Rhinoplasty
Like all areas of cosmetic surgery, the key to rhinoplasty is a natural result which suits the patient's face. This requires careful examination and assessment of not only the anatomy but also the wishes of the patient. Although the procedure can be done through a closed or intranasal incision, he largely uses an open approach where a small stepped incision across the columella (the strip of skin and cartilage which joins the tip of the nose to the upper lip) joins incisions hidden within the nose to allow the cartilage, soft tissue and bone as well as nasal septum to be clearly viewed. This enables precise reduction, repositioning and grafting (where necessary).
As well as the aesthetic imperative of such surgery, functional considerations must also be taken into account. This often means that surgery to improve the nasal airway is performed at the same time.
Rhinoplasty must be carefully tailored to the individual patient's wishes, their overall facial form as well as the precise anatomy of their nose. The procedure is designed to suit the individual patient's face and to avoid the "operated look".