Planning with photographs
I use photographs of your face, edited in Photoshop, to show what a change to the nose might look like. This photo morphing is usually the focus of your second consultation. It is a way of talking about what you want and what I think is achievable. It is not 3D imaging, and the picture is a proposal rather than a prediction: the final shape depends on your skin thickness, your underlying anatomy and how you heal.
Ultrasonic instruments
For the bone of the nose I use a piezoelectric (ultrasonic) instrument rather than a chisel or rasp.
- Precision in the bone. The instrument cuts bone with high-frequency vibration and largely spares the soft tissue, blood vessels and cartilage around it.
- Where it is used. I use ultrasonic instruments in all of my rhinoplasty, including bony corrections such as removing a hump and refining the bridge.
- What it does not change. It does not shorten the twelve months the nose takes to settle, and it does not replace the cartilage work, which for many patients is the larger part of the operation.
For how I work, see my approach, or contact my rooms.
Before and after
Patients whose main concern was the bridge of the nose, with the time since surgery stated on each photograph.
