This gallery provides a brief description of some of the commonest problems in rhinoplasty and should not be viewed as a catalogue of noses on offer. Each rhinoplasty patient has unique needs and desires for change. Each outcome was the result of detailed discussions between the surgeon and the patient and reflects the decisions made by that particular patient, and may not necessarily reflect your desires and tastes. Although the vast majority of patients are happy with the results of their “younique” rhinoplasty, there is a certain degree of uncertainty in this kind of surgery and a 100% guarantee of a particular result may not be possible. However, through frank and honest discussion with me, you can air all your concerns. With my assistance, you will be able to make an informed final decision on the desired outcome.

Finesse Rhinoplasty

Beauty is not aesthete unless it is elegant. Your nose landscapes your face with its complex silhouettes of highlight and shadows yet without sharp demarcations.
My surgery for you is technical but my vision is elegance. Recreating this contrast in concepts requires my in-depth understanding of your aesthetics with my haute couture rhinoplasty, tailored for the unique you, with perhaps just subtle re-modeling or a bolder reconstruction in Milan.

Natural Rhinoplasty

The nose that I always seek to deliver is a nose that is naturally beautiful for your face, leaving no trace of my visit that could attract attention to it. For beauty, less is always more so the secret to your beautifully natural nose is to make it “invisible” on your face. Only then will your beautiful eyes and expressive lips – the keys to authentic interpersonal relationships - emanate the real you.

Revision Rhinoplasty

The revision of a nose should always receive the utmost attention of a highly experienced rhinoplasty surgeon. Poor tissue quality, unpredictable healing and the technical surgical aspects may require some patients, to consider a touch up or revision rhinoplasty, even when the surgery had been done by the best of hands.
My dedication to only rhinoplasty surgery for over twenty years has provided me with substantive experience to manage a wide spectrum of revision rhinoplasty problems.

Functional Rhinoplasty

Your nose is important to you. To be your perfect partner in life, it shapes your facial form but also to fulfill your function of breathing for life and smelling the love and flavor of life. Accidents, allergies, previous surgeries and maybe even malformations since birth, may have limited your breathing.
Through my years of thousands of functional nose surgery, the function of your nose will also be improved as necessary.
As form is with function so elegance is with life…what more can I hope for anyone.

Humps & Humps

The commonest problem in rhinoplasty, the presence of a hump often motivates the patient to seek surgical correction. However, not every hump is an actual hump. Sometimes, a poorly positioned nasal tip may give the appearance of a hump, when none or very little exists. In these cases, I will recommend surgery for changing the position of the tip, and possibly other aspects of the nasal dorsum to create a more balanced profile line.

Tip refinement

As the nasal tip consists of flexible cartilages, and skin of varying thickness, achieving a perfect result is often a fine balancing act between what the patient desires and what the specific patient’s anatomy permits. Specifically, flimsy tip cartilages, excessive thickness and poor elasticity of the tip skin may have a significant impact on the overall quality of the aesthetic results.

Twisted nose

Whether due to trauma or disordered growth, a twisted nose provides the surgeon with unique challenges. A perfectly straight nose may not be possible after one operation. A touch-up procedure at a later date may become necessary.


Here the nose is simply less-than-elegant. The aim of reconstruction is to produce a robust, healthy looking inferior third of the nose that also functions properly.

Over-projected nose

This gives the nose the appearance of being too large for the face and may require modification of several elements to achieve a more harmonious dorsum-tip relationship. Adequate septal surgery represents a key element especially in de-projecting the nasal tip.

Revision cases

These patients have had multiple previous operations, and require meticulous pre-operative judgement and thorough operative planning. Not every patient may be helped by surgery in this scenario, but most of the patients will benefit from personalized surgery provided that they well understand limitations due to the distorted anatomy.

Saddle nose

In most of the cases it is the result of nasal injury or excessive removal of nasal support structures. This complex aesthetic and functional problem requires reconstruction of the nose with augmentation material. I only use tissues from the patient himself/herself, and rely mostly on cartilage.

Special cases

Patients may present with highly unique and unusual problems. A tailor-made approach paves the way for a successful outcome for these patients.

Cleft lip nose

This is one of the most challenging operations for a rhinoplasty surgeon. Excellent results can be obtained through a hybrid approach without adding an additional external scar to an already over-operated nose.

Alar Collapse

Alar collapse is a relatively common finding after over-aggressive surgery on the nasal tip cartilages. It can also due to an abnormal configuration of the tip cartilages. A firm tip cartilage skeleton must be reconstruct to provide structure and shape to these vital aesthetic and functional subunit of the nose.

7 Days Post-Op

Day 7 after rhinoplasty…Boxing Day… today I reveal your new nose to the world. You are excited, yet apprehensive. Your hands feel sweaty in anticipation. You watch my eyes, looking for a sign. A smile, a frown… and then …"Va bene"

So what can you expect? The removal of the dressings on Day 7 should be, will be, and is, a wondrous moment for you. Your skin will be slightly moist, pink and sticky from the tape residue. The nose will look wonderful 7 days after the surgery, slowly slimming with the subtle planned aesthetic features gradually appearing, as up to 10% of tissue swelling disappears over the long term.

Look at this nose at her Day 7 revealing, and the purposeful over-compensation that comes with my experience. A further 10% reduction in the over-rotated tip will occur over time, which will give her the dream “smaller, up-turned profile nose” that she wants in time.

As an experienced surgeon, I already know what to expect.
"Il buongiorno si vede dal mattino".