Preservation Rhinoplasty techniques may be used. Preservation Rhinoplasty includes a range of techniques that aim to preserve the beautiful normal structures of nose, whilst subtly altering the overall arrangement of these structures to reduce a dorsal hump, correct septal deviation and improve nasal tip definition. Open Structural Rhinoplasty is typically indicated in revision cases and in more complex primary cases. In revision cases additional cartage material from the septum or rib may be required to help construct the nose that is desired.
The use of chin implants and cheek implants may give additional balance to the face when needed. Many types of implant are available although silicone implants are most commonly used in my practice. These can be inserted through well-hidden incisions and can make powerful changes to improve facial harmony.