Frequent Questions

Rhinoplasty

Rhinoplasty is possibly the most challenging and rewarding operation for a facial plastic surgeon.

Far from being a repetitive “recipe”, it has to be individually tailored to blend within the unique harmony of each patient’s face. The process requires a scrupulous consultation to clearly identify the best surgical strategy, whose goal focuses on meeting the patient’s expectations. It is crucial for the surgeon to fully understand the patient’s desires in order to give the best advise.

Techniques

There are many techniques available to perform a rhinoplasty but only few will be able to address the specific requirements of “that” particular nose of “that” particular patient.

Preoperative consultation

Therefore, the first consultation usually requires at least 30 minutes. Preoperative photographs will be taken and compared with pictures after the surgery. A plastic surgery simulator can also be used to create on a pc the changes that will best suit each patient wishes.

These images will then be used to influence as much as possible the surgical outcome. I usually encourage my patients to take two simple photographs with their mobile phones before their appointment (a closeup of the front and lateral views of the face) and to study and use them as a guide to better explain what they do like or dislike (or both) of their noses. Sometimes, more than one consultation is necessary. There is no worst thing than rushing to have surgery if questions or doubts are left unanswered or clouded.

Setoplasty

Nasal septal deviation is a frequent condition and can cause severe nasal obstruction (usually on one side only).

Surgery is the only way to treat it and has a high success rate if correctly performed. During the operation the septum is “remodelled” and repositioned into the mid line.

After a normal short postoperative period of nasal blockage patients nasal breathing typically improves within 2 to 3 weeks.

Endoscopic Sinus Surgery

Endoscopic sinus surgery (also called FESS: functional endoscopic sinus surgery) is the gold standard surgical treatment for inflammatory diseases of the sinuses, like nasal polyps and chronic sinusitis.

Although medicines can sometimes keep these conditions under control, a good percentage of patients decides to seek an alternative and more “permanent” solution. I see FESS as an ally rather than a competitor for the treatment of sinus conditions since quite often a combination of both, medicine and surgery, gives the best results.

Small special “telescopes” are used to magnify the view inside the nose and sinuses and to accurately aid in the removal of the disease. At the end of the operation dissolvable packs are placed high up inside the nose to minimise the risk of bleeding while allowing adequate breathing through the nasal passage.

Otoplasty

Prominent ears, or bat ears, can result in teasing and misery for many children, which may continue as an ongoing form of embarrassment in adult life.

Surgery is quite successful in correcting this congenital anomaly. Operative scars are easily hidden behind the ears and a headband its all that is required to wear during the first nights that follow the operation.