Dear visitor

Primary rhinoplasty is a highly complex operation requiring specialized technical skills and sophisticated aesthetic judgment. There is no such thing as a “routine rhinoplasty”.
The unique combination of the anatomy of the nose requires a highly experienced surgeon, to get the operation right the first time.
It is vital to choose a competent surgeon possessing a specific expertise in rhinoplasty with refined aesthetic judgement and sound anatomical knowledge. In my opinion, a successful primary rhinoplasty relies on the technical expertise of an experienced surgeon.
The surgeon you choose should have the necessary skills repertoire for the surgery. A tailor-made, patient-centered rhinoplasty is the key, my key.
My YOUnique belief is that non-destructive and non-palpable techniques are paramount in primary aesthetic rhinoplasty surgeries. I believe that the use of structural grafts should be minimized whilst the use of contour grafts to achieve a smoother aesthetic balance across the nasal aesthetic sub-units, is essential in any primary aesthetic rhinoplasty.

A revision rhinoplasty is a procedure to correct any unsatisfactory results that may have occurred due to an initial rhinoplasty.
I am increasingly seeing patients with multiple rhinoplasty procedures performed elsewhere. With several procedures in the past, it is not unusual to find that these operated noses lack support, have multiple grafts, a reduced blood supply and poor quality skin envelopes. I believe that many unsatisfactory rhinoplasties have emanated from too much unnecessary structural grafting for a primarily aesthetic rhinoplasty. In these patients, the septal cartilage has been used for the grafting. These “septal cartilage-depleted” patients seeking further revisions, pose a specific challenge for revision rhinoplasty surgery.
Re-building the necessary structural support and/or creating subtle changes for revision rhinoplasty patients require experience as much as talent. Depending upon the condition of the tissues, most revision rhinoplasty patients may still be provided with visible and significant improvements. However it is improvement, and not perfection, the aim of any revision procedure.
Unfortunately, for some patients, revision surgery is not the solution, and surgery can cause further problems and result in extremely poor outcomes. I believe that with these patients, I have to undertake an honest, firm and expert conversation to dissuade any further surgery that would be detrimental or catastrophic. This conversation is paramount for the health of my patient.
My YOUnique revision rhinoplasty journey with my patients, is to provide the hope of a better nose whenever it is possible, and a conclusion to avoid further disappointment and health deterioration, when it is not.

The “ethnic-specific” features of the nose and the face is a highly complex issue. Patients may be proud of their ethnic heritage, and wish to preserve it. These wishes should be taken seriously when planning and executing an “ethnic” rhinoplasty. In spite of this, my experience with my international clientele have shown myself that the younger generations are profoundly influenced by facial beauty paradigms propagated by fashion, the entertainment industry and the ever-glossy magazines. It is my job to guide them through from these paradigms of fashion, towards a sensible yet aesthetic rhinoplasty that would reflect a more beautiful them, whilst preserving their ethnicity.
It is my enduring philosophy that from the moment a patient seeks my care until that patient concludes the surgery, each rhinoplasty should be considered ethnic. This “ethnic” patient still demands a rhinoplasty surgeon with excellent rhino-analysis, meticulous surgical technique and an attention to high detail throughout their experience.
For my ethnic patients, they can remain confident that their rhinoplasty is tailored to them, from start to finish, for a YOUnique rhinoplasty that is uniquely personalized for them.

Internet resources and e-communication with surgeons on your nasal condition provides only general information. These are not, and never will be, a substitute for a face-to-face personal consultation with a highly experienced rhinoplasty surgeon.
Keep in mind that following advices from surgeons on whatever website who proposes to tell you what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, evaluating your level of maturity, and discussing the pros and cons of the operative procedure with you would not be in your best interest.
Your pre-rhinoplasty consultation is an important prerequisite for any successful rhinoplasty surgery. Only a personal consultation provides you with the opportunity to discuss your concerns with your surgeon, to align both your expected outcomes, and for you to be comfortable with and trusting of your selected surgeon.

Despite meticulous clinical planning, and expert surgery, not all goals can be achieved in rhinoplasty. As no surgical operation has a 100% success rate, rhinoplasty patients must accept that some imperfections can persist in about 10% of the cases, leading to a not completely satisfactory result. Unless the patient is willing to accept that imperfect results may happen, the operation cannot go ahead. There are several reasons for post-operative problems. First, the nose can only be changed to a certain degree: trying to force nature to do things that are impossible, simply does not work. Secondly, each patient heals according to his/her genetic background such that the same operation may produce slightly different results in two individuals. Thirdly, in revision cases the nose lacks much of its supporting structure, may have received several grafts, and the quality of blood supply has decreased. Furthermore, nasal skin that has been exposed to previous multiple operations often does not heal as well as ordinary skin, and itself this can create a barrier towards an optimal result.
So, even in the hands of world-experts, a second procedure known as “touch-up” surgery may be required to refine results. Although we do not charge you, this “touch-up” procedure will carry a reduced charge for anaesthetist care and clinic facilities.
Unfortunately, some patients cannot be helped by revision surgery. Under these circumstances, surgery can cause further problems and result in a very poor outcome. Honest, firm and expert advice is paramount here. In some cases, I do advise these patients that in their particular condition, major revision surgery should not be undertaken. In other cases, minimally invasive touch-ups can help in restoring a more natural look.