Rhinoplasty involves surgical changes to the nasal skeleton to improve function and form. It is a complex operation that requires a thorough knowledge of the variability in anatomy, facial harmony, healing and changes in tissue over time.
Although this operation is done by many surgeons in varying specialties, it is frequently difficult to get consistent results.
My philosophy involves open repositioning and stabilising of existing structures, as opposed to an excisional closed technique. Nearly all of my rhinoplasty surgeries involve a technique known as open or external rhinoplasty. This allows better diagnosis of the deformity, and gives me a better idea of the tissue I leave behind and how it might change over time.
The most common functional complaint I see is obstruction of the nose. There are various techniques that can be used to alleviate this problem that range from simple airway widening procedures such as septoplasty and turbinoplasty to more intricate nasal valve surgery.
Common cosmetic complaints are a dorsal nasal hump or a broad or poorly defined nasal tip. I often perform reconstructive surgery for trauma to the nose done under ACC elective contract. Revision rhinoplasty is also performed where the results of previous surgery elsewhere has not adequately dealt with the problem; these are the most difficult of rhinoplasty surgeries.
Consultations involve listening to your story and history, a detailed analysis of your face, skin, and nose, and digital photo documentation. Computer morphing techniques are also used in certain situations to help you understand what can be done-but these do not guarantee what will be done, as we are confined by structural limitations and baseline anatomy.
You will be given our detailed College of Surgeons’ handout on “Surgery of the Nose”, which has details of the techniques, general and specific risks of your surgery, what to expect and how to take care of yourself at home.